Meet the Lore ACO Team
Dr. Mark Briesacher
Executive Director
Dr. James LaBelle
Medical Director
Mark Atalla, PharmD
Chief Compliance Officer
Dr. Liz Joy
Chief Medical Officer
Organizational Information
Lore Health ACO, LLC 101 W. Broadway, 9th Floor San Diego, CA 92101
Mark Atalla
matalla@lorehealthcare.com
888-413-5673
- Health Associates of Tampa Bay PA (N)
- First Choice Community Healthcare, Inc (N)
- Inflammation Medical Group (N)
- Irene Malek MD Professional Corp. (N)
- Neighborhood Healthcare (N)
- Soham Patel MD PA (N)
- Springfield Medical Care Systems, Inc (N)
- USC Care Medical Group, Inc (N)
ACO Advocates, Beneficiary, and Executive (20% of Voting Total):
- Joanna Honeycutt | Medicare Beneficiary | 10% | Beneficiary Representative
- Paula Branson, NBC-HWC | Consumer Advocate | 5% | Community Stakeholder
- Mark Briesacher, MD | ACO Executive | 5% | Lore Health ACO
ACO Participant Directors (80% of Voting Total)
- Adam Ameele, Psy.D. | ACO Participant | 13.33% | Springfield Medical Care Systems
- Jeffrey Hay, MD | ACO Participant | 13.33% | USC Care Medical Group
- Katina Murray, MD | ACO Participant | 13.33% | USC Care Medical Group
- Jim Schultz, MD | ACO Participant | 13.33% | Neighborhood Healthcare
- Jennifer Pentecost, MD | ACO Participant | 13.33% | First Choice Community Healthcare
- James LaBelle, MD | ACO Participant | 13.33% | Inflammation Medical
ACO Executive Committee (led by Mark Briesacher)
- ACO Executive: Mark Briesacher, MD
- Senior Medical Director: James LaBelle, MD
- Chief Compliance Officer, Quality Assurance/Improvement Officer: Mark Atalla, PharmD
- Data and Community: Sara Taylor, PhD
- ACO professionals
- ACO professionals in group practice arrangements
- FQHCs
Amount of Shared Savings/Losses
First Agreement Period
- Performance Year 2023, $-579,456
Shared Savings Distribution
First Agreement Period
- Performance Year 2023
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
2023 Quality Performance Results Quality performance results are based on the eCQMs/MIPS CQM Measure Set collection type
| Measure # | Measure Name | Collection Type | Reported Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
|---|---|---|---|---|
| Measure #: 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | MIPS CQM | 38.66 | 35.18 |
| Measure #: 134 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | MIPS CQM | 35.51 | 43.70 |
| Measure #: 236 | Controlling High Blood Pressure | MIPS CQM | 66.60 | 69.63 |
| Measure #: 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups | Administrative Claims | 0.1662 | 0.1553 |
| Measure #: 321 | CAHPS for MIPS | CAHPS for MIPS Survey | 3.17 | 6.25 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 76.12 | 83.68 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 93.64 | 93.69 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 91.62 | 92.14 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 74.13 | 75.97 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 55.90 | 63.93 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 58.64 | 61.60 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 73.81 | 74.12 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 83.17 | 85.77 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 89.77 | 92.31 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 19.85 | 26.69 |
For previous years’ Financial and Quality Performance Results, please visit: Data.CMS.gov
- Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
Dr. James LaBelle
Medical Director
Jim believes that every person wants to be healthy, and that they just need the right tools and support to help them achieve their goals. Trained in Internal Medicine, Jim has spent his 20-year career building sustainable clinical and financial improvement systems. His latest endeavors include supporting COVID-19 mitigation strategies in Africa and serving as the Chief Medical Officer of Scripps Health.
Mark Briesacher, MD
Executive Director
Mark is deeply committed to empowering patients and clinicians to achieve the best versions of themselves. He began his 20+ year career as a pediatrician and most recently held the role of Chief Physician Executive for Intermountain Healthcare. Throughout, he has focused on improving health outcomes, the effectiveness of care delivery, the wellbeing and experience of physicians and providers, and affordability of care.
Mark Atalla, PharmD
Chief Compliance Officer
Mark is committed to making it easier for people to access care that drives better health. As a Doctor of Pharmacy, Mark has spent his career in patient care, operations, and government, most recently serving as a senior advisor to the CMS Administrator and on Operation Warp Speed (the federal COVID vaccine program). At Lore, Mark is applying his deep experience in improving access to care and medication to serve our beneficiaries and their providers.
Dr. Liz Joy
Chief Medical Officer
Liz believes that lifestyle change is the best way for people to improve their lives—promoting a "lifestyle first, lifestyle always" approach to healthcare. With her background in family and sports medicine, including a tenure as the President of the American College of Sports Medicine, Liz has spent her career finding ways to encourage patients to make sustainable and meaningful habit changes. At Lore Health, Liz will apply her expertise to ensuring Lore's programs are designed to give people the best possible opportunity to boost their health.
Our Commitment to an Ethical
and Compliant Culture
Lore Health and Lore Health ACO (“We”, “Our”, or “Us”) are committed to operating with integrity for all of our members, providers, and partners.
To accomplish that, we have established an Ethics and Compliance submission process for reports related to all Fraud, Waste, and Abuse or non-compliance with federal, state, or local laws.
Our Ethics & Compliance submission process operates 24 hours a day, seven days a week and is operated directly by our compliance team. The Ethics and Compliance process is designed to protect your confidentiality and your anonymity, if requested. You may submit the below form, email us at compliance@lore.co, or call us at 888-413-5673 to begin a report.
We prohibit retaliation against anyone who, in good faith, reports a possible violation or who participates in an investigation, even if sufficient evidence is not found to substantiate the concern. After investigation, we are required to report probable violations of law to an appropriate law enforcement agency.