Appalachia MSSP
Colleen Wagner
Executive Director
412-304-2926
Location
Location

Aledade Accountable Care 37, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
 

ACO Participants ACO Participant in Joint Venture
ABDUL DAHHAN N
Bland County Medical Clinic Inc N
BRACKENRICH FAMILY PRACTICE PLC N
FAMILY HEALTH CLINIC, INC. N
James J McConnell MD PC N
LITTON FAMILY MEDICINE PC N
MEDICAL ASSOCIATES OF SOUTHWEST VIRGINIA N
Memorial Family Care Inc N
NEW RIVER VALLEY MEDICINE PC N
PATRICK COUNTY FAMILY PRACTICE PC N
Sandy River Family Care Inc N
Southwest Virginia Community Health Systems Inc N

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
Greever Susan Voting Member 1 ACO Participant Representative Bland County Medical Clinic Inc
Brackenrich Michael Voting Member 1 ACO Participant Representative Brackenrich Family Practice, PLC
Judy Charles Voting Member 1 ACO Participant Representative Family Health Clinic, Inc.
McConnell James Voting Member 1 ACO Participant Representative James J McConnell MD PC
Trivedi Rajendra Voting Member 1 ACO Participant Representative Memorial Family Care Inc
Card Richard Voting Member 1 ACO Participant Representative New River Valley Meidcine, PC
Cole Richard Voting Member 1 ACO Participant Representative Patrick County Family Practice PC
McCuiston Alvin Voting Member 1 ACO Participant Representative

Southwest Virginia Community Health Systems Inc

Smith Carol Voting Member 1 Medicare Beneficiary Representative N/A
Wagner Colleen Voting Member 1 Other N/A
  • ACO Executive: Colleen Wagner
  • Medical Director: Dr. Richard Card
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson
  • Compliance Committee: Ms. Sarah Chasson
  • Networks of individual practices of ACO professionals

First Agreement Period

  • Performance Year 2020, $2,247,291
  • Performance Year 2019, $3,424,753
  • Performance Year 2018, $0

 

First Agreement Period

  • Performance Year 2020
    • Proportion invested in infrastructure: 10% 
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2019
    • Proportion invested in infrastructure: 10% 
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
2020 Quality Performance Results
ACO#
Measure Name
Rate
ACO Mean
ACO-8
Risk Standardized, All Condition Readmission
15.28
15.07
ACO-38
Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions
51.63
49.50
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.19
0.95
ACO-13
Falls: Screening for Future Fall Risk
80.76
84.97
ACO-14
Preventive Care and Screening: Influenza Immunization
76.89
76.03
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
95.77
81.67
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
86.02
69.77
ACO-19
Colorectal Cancer Screening
67.70
72.59
ACO-20
Breast Cancer Screening
64.47
74.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84.42
83.37
ACO-40
Depression Remission at Twelve Months
18.03
13.99
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
13.46
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
63.86
72.87

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

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.

 

Fraud and Abuse Waivers