ACO Name and Location

Caribbean Accountable Care, LLC Torre Chardon 350 Chardon Avenue, Suite 500 Hato Rey, Puerto Rico 00918

ACO Primary Contact

Primary Contact Name Dr. Diego Rosso

Primary Contact Phone Number (787) 622-3000

Primary Contact Email Address diego.rosso@cac-pr.com

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)

Alejandro Medina N

Juanita Hernandez N

Elias Martinez de Pena N

Alan Zarruk Sanchez N

Ricardo Jimenez N

Ismenio Millan Aponte N

Victor Polanco Sanchez N

Clara Acosta N

Amanda Fernandez Munoz N

Ismael Jusino McDougall N

Ismael Mercado N

Miguel Santiago Vega N

CARLOS ACEVEDO REGO N

Pedro Carrazana Perez N

Eduardo Trejo Derivet N

Rafael Ruiz De La Uz N

Centro de Medicina Integral de Manati, Inc N

Jomarie Rivera N

Francisco Batlle Batlle N

Mitchell Matundan Marasigan N

Edgardo Bermudez N

Ismael Colon Calderon N

Frank Lopez Vizcarrondo N

Justino Betancourt N

Jose Soba N

Oscar Rodriguez N

Melvyn Acosta Ruiz N

Robert Engel N

Lourdes Montano Rivera N

Edith Torres Rodriguez N

Jorge Torres Martinez N

Nisislay Ramos Rodriguez N

Kevin Toro N

Rafael Diaz N

Gladys Perez Vega N

Carlos Morales Pagan N

Jose Melendez Ramirez N

Hector Ruiz N

Raymond Tasch Ramirez N

Loida Miranda N

Julio Sepulveda Franco N

Jose Alcazar Sabathie N

Felix Del Rio N

Eric Figueroa Rios N

Jorge Alfonso Medina N

Steven Rodriguez Monge N

Pablo Robles Cortes N

Iniabel Ramos Ruiz N

Jose Perez Garcia N

Ingrid Gonzalez N

Julio Mantero Hormazabal N

Wilmer Sanchez N

Digno Peguero Bodden N

Nestor Flores N

Roberto Encarnacion Marte N

Axel Velez Santiago N

Ricardo Ortiz N

Edwin Rodriguez Allende N

Isamarie Veguilla Hernandez N

Madelaine Berrios N

Nelson Medina N

Elba Lopez N

Jesus Amparo N

David Molina Gonzalez N

Antolin Padilla N

Rafael Cepeda Lara N

Alberto Rosario Maldonado N

Santiago Baez Torres N

Nestor Frontera-Tacoronte N

Vanessa Rodriguez Mier N

Jose Esteras N

Mirzia Laboy N

Jose A Marrero Garcia N

Gerardo Vendrell N

Carlos Planell Dosal N

Carlos Lopez-Ascencio N

Jorge Rodriguez N

Luis Siaca Colon N

Yanira Fernandez Esteves N

Luis Correa N

Heidi Ayala Cardona N

Alvin Torres N

Edgar Quintero Maldonado N

Anselmo Fuentes Aponte N

Ivette Rosario Robles N

Ismael Maldonado Torres N

Juan Garcia N

Jose Torres N

Edwin Figueroa Delgado N

Idalia Borrero N

Luis Montalvo N

Gustavo Cedeno N

Victor Hernandez Alon N

Maria Dominguez N

Rafael L Marrero N

Roberto Garcia N

Sixto Alvarez Rodriguez N

Marcelino Cintron N

Ivette Ruiz Rodriguez N

Zinnia Picart N

Elizabeth Carcache N

Luis Rodriguez N

Abelardo Vargas N

Eduardo Umpierre Vela N

Manuel Fernos Suarez N

Raul Acosta N

Luis Rivera Guilbe N

Juan Ferran N

Felix Melendez Ortiz N

Wilfredo Alonso N

Francisco Loubriel Ortiz N

Luis Delvalle N

Pedro Berrios Ortiz N

Glorieli Ghigliotti N

Melissa Rodriguez Moreno N

Ricardo Lopez Velez N

Rafael Machin N

Raul Chardon Burgos N

Armando Wiscovitch Velez N

Jose Rodriguez Ubarri N

Jose Torres Torres N

Raul Morales Borges N

Lumen Vera Colon N

Carlos Rodriguez Velazquez N

Jose Lopez Rodriguez N

Juan Ortiz Matos N

Osvaldo Colon N

David Rodriguez De Leon N

Nannette Berrios N

Jose Ballester Echegaray N

Angie Rosado N

Maria Rodriguez N

Jose Villamil Rodriguez N

Jose Rolon Marina N

Emilio Del Toro Agrelot N

Abelardo Vargas N

Jose Morales N

Carlos Vergne N

Edwin Rodriguez Ramos N

Jose Rovira Diaz N

Rene Hernandez N

Alma Arana Martir N

Josefina Ortiz Rivera N

Jorge Meaux N

Carmen Tocuyo N

Francisco del Rio Ferrer N

Roberto Ruiz Lopez N

Jose Anglero Ramos N

Jose Cordero N

Victor Lopez Llavona N

Nilda Alvarez Martinez N

Jose Morales Barreto N

Alicia Feliberti Irizarry N

Balbino Ayala Rosa N

Hector Hernandez Hern N

Harry Seda Vila N

Carlos Benitez Rios N

Edgardo Figueroa-Muniz N

Yasmin Fuentes Santiago N

Migdoel Vazquez Davis N

Carmen Sanchez-Lopez N

Joaquin Pales Aguilo N

Brenda Perez Valentin N

Juan Montes Ruiz N

Segundo Gonzalez Del Rosario N

Carlos Rodriguez Duve N

Carlos Negron-Olmo N

Francisco Correa Jusino N

Nidza Gomez Colon N

Aurelio Collado Pacheco N

Ramon F Torrado Frias N

Hiram Pabon N

Vanessa Vargas N

Jose Rolon Miranda N

Evelyn Castillo Delgado N

Jose Torres Varela N

Jaime Rodriguez N

Ivan Acosta N

Cecilio Hernandez Latorre N

Domingo Feliu Rosado N

Carlos Rosario Sepulveda N

David Reyes Cruz N

Ismael Bague Candelaria N

Jose Sepulveda Laboy N

Florencio Diaz N

Humberto Olivencia N

Pedro Ceballos Ventura N

Nicolas Alicea Cuevas N

Ana Otero N

Carlos Nieves Martinez N

Jorge Cedeno Espaillat N

Jossepp Berry Polanco N

Ernesto Laboy N

Luis Torrella-Ruiz N

Jose Mulero Fernandez N

Nestor Gonzalez Rodriguez N

Sadi Ramirez N

Nelson Rivera Rivera N

Yamil Mateo N

Migdonio Camacho N

Anamari Sanchez Collazo N

Carlos Perez N

Sylvette Deleon N

Jellytza Maldonado N

Mario Castillo Maldonado N

Luis Pena Figueroa N

Esther Villanueva Valdes N

Daniel Ruiz Soler N

Mario Santaella Maldonado N

Ivonne Benabe N

Manuel Zavala N

Awilda Franco-Matta N

Daled Bahri N

Jorge Rivera Vargas N

Ruth Rivera N

Francisco Nadal N

Ariel Cruz Igartua N

Sebastian Infanzon Santos N

Rafael Campos N

Carmen Vargas N

Wallace Belmont N

Jorge Ortiz Ramos N

Juan Chaparro N

Yezmin Bolanos Hernandez N

Awilda Solis Diaz N

Carmen Franceschini Pascual N

Sandra Rios N

Salvador Lopez Rojas N

Humberto Herrera Cespedes N

Carlos Guevara N

Juan Roman Feliciano N

Lysander Borrero N

Octavio Jordan Lopez N

Ferdinando Maldonado Terron N

Enrique Maldonado Torres N

Anibal Moreno N

Arnaldo Zapata N

Urda Santiago Rodriguez N

Edgar del Toro Roman N

Fabian Velazquez Lopez N

Tomas Jordan Lopez N

Juan Pillot Costas N

Victor Vivoni N

Angel Loyola N

Humberto Acosta N

Porfirio Rodriguez N

Angelo Coppola Munoz N

Rolando Colon Martinez N

Ana Padro-Diaz N

Gabriel Torres N

Antonio Sotomayor-Sierra N

Lydia Velez Rivera N

Benjamin Velazquez Lopez N

Victor Rodriguez Venegas N

Edwin Valentin N

Victor Venegas N

Ivette Lebron Nieves N

Jorge Mendez N

Arnaldo Reyes Ortiz N

Antonio Flores N

Francisco Chico Fuertes N

Zacarias Alamo Maldonado N

Milagros Moreno N

Fausto Lugo Rodriguez N

Iveliza Rivera N

Luis Pineiro Montalvo N

Luz Acevedo Vargas N

Juan Ruiz N

Linda S Cruz Montes N

Joaquin Davila Cintron N

Jose Pastrana N

Victor Reyes N

Carlos Robles N

Jaime Claudio Villamil N

Erlando Mendez N

William Garcia N

Larry Van Daalen N

Carlos Torres Torres N

Surilo Acosta Cadena N

Samuel Rivera Natal N

Jose Lozada N

Ausberto Alejandro Benitez N

Angel Montes N

Joaquin Davila Quinones N

German Rodriguez N

Luz Lopez N

Marie Gonzalez Colon N

Carlos A Cepero Ayende N

Jorge Mendez Colon N

Jose Ayala N

Raul A Rodriguez Almodovar N

Jose Santana N

Reynaldo Gomez Adrover N

Maria Tirado Otero N

Rafael Martinez Rodriguez N

Ruben Santiago-Lugo N

Edwin Camilo N

ARTURO TORRES BORGES N

Nydia Lopez Diaz N

Samuel Castro Rivera N

Lynnette Ortiz Toro N

Roberto Rosado N

Carmen Lopez N

Carlos Dominguez N

Adriano Martinez Rivera N

Anthony Linares N

Nelson Serrano N

Luz Marrero Maldonado N

Angel Gelpi Guzman N

Edison Velez N

Diego Mejias Franqui N

Efrain Marcantoni N

Jorge Rodriguez Mart N

Ferdinand Marin N

Vidal Febles N

Carmen Padilla Ortiz N

Jose Vivaldi N

Harvey Lebron N

Efrain Vargas N

Luis Negron N

Raul Acosta N

Miguel Magraner Suarez N

Carlos Cidre N

Jose Marrero Nieves N

Pedro Roman Eyxarch N

Jose Quinones N

Thomas Jimenez Hernandez N

Mario Haddad N

Maria Narvaez Rivera N

Freddy Quinonez N

Zaida Laureano Rodriguez N

Rafael Vasquez Pelyhe N

Magin Casanova N

Hildeberto Blasco N

Julio Cordero N

Pedro Granados Gonzalez N

Rafael Ruiz N

Jorge Melendez Garcia N

Jose Mendez Jiminian N

Ernesto Marrero De Gracia N

Raymond Martinez Aponte N

Ramon Sosa Garcia N

Diego Colon N

Marie Muntaner Rodriguez N

Obed Rene Garcia N

Edgardo Baez Ayala N

Juan de la Rosa Diaz N

Eileen Diaz Cabrera N

Luis Melendez N

Francisco Rodriguez Michel N

Ricardo Rodriguez Delgado N

Edgar Ramos Mendez N

Luis Moreno N

Monica Montana N

Virgilio Polonio N

Zorymar Echevarria Medina N

Manuel Mateo Lopez N

Nestor Aponte-Reyes N

ESTEBAN PEREZ BAILON N

Fernando Garcia Cruz N

Waldemar Paoli Breban N

George Fahed N

Cynthia Ruiz N

Martin Martino Berio N

Jorge Mendez Lopez N

Joyce Vargas-Gonzalez N

Jaime Ledesma Morales N

Patricia Matos N

Caridad Gonzalez N

Pedro J Amador N

Alberto Torres N

Luz Ruiz Velez N

Wilfredo Perez N

Osvaldo Castro N

Fares Cid Mansur N

Edgardo Marrero Perez N

Nelson Aldiva N

Francisco Rivera Rodriguez N

Javier Lugo N

Waldemar Rivera Jimenez N

Yonathan Rivera N

Adney Nieves Mendez N

Jaime Rodriguez N

Manuel Guerrero Jimenez N

Yussef Galib Frangie N

Greida Quintero Paz N

Silvio Martinez Ruiz N

Eduardo Miralles Alonso N

Orlando Llavona Gonzalez N

Francisco Fontanet N

Lisette Vasquez N

Carlos Gonzalez Fuentes N

Ricardo Colon N

Pedro Ramos Canseco N

Anibal Rosado Vidro N

Jerimer Rodriguez Velez N

Hector Irizarry N

Antonio Olivencia-Echeandia N

Jose Santos N

Dolores Reyes Lara N

Lazaro Roig N

Maria Lago N

Hospital General De Castaner Inc N

Servicios De Salud Del Norte N

Manuel Zavala N

Luis Pena Figueroa N

Centro Cardiovascular De San German, Csp N

Caribbean Pulmonary Medical Society, C.S.P. N

Oficina Medica Dr Polanco Csp N

Dr Ronaldo Martinez Garcia Health Services, Csp N

Lares Medical Center Inc N

Medicina Interna LMG, CSP N

Maria Tirado Otero N

DAJAOS MEDICAL CENTER, CSP N

GRUPO MEDICO DEL NORESTE N

Mmr Instituto De Medicina De Familia N

Bisono Internal Medicine Services Psc N

Policlinica Las Americas Medical Center, Inc. N

Juan C Velasco Cervilla MD CSP N

Mrp Medical Services Csp N

Medlar Medical Services C S P N

Consultorio Medico Dr. Jose A. Acevedo Psc N

Francisco Mendez Lopez Md Csp N

Internal Medicine Integrated Services Psc N

Asomante Medical Group N

CDT GMSP Inc N

Dra Madeline Fernandez Gonzalez Csp N

Instituto Cardiovascular de Coamo CSP N

Alianza Medica del Caribe N

Dento-Medics, Csp N

Centro Medicina Primaria Vega Alta N

Centro Cardiovascular De La Montana,Csp N

Rs Medical Service Corp N

Cordero & Sepulveda Inc N

Centro Especializado Medicina Interna N

Centro Especialista De Medicina Del Este C S P N

EAST-WEST MEDICAL CENTER, PSC N

Bella Vista Medicine Office Psc N

Servicios Medicos Santiago, CSP N

Clinica Familiar Dr Edwin Olmeda Csp N

RJBV Internal Medicine PSC N

San Patricio Gastroenterology PSC N

Cdt Centro De Servicios Medicos Integrados, Inc. N

Al Ramos MD CSP N

Policlinica Dr. Luis Rodriguez Carrasquillo, Psc N

Dr Ramon A Velez Arce Csp N

LHM, CSP N

Institute Of Pulmonary Diseases Csp N

Spm Doctors Services Group Psc N

Physician Hmo Inc N

Barreras Medical Group Csp N

Beatriz Medical Center N

Luis Paz Medical Services PSC N

Grupo Medico Sur-Med N

Consultorio Medico Clinico Dr Gomez Adrover PSC N

Centro De Medicina Primaria Y Preventiva Del Dr Cristobal Mendez, Inc.

N

REP Medical Serv CSP N

Servicios Medicos Integrados de Lajas CSP N

D ANN MEDICAL ESTHETIQUE, PSC N

JVT Medical Center, LLC N

Preventive Medical Care Services, PSC N

Jp Internal & Cardiovascular Medicine, Psc N

MESOMED PSC N

David Badillo MD PSC N

Primary Internal Care Psc N

Centro de Medicina Familiar Especializada CSP N

Dr Osorio CSP N

Heal Medical Center Psc N

SERRANO PULMONARY SERVICES, LLC N

Hj Medical Services Llc. N

MV HEALTHCARE CSP N

Domenech Figueroa Rivera MD CSP N

GUAYAMA FAMILY PRACTICE LLC N

JRC Servicios Medicos CSP N

Centro Medico Familiar Corp N

Policlinica Dra Janice Sanchez Csp N

VBM Medicine PSC N

Jorge Rivera Torres MD PSC N

ACO governing body:

Member Member's Voting Power

Membership Type

ACO Participant TIN Legal Business

Name/DBA, if Applicable

Last Name First Name Title/Position

Montalvo Raul Chairman 9.0% Other – ACO President

NA

Aguilu Viviana Member 0.0% Other – Treasurer/Finance Committee Chairman

NA

Viel Eyminel Member 0.0% Other – ACO legal, Secretary

NA

Plumey Myra Member 4.0% Other – ACO Compliance Officer

NA

Toro Ismael Member 9.0% ACO Participant Representative

CDT GMSP INC

Torrellas Luis Member 9.0% ACO Participant Representative

Luis Torrellas Ruiz

Rosado Angie Member 8.0% ACO Participant Representative

Angie Rosado Droz

Torres Tania Member 8.0% ACO Participant Representative

Cooperativa De Facultad Medica Sanacoop

Ayala Jose Member 8.0% ACO Participant Representative

Jose Ayala Berrios

Cruz Ariel Member 8.0% ACO Participant Representative

Medicos De Familia Imf, Csp

Mulero Jose Member 8.0% ACO Participant Representative

Jose Mulero Ferandez

Rodriguez Luis Member 8.0% ACO Participant Representative

Luis Rodriguez

Rodriguez Edwin Member 6.0% ACO Participant Representative

Dr. Edwin F. Rodriguez Allende, Csp

Gonzalez Segundo Member 6.0% ACO Participant Representative

Segundo Gonzalez

Flores Diego Member 9.0% Medicare Beneficiary Representative

NA

POlonio Virgilio Member 0.0% Other – Non Participant provider

NA

Key ACO clinical and administrative leadership:

Raul Montalvo-Orsini ACO Executive

Dagmar Rivera-Pizarro Medical Director

Myra Plumey Compliance Officer

Amarylis Delgado Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position

Quality and Utilization Review Dr. Dagmar Rivera, Medical Director

Finance Viviana Aguilu, AVP Finance

Operations and Compliance Myra Plumey, Compliance Officer

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

Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

N/A

Shared Savings Distribution

N/A

Quality Performance Results

2016 Quality Performance Results:

ACO# Measure Name Rate ACO Mean

ACO-1 CAHPS: Getting Timely Care, Appointments, and Information N/A 80.51

ACO-2 CAHPS: How Well Your Providers Communicate N/A 93.01

ACO-3 CAHPS: Patients’ Rating of Provider N/A 92.25

ACO-4 CAHPS: Access to Specialists N/A 83.49

ACO-5 CAHPS: Health Promotion and Education N/A 60.32

ACO-6 CAHPS: Shared Decision Making N/A 75.40

ACO-7 CAHPS: Health Status/Functional Status N/A 72.30

ACO-34

CAHPS: Stewardship of Patient Resources N/A 26.97

ACO-8 Risk Standardized, All Condition Readmission N/A 14.70

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) N/A 18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes N/A 53.20

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure N/A 75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions N/A 59.81

ACO-9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

N/A 9.27

ACO-10

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)

N/A 14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements N/A 82.72

ACO-39

Documentation of Current Medications in the Medical Record N/A 87.54

ACO-13

Falls: Screening for Future Fall Risk N/A 64.04

ACO-14

Preventive Care and Screening: Influenza Immunization N/A 68.32

ACO-15

Pneumonia Vaccination Status for Older Adults N/A 69.21

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

N/A 74.45

ACO-17

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

N/A 90.98

ACO-18

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

N/A 53.63

ACO-19

Colorectal Cancer Screening N/A 61.52

ACO-20

Breast Cancer Screening N/A 67.61

ACO-21

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

N/A 76.79

ACO-42

Statin therapy for the Prevention and Treatment of Cardiovascular Disease N/A 77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control N/A 18.24

ACO-41

Diabetes: Eye Exam N/A 44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure N/A 70.69

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic N/A 85.05

ACO-31

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

N/A 88.67

ACO-33

Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)

N/A 79.67

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

Payment Rule Waivers

No, our ACO does not use the SNF 3-Day Rule Waiver.