Public Reporting

ACO Name and Location

Foothill Accountable Care Medical Group, Inc.
Previous Names: N/A
840 Towne Center Drive
Pomona, California 91767

 

ACO Primary Contact

Primary Contact Name

Jacqueline Vela

Primary Contact Phone Number

(909) 399-3400

Primary Contact Email Address

This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Organizational Information

ACO Participants:

 

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Abraham Chen, D.O., Inc.

N

Anthony S Oh A Medical Corporaton

N

Ofelia L. Narvasa, M.D., Inc.

N

Claremont Eye Associates Medical Group

N

Deepaaleya Medical Inc

N

Usha Mantha Md Inc

N

Bryan X Lee A Professional Medical Corporation

N

Mohamed S Ali Md Professional

N

Ct Hung Md Inc.

N

Mountain View Emergency Physicians Med Grp

N

Bryan Chan

N

Mukesh Amin Md & Tejinder Singh Md Inc

N

Susan Biegel, M.D., Inc.

N

Warren Regh C. Gabrillo III, M.D., Inc.

N

Gerardo M. General, M.D., Inc.

N

Jean-Claude Hage, M.D.

N

Sudhir K Reddy Md Inc

N

Inland Valley Hematology Oncology Associates A Professional Medical

N

Synergy CT Surgery Partnership

N

Our Family Medical Group, Inc.

N

Win Family Medicine Inc.

N

Hedy Loa

N

Nidia Colomer De Saca

N

Robert Jones

N

Ricardo Saca

N

Dwight Goddard

N

Compre Hensive Primary Care Medical Associates, Inc

N

Southern California Primary Medical, Inc.

N

California Institute Of Cardiovascular Health Inc.

N

Paul D.Orr, M.D., Inc.

N

Inland Urology Medical Group

N

Bipin Patadia, M.D., F.A.C.C., Inc.

N

Jan David Tepper D.P.M., Inc.

N

Bhupal Kommineni, M.D., Inc.

N

Krishan K. Malhotra, M.D., Inc.

N

Randy Karu, M.D., Inc.

N

Chaparral Medical Group, Inc.

N

Wayne H. Martin, M.D., Inc.

N

A.R. Mohan, M.D., Inc.

N

Premier Family Medicine Associates, Inc.

N

Garey Orthopedic Medical Group

N

Serra Community Medical Clinic, Inc.

N

  

ACO Governing Body:

Member

Member's Voting Power - Expressed as a percentage or number

Membership Type

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Singh

Tejinder

President/Co-Medical Director/BOD

1

ACO Participant

Mukesh Amin, Md & Tejinder Singh Md Inc

Prasad

Jeereddi

Executive Vice President/Co-Medical Director/Officer

1

ACO Participant

Chaparral Medical Group, Inc.

Rajan

Patty

CFO/Officer

0

Chief Financial Officer

N/A

Cohen

Harvey

Secretary/BOD

1

ACO Participant

Chaparral Medical Group, Inc.

Hung

Chuang-Ti

Board of Director

1

ACO Participant

Ct Hung Md Inc.

Holstein

Lester

Board of Director

1

ACO Participant

Premier Family Medicine Associates, Inc.

Tremazi

Jaffar

Board of Director

1

ACO Participant

Chaparral Medical Group, Inc.

Sinha

Rakesh

Board of Director

1

ACO Participant

Chaparral Medical Group, Inc.

Kommineni

Bhupal

Board of Director

1

ACO Participant

Bhupal Kommineni, M.D., Inc.

Saca

Ricardo

Board of Director

1

ACO Participant

Ricardo Saca

Biegel

Susan

Board of Director

1

ACO Participant

Susan Biegel, M.D., Inc.

Narvasa

Ofelia

Officer

1

ACO Participant

Ofelia L. Narvasa, M.D., Inc.

Foglesong

George

Medicare Beneficiary Representative

0

Medicare Beneficiary Representative

N/A

Foglesong

Jayne

Medicare Beneficiary Representative

0

Medicare Beneficiary Representative

N/A

 

 

Key ACO Clinical and Administrative Leadership:

Tejinder Singh

ACO Executive

Tejinder Singh

Co-Medical Director

Jeereddi Prasad

Co-Medical Director

Rakesh Sinha

Compliance Officer

Harvey Cohen

Quality Assurance/Improvement Officer

 

 

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Finance Committee

Patty Rajan, Chairperson

Quality Assurance & Improvement Committee

Harvey Cohen, M.D., Chairperson

Compliance Committee

Rakesh Sinha, M.D., Chairperson

Beneficiary Advisory Committee

Jeereddi Prasad, M.D., Chairperson

Credentialing Committee

Susan Biegel, M.D., Chairperson

Information Technology Committee

Bhupal Kommineni, M.D., Chairperson

  

Types of ACO participants, or combinations of participants, that formed the

ACO:

  • ACO professionals in a group practice arrangement.

  • Networks of individual practices of ACO professionals.

 

Amount of Shared Savings/Losses:

  • First Agreement Period

    • Performance Year 2018, $0

  

  • Second Agreement Period

    • Performance Year 2019, $0

Shared Savings Distribution:

  • First Agreement Period

    • Performance Year 2018

      • Proportion invested in infrastructure:       N/A

      • Proportion invested in redesigned care processes/resources: N/A

      • Proportion of distribution to ACO participants: NA

  • Second Agreement Period

    • Performance Year 2019

      • Proportion invested in infrastructure:       N/A

      • Proportion invested in redesigned care processes/resources: N/A

      • Proportion of distribution to ACO participants: NA

         

Quality Performance Results


2019 Quality Performance Results: 

 

ACO #

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

80.78

85.86

ACO-2

CAHPS: How Well Your Providers Communicate

94.32

94.11

ACO-3

CAHPS: Patients’ Rating of Provider

90.69

92.69

ACO-4

CAHPS: Access to Specialists

81.57

81.54

ACO-5

CAHPS: Health Promotion and Education

49.50

60.44

ACO-6

CAHPS: Shared Decision Making

60.86

62.78

ACO-7

CAHPS: Health Status/Functional Status

72.07

73.79

ACO-34

CAHPS: Stewardship of Patient Resources

23.71

26.17

ACO-45

CAHPS: Courteous and Helpful Office Staff

89.50

92.84

ACO-46

CAHPS: Care Coordination

84.16

86.89

ACO-8

Risk Standardized, All Condition Readmission

14.91

14.86

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

59.99

58.15

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

1.69

1.87

ACO-13

Falls: Screening for Future Fall Risk

2.06

84.04

ACO-14

Preventive Care and Screening: Influenza Immunization

40.15

74.77

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

43.33

78.04

ACO-18

Preventive Care and Screening: Screening for Depression and Follow-up Plan

7.69

70.40

ACO-19

Colorectal Cancer Screening

26.93

70.76

ACO-20

Breast Cancer Screening

42.07

73.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

64.71

82.17

ACO-27

Diabetes: Hemoglobin A1c Poor Control (>9%)

39.92

13.88

ACO-28

Controlling High Blood Pressure

80.56

75.04

 

 


Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

 

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

 

Payment Rule Waivers

 

 Skilled Nursing Facility (SNF) 3-day Rule Waiver:

    • Our ACO does not use the SNF 3-Day Rule Waiver.

 

  • Waiver for Payment for Telehealth Services:

    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.

 

 

 

Centers for Medicare and Medicaid Services

Medicare Service Center: 800-MEDICARE (800-633-4227)

Medicare Service Center TTY: 877-486-2048