ACO Name and Location
Baptist Health Quality Network, LLC.
1500 Monza Avenue
Suite 200
Coral Gables, FL 33143

ACO Primary Contact
Hugo Elias
786-308-2606
Hugo.Elias@baptisthealth.net

Organizational Information

ACO Participants:

 

 ACO Participants  ACO Participant in Joint Venture
 Adel M. Sidky, M.D., P.A.  No
 Ayman L. Atallah, M.D., Corp.  No
 Baptist Health Medical Group Physicians, LLC  No
 Baptist Health Medical Group Upper Keys, LLC  No
 Bocacare, Inc  No
 Boynton Beach Endocrinology, P.A.  No
 Cardiology Associates of South Florida, P.A.  No
 Danet Pico-Larralde, M.D., P.A.  No
 Gregory S. Weatherford, M.D., Inc.  No
 Ira Martin Fine, M.D.,P.A.  No
 James J. Jennings, M.D., LLC  No
 Mario Masserano, M.D., P.A.  No
 Metropolitan Neurology, Inc.  No
 Nevine M. Carp, M.D., P.A.  No
 Nilda M. Ginarte, M.D., P.A.  No
 Om Singh Medical Center, Inc.  No
 Pamela M. Ermine, D.O., LLC  No
 Seema S. Verma, M.D., P.A.  No
 South Palm Cardiovascular Associates, Inc.  No
 Stuart A. Rubin, M.D., P.A.  No

 

ACO Governing Body:

Member Last Name Member First Name Member Title/Position Member's Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable 
Arsenault Matthew  BHSF Manager  1 Other N/A
Boulenger Bo BHSF Manager 1 Other N/A
Fahmy Samer BHSF Manager 1 Other N/A
Fialkow Jonathan BHSF Manager 1 ACO participant representative Baptist Health Medical Group Physicians, LLC
Atallah Aymen Independent Physician Manager 1 ACO participant representative Ayman L. Atallah, M.D., Corp.
Breton  Cristian Independent Physician Manager 1 Other  N/A 
Fine  Ira Independent Physician Manager  ACO participant representative  Ira Martin Fine, M.D.,P.A. 
Marraccini  Linda Independent Physician Manager  Other  N/A  
Masserano  Mario Independent Physician Manager  ACO participant representative  Mario Masserano, M.D., P.A 
Da Fonseca  Christopher Employed Physician Manager ACO participant representative  Baptist Health Medical Group Physicians, LLC 
Del Conde  Ian Employed Physician Manager  ACO participant representative  Baptist Health Medical Group Physicians, LLC 
Gabriels  Laurice Employed Physician Manager  ACO participant representative  Bocacare, Inc 
Vazquez  Jose Employed Physician Manager  ACO participant representative  Baptist Health Medical Group Physicians, LLC 
Victoria  Carlos Employed Physician Manager  ACO participant representative  Bocacare, Inc 
Kranys Rude Community Member 1 Medicare Beneficiary Representative/Community Stakeholder Representative
N/A   
Cervera  Milady Chief Medical Executive Other N/A   
Sheehan Michael  Chief Medical Executive Other N/A   

Key ACO Clinical and Administrative Leadership:
ACO Executive: Hugo Elias
Medical Director: Michael Sheehan, M.D.
Compliance Officer: Beth Gillis
Quality Assurance/Improvement Officer: Michael Sheehan, M.D.

Shared Savings and Losses

N/A

Quality Performance Results

2020 Quality Performance Results:

Our ACO did not participate in the Shared Savings Program in the 2021 performance year, therefore this section is not applicable at this time.

Payment Rule Waivers

  • 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.