ACO Public Reporting Information

For the UC San Diego Health Accountable Care Network

ACO Public Reporting Information

ACO Name & Location

UC San Diego Health Accountable Care Network, Inc.
9300 Campus Point Drive
#1-620
La Jolla, CA 92037

ACO Primary Contact

Duncan Campbell
O: 858-249-0279
E: physiciannetwork@ucsd.edu

Organizational Information

ACO Participants by Medical Specialty

ACO Participants	ACO Participants in Joint Venture (Y or N)
Advanced Endoscopy Consultants	N
Mohammed Al-Jasim, MD	N
Allergy and Rheumatology Medical Clinic	N
Alvera Podiatry Group	N
ANZ Clinics	N
Marcella Bonnici, MD	N
Marisel Chibas, MD	N
Puja Chitkara, MD (CARE Rheumatology)	N
Maribeth Chong, MD (Well Being Medical Clinic)	N
Yoo Jin Chong, MD (Well Being Medical Clinic)	N
Kathy Clewell, MD	N
Andrew Deemer, MD (Coastal Surgeons);	N
Dermatologist Medical Group of North County	N
El Centro Regional Medical Center	N
Rhoda Estrella-Itchon, MD	N
Expert Surgeons Of California Inc (Coastal Surgeons)	N
Linda S. Falconio, MD (The Doctor's Office)	N
Get Well Stay Well Medical	N
Patrick & Edivina Gonzales Medical Group	N
Genesis Healthcare Partners	N
Seung S Gwon, MD	N
Mostafa A Hamdy	N
Susan Dabney Heifetz, MD (North County Internal Medicine)	N
Anthony Huynh Medical Group (El Centro Dermatology & Laser Center)	N
IGO Medical Group	N
Imperial Valley Family Care Medical Group	N
Jurkowski Medical Corporation (MD Today)	N
John A La Fata, MD (North County Internal Medicine)	N
Xiangli Li MD (North County Internal Medicine)	N
Kiran Mahl-Sansone, MD (North County Internal Medicine)	N
Kelly L Mckerahan, DO	N
Elias Moukarzel, MD	N
Brian L Nguyen, MD	N
North Coast Family Medical Group	N
North County Endocrine Medical Group (Advanced Metabolic Care)	N
Monica Perlman, MD	N
Radiance OB-GYN	N
Rancho Family Medical Group	N
Sumana & Ananthram Reddy, MD	N
Regents Of The University Of California	N
Jorge F. Robles, MD, Medical Associates	N
SD Sports Medicine and Family Health Center	N
San Dieguito Orthopedic Medical Center (Core Orthopedic)	N
Scripps Ranch Medical Clinic	N
Southwest Heart Institute Medical Corporation	N
Synergy Specialists Medical Group	N
Temecula Valley Cardiology Medical Group	N
Temecula Valley Digestive Disease Consultants (United Gastroenterologists)	N
Tri-City Hospital	N
Tri City Primary Care Medical Group	N
Tri-Valley Urology Medical Group	N
Toosiemd Inc (Coastal Surgeons)	N
Two Zeds Medical Corporation (MD Today)	N
UC San Diego Health	N
Paul D. Wagner, MD (San Diego Medical Group)	N
Sabina R Wallach, MD	N
Todd Wine, MD (North County Internal Medicine)	N
Morris Wisniewski, MD (North County Internal Medicine)	N
Robert S. Yuhas, MD	N
Hamid Zadeh, MD (Zadeh Cosmetics/OBGYN)	N

Skilled Nursing Facility (SNF) Affiliates

Arbor Hills Nursing Center
Aviara Healthcare Center
Balboa Nursing & Rehabilitation Center
Brookdale Carmel Valley
Carlsbad by the Sea Care Center
Castle Manor
Cottonwood Canyon Healthcare Center
Kearny Mesa Skilled Nursing and Rehabilitation Center
La Jolla Nursing and Rehabilitation Center
La Paloma Healthcare Center
Life Care Center of Vista
Poway Healthcare Center
Reo Vista Healthcare Center
The Cove at La Jolla
The Springs at Pacific Regent La Jolla
University Care Center
Villa Las Palmas Healthcare Center
Village Square HealthCare Center

Governing Body

Member & Position	Voting Power	Membership Type	ACO Participant (TIN) Legal Name
Thomas Moore, MD, Chairperson	1	ACO Participant Representative	Regents of the University of California - UCSD Medical Center
Patty Maysent, MPH, MBA, Voting Member	1	ACO Participant Representative	Regents of the University of California - UCSD Medical Center
Duncan Campbell, Non-voting Member	0	Other - ACO Executive	Regents of the University of California - UCSD Medical Center
Tyson Ikeda, MD, Voting Member	1	ACO Participant Representative	Regents of the University of California - UCSD Medical Center
Dustin Lillie, MD, Voting Member	1	ACO Participant Representative	Regents of the University of California - UCSD Medical Center
Joe Califano, MD, Voting Member	1	ACO Participant Representative	Regents of the University of California - UCSD Medical Center
Parag Agnihotri, MD, Voting Member	1	ACO Participant Representative	Regents of the University of California - UCSD Medical Center
Lee Ralph, MD, Voting Member	1	ACO Participant Representative	San Diego Sports Medicine and Family Health Center
Vachas Palakodeti, MD, Voting Member	1	ACO Participant Representative	Imperial Valley Family Care Medical Group, APC
Steve Dietlin, Voting Member	1	ACO Participant Representative	Tri-City Hospital
Adolphe Edward, Voting Member	1	ACO Participant Representative	El Centro Regional Medical Center
Jack Dixon, Voting Member	1	Medicare Beneficiary	N/A

Clinical & Administrative Leadership

Duncan Campbell, ACO Executive
Larry Friedman, MD, Sr. Medical Director and Quality Assurance/ Improvement Officer
Parag Agnihotri, MD, Chief Medical Officer, Population Health Services

Associated Committees & Committee Leadership

Larry Friedman, MD, Medical Director - Quality & Utilization Committee
Lori Donaldson, CFO - Finance / Contracting Committee
Duncan Campbell, ACO Executive & COO - Network Participation Committee
Amy Sitapati, MD, Chief Medical Information Officer - Analytics / Population Health Data Committee

Types of ACO participants or combinations of ACO participants

Networks of individual practices of ACO professionals
Hospital employing ACO professionals
ACO professionals in a group practice arrangement

Shared Savings & Losses

Amount of Shared Savings & Losses

Shared Savings Distribution

Quality Performance Results

Our ACO did not participate in the Shared Savings Program in the previous performance year; this section is not applicable at this time.

Waivers & Arrangements Disclosed

The UC San Diego Health Accountable Care Network Board has approved the following arrangements for the waivers authorized by CMS and the OIG pursuant to the “Medicare Program; Final Waivers in Connection with the Shared Savings Program” originally published on November 2, 2011 and finalized on October 29, 2015.

Payment Rule Waiver

Yes, our ACO does use the SNF 3-Day Rule Waiver.

EHR Subsidy Participation Waiver

The Secretary of the Department of Health and Human Services has made available waivers of certain Federal Fraud and Abuse laws in connection with the operation of Accountable Care Organizations (ACO) that have entered into a Participation Agreement under the Medicare Shared Savings Program (MSSP) with the Centers for Medicare and Medicaid Services (see "Final Waivers in Connection with the Shared Savings Program") (see 80 Fed. Reg. 66,726 (October 29, 2015)) (the "Final Rule")). Pursuant to the Final Rule, UC San Diego Health Accountable Care Network (UCSDH ACO) seeks waiver protection for the arrangement described below ("EHR Subsidy Arrangement"):

The EHR Subsidy Arrangement became effective January 1, 2018. The parties to each subsidy arrangement include UC San Diego Health and the UCSDH ACO on the one hand, and the eligible UCSDH ACO Participant practice on the other. The EHR Subsidy Arrangement has two components—an upfront, one time implementation services component, and an ongoing licensing, maintenance and support component. Under the EHR Subsidy Arrangement, certain UCSDH ACO Participant practices will be given subsidized access to the UCSD Health EPIC Community Connect Platform.

The EHR Subsidy Arrangement is designed to facilitate the widespread adoption of EHR technology by UCSDH ACO Participant providers who provide medical care to patients assigned to the UCSDH ACO in order to enhance and improve the efficiency, effectiveness and quality care provided to such individuals.

On November 22, 2017, the UCSDH ACO's Board of Directors duly authorized the arrangements described above, and made a bona fide determination that each arrangement is reasonably related to the purposes of the MSSP for the reasons stated above, and has contemporaneously documented such determination.