image001.jpgSDINDYACO

San Diego Independent Accountable Care Organization

 

Servicing Quality Health Care for San Diego, California

 

 

 

 

Quality Care for San Diego

 

 

History and Mission Statement

 

San Diego Independent ACO, LLC ( SDINDYACO) is a newly formed Independent ACO comprised of Primary Care Providers PCP, Family Physicians and Internists with a proud history of serving local San Diego residents just like you for the past 20+ years.

 

Our mission is to give our Medicare Fee-For-Service beneficiariespersonalized quality care that is coordinated and tailored to their individual needs.

 

So what is an ACO ?

 

 

An Accountable Care Organization, ACO is a group of doctors and other health care providers working together with Medicare to give you improved service and care.The goal of an ACO is for your doctors to communicate closely with your other health care providers to deliver high-quality care and meet your unique individual needs and preferences.The ACO may be rewarded for providing you with high quality, more coordinated care.

 

What can an ACO do for me?

 

We believe that Medicare Fee-For-Service beneficiaries with a personal Primary Care Physician coordinating their health care among any and all specialists and all area hospitals receive quality care more efficiently with less time consuming duplication.

 

         You benefit because your doctors will be part of a coordinated team.

         You may not have to fill out as many medical forms that ask for the same information.

        Each of your doctors will not only know about the health issues theyíve treated, they will have a more complete picture of your health through talking with your other doctors.

         Our doctors work with other health care providers and area hospitals who voluntarily work together with Medicare to give you high quality service and care at the right time in the right setting.

 

 

 

Can I Still See Any Doctor or go to any Hospital?Yes.

 

Your Medicare benefits are not changing, and you will still receive your benefits through Original Medicare.This isnít a Medicare Advantage plan or an HMO plan. You still have the right to use any doctor or hospital who accepts Medicare, at any time.Your SDIACO doctor may continue to recommend that you see particular doctors for your specific health needs, but itís always your choice about what doctors you use or hospitals you visit.

 

Who are the doctors that participate in SDIACO?

 

All of our providers are Primary Care physicians with years ofexperience serving Medicare patients on a conventional fee for service basis and many also have experience serving seniors on Medicare Advantage programs.†† A complete list of all of our primary care physician providers and information concerning our governance appears below.

 

 

 

We are here for you

 

San Diego Independent Accountable Care Organization, is proud to provide San Diegan Fee-for-Service Beneficiaries a primary care physician owned and operated Independent physician ACO Medical Group with access to any and all hospitals, with proven care coordination experience to provide our Medicare Fee-for-Service patients with high quality evidence based medicine.

 

Also please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227 (TTY users should call 1-877-486-2048)) for general questions or additional information about Accountable Care Organizations.

 

- Venu Prabaker, M.D. President SDINDYACO

 

 

 

 

ACO Name and Location

San Diego Independent ACO

Serving all of San Diego

Administrative Offices

10225 Austin Dr. Ste 103

Spring Valley CA 91978

ACO Primary Contact

Venu Prabaker, M.D. President SDIACO

contact information

Administrative Offices

John Dailey, Administrator SDIACO

10225 Austin Dr. Ste 103

Spring Valley CA 91978

619-713-6512

jdailey@sdindyaco.com

Composition of ACO:

Independent San Diego ACO, Doing business as San Diego Independent ACO with the acronym of SDIACO or SDINDYACO is a LLC Limited Liability Corporation. It consists solely of ACO professionals providing coordinated services to Medicare Fee-for-Service Beneficiaries in San Diego California.

 

SDIACO operates independent of any hospital facility affording it's PCPs the opportunity to admit patients across all San Diego area hospitals.

 

ACO Participants

The list of our ACO Participants follows:

Doctor's First Name

Doctor's Last Name

OFFICE PHONE

STREET ADDRESS

CITY

ST

ZIP

Ali

Alamar

(619) 461-3150

5565 Grossmont Center Dr. #1-210

La Mesa,

CA

91972

Mumtaz

Almansour

(619) 593-3007

330 S Magnolia Ave Suite 101

El Cajon

CA

92020

Hanid

Audish

619-660-6003

10225 Austin Dr. Ste 101

Spring Valley

CA

91978

Amir

Bahreman

858-939-3400

7901 Frost St.

San Diego

CA

92123

Barry

Broomberg

(858) 454-7157

6515 La Jolla Boulevard

La Jolla

CA

92037

Nittly

Chahal

858-939-3400

7901 Frost St.

San Diego

CA

92123

Glenn

D'Arpa

619-660-6003

10225 Austin Dr. Ste 101

Spring Valley

CA

91978

Michael

Feinstein

619-464-1607

6280 Jackson Dr #4

San Diego

CA

92119

Bryan

Fox

619-660-6003

10225 Austin Dr. Ste 101

Spring Valley

CA

91978

Elaine

Gertser

619-582-8055

6367 Alvarado court #202

San Diego

CA

92120

George-David

Gibson

(619) 668-8100

8875 La Mesa Blvd., Suite C

La Mesa,

CA

91941

Tim

Gurtch

619-265-1070

4276 54th Pl, Ste A

San Diego

CA

92115

Daniel

Hiser

(619) 583-1510

6719 Alvarado Road Suite 203

San Diego

CA

92120

Vincent Paul

Kater

619-583-4303

6719 Alvarado Road, Ste 305

san Diego

CA

92120

Robert

Lajvardi

(619) 460-7775

7339 El Cajon Blvd. Ste E

La Mesa,

CA

91941

Leonard

Lazarus

858-454-7157

6515 La Jolla Blvd

La Jolla

CA

92037

Chia-Lin Chares

Liu

858-270-9270

2185 Garnet Ave

San Diego

CA

92109

John

Lockie

(619) 460-7775

7339 El Cajon Blvd. Ste E

La Mesa,

CA

91941

Seymour

Mallis

619-460-7775

7339 El Cajon Blvd. suite E.

La Mesa

CA

91942

Aboo

Nasar

760-978-8546

12396 World Trade Dr. Suite 106

San Diego

CA

92128

Venu

Prabaker

619-698-0606

7339 El Cajon Blvd # I

La Mesa,

CA

91941

Neelakantan

Ramineni

619) 265-0504

4537 College Ave

San Diego

CA

92115

Manorama

Reddy

619-583-8700

4533 College Ave.,

San Diego

CA

92115

Mark

Shaffer

619-567-7152

4901 Morena Blvd.

San Diego

CA

92117

Elahe

Toulouie

(619) 993-8996

5555 Reservoir Dr, Ste # 209,

San Diego

CA

92120

Paul

Wagner

619-718-9444

4060 Fourth Ave Ste 100

San Diego

CA

92103

Terry

Winegar

(619) 444-7454

255 W. Washington Ave

El Cajon

CA

92020

 

 

SDIACO Governing Body

The following comprise the voting members of the SDIACO Board of Directors

1.     Venu Prabaker, M.D. as President and Chairman of the Board, ACO Participant , Represents Self

2.       Rob Lajvardi, M.D. Chair Finance committee, ACO Participant , Represents Self

3.       Tim Gurtch, M.D. Chairman Compliance Committee, ACO Participant , Represents Self

4.       Aboo Nasar, M.D. Chairman of the Care Coordination Committee, ACO Participant , Represents Self

5.       Terry Winegar, M.D. Quality Assurance Committee Chairman, ACO Participant , Represents Self

6.       Bryan Fox, M.D. Evidence Based Medicine Committee Chair, and ACO Participant , Represents Self

7.       Ellie Toulouie, M.D. Chairman of The Community And Beneficiary Affairs Committee. ACO Participant , Represents Self

8.       Jan Cassidy - Medicare Beneficiary Representative,Benficiary & Community Stakeholder

9.       John Dailey, Administrator SDIACO\Encompass MSO, Community Stakeholder

The SDIACO meets monthly, and the general membership meets quarterly. All members have voting status.

 

ACO Committees and Key Leadership Personnel

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Aggregate Amount of Shared Savings/Losses

         Performance Year 1: TBD

         Performance Year 2: TBD

         Performance Year 3: TBD

         NOTE SDIACO operations began 1.1.2013 hence all results are TBD (To Be Determined).

 

How Shared Savings Are Distributed

         Administrative 20%

         Fiscal Reserves 20%

         PCP Award 50%

         Specialty Ancillary Discretionary 10%