Kevin Van Dyke
ACO Primary Contact
202-803-7979
kvandyke@aledade.com
Location
Aledade Accountable Care 37, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
2022 CMS Web Interface Quality Performance Results
Measure
#
Quality Measure Name
Collection Type
Rate
Mean
Measure
#: Quality ID# 001
Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]
CMS Web Interface
11.30
10.71
Measure
#: Quality ID# 134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
CMS Web Interface
75.62
76.97
Measure
#: Quality ID# 236
Controlling High Blood Pressure
CMS Web Interface
75.88
76.16
Measure
#: Quality ID# 318
Falls: Screening for Future Fall Risk
CMS Web Interface
84.26
87.83
Measure
#: Quality ID# 110
Preventative Care and Screening: Influenza Immunization
CMS Web Interface
79.78
77.34
Measure
#: Quality ID# 226
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
CMS Web Interface
87.80
79.27
Measure
#: Quality ID# 113
Colorectal Cancer Screening
CMS Web Interface
76.39
75.32
Measure
#: Quality ID# 112
Breast Cancer Screening
CMS Web Interface
76.03
78.07
Measure
#: Quality ID# 438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
CMS Web Interface
88.02
86.37
Measure
#: Quality ID# 370
Depression Remission at Twelve Months
CMS Web Interface
11.90
16.03
Measure
#: Quality ID# 321
CAHPS for MIPS [3]
CMS Web Interface
N/A
N/A
Measure
#: Measure# 479
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]
Administrative Claims
0.1415
0.1510
Measure
#: Measure# 484
Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]
Administrative Claims
31.38
30.97
Measure
#: CAHPS-1
Getting Timely Care, Appointments, and Information
CAHPS for MIPS Survey
92.24
83.96
Measure
#: CAHPS-2
How Well Providers Communicate
CAHPS for MIPS Survey
95.57
93.47
Measure
#: CAHPS-3
Patient’s Rating of Provider
CAHPS for MIPS Survey
94.81
92.06
Measure
#: CAHPS-4
Access to Specialists
CAHPS for MIPS Survey
80.40
77.00
Measure
#: CAHPS-5
Health Promotion and Education
CAHPS for MIPS Survey
64.66
62.68
Measure
#: CAHPS-6
Shared Decision Making
CAHPS for MIPS Survey
66.99
60.97
Measure
#: CAHPS-7
Health Status and Functional Status
CAHPS for MIPS Survey
75.46
73.06
Measure
#: CAHPS-8
Care Coordination
CAHPS for MIPS Survey
87.47
85.46
Measure
#: CAHPS-9
Courteous and Helpful Office Staff
CAHPS for MIPS Survey
94.84
91.97
Measure
#: CAHPS-11
Stewardship of Patient Resources
CAHPS for MIPS
29.15
25.62
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.
Payment Rule Waivers:
Fraud and Abuse Waivers
ACO Pre-Participation Waiver: N/A
ACO Participation Waiver:
– Parties to the arrangement: AAC 37, LLC
– Date of arrangement: 11/15/2023
– Items, services, goods, or facility provided:
- To subsidize the cost of Recipients’ transition to an electronic health records system and to otherwise support other investments in technological infrastructure and redesigned care processes that will enable Recipients to provide better care coordination for patients, including MSSP Beneficiaries.
- To assist Recipients in operating their clinical practices and providing coordinated care for the ACO Medicare population, which includes without limitation, subsidizing staffing and overtime expenses.
- To enable Recipients’ improvement in accurate and complete record-keeping, submission, and validation (including diagnosis documentation and coding).
The ACO will make payments as necessary to Participants in the ACO to reimburse the staffing costs required to complete certain value based care activities, which includes:
a) Conduct outreach to patients.
b) Contact patients recently discharged from a hospital emergency department or inpatient/outpatient status to assess if needs were met and schedule a follow up visit with their primary care physician if needed.
c) Contact patients who have not been seen by their primary care physician in 6-12 months (depending on chronic conditions) and schedule annual wellness or other diagnostically appropriate appointments.
d) Contact patients who are new to the Medicare program and schedule a “Welcome to Medicare” visit.
e) Implement and routinize use of the Aledade application to provide insights into patient health, diagnosis coding opportunities, and visibility into the total cost of patient care.
f) Reviewing the “care gap worklist” in the Aledade App to apprise patients of test results, conducting outreach to patients to schedule preventive screenings, and follow up with patients concerning medication adherence concerns.
g) Support accurate and complete diagnosis documentation and coding.