AR MI UT MSSP
Shelley Overholt
ACO Primary Contact
202-803-7979
Locations
Locations

Aledade Accountable Care 16, LLC
4550 Montgomery Ave, Ste 950N 
Bethesda, MD 2081
 

ACO Participants ACO Participant in Joint Venture
ALMA FAMILY PRACTICE PC N
ALTAMASH A AMIN MD PLC N
ANNU MOHAN MD PLLC N
ARKANSAS PRIMARY CARE CLINICS PA N
AUTUMN ROAD FAMILY PRACTICE, P.A, N
BAY AREA HEALTH CLINIC PC N
BEAR RIVER MEDICAL ARTS PC N
CEDAR RIDGE FAMILY MEDICINE N
CLINTON COUNTY MEDICAL CENTER PC N
COMPASS HEALTHCARE PLC N
DAVID J. SMITH MD PC N
DESERT EDGE MEDICAL N
DR. ANDY'S FAMILY PRACTICE PLLC N
FOOTHILL CLINIC, LLC N
GRACE PARADELA MD PC N
GREAT LAKES MEDICAL ASSOCIATES, PC N
HOMETOWN DOC PA N
INTERNAL MEDICINE DIAGNOSTICS INC N
JAMES E ZINI DO PA N
JORDAN LANDING FAMILY MEDICINE LLC N
LIVINGSTON INTERNAL MEDICINE PC N
LOFTON FAMILY CLINIC, MD PA N
MARK SKORY N
MEDICAL ARTS CENTER CLINIC OF BRIGHAM CITY INC N
MI HEALTH PHYSICIAN PLLC N
MICHIGAN PRIMARY CARE PARTNERS P C N
MIDLAND FAMILY PHYSICIANS PC N
NIKOLAI KINACHTCHOUK,M.D. & LIOUDMILA KINACHTCHOUK,M.D. P.L.C. N
NORTH CENTRAL ARKANSAS MEDICAL ASSOCIATES N
NORTH HILLS FAMILY CLINIC P A N
NORTH LITTLE ROCK PRIMARY CARE AND DIAGNOSTIC CLINIC PLLC N
PATRICK GREEN MD PLLC N
PRISM MEDICAL ASSOCIATES PC N
RANDY D WALKER, MD, PLLC N
REVAN MARAGIRI MD PLC N
RIVERVIEW MEDICAL ASSOCIATES,P.C. N
SALINE MED-PEDS GROUP, INC N
SAMA HEALTHCARE SERVICES PA N
SHANE D GAGON MD, PC N
SHANE HIGGINBOTHAM MD PA N
SHAWN PURIFOY MD PA N
SOUTHWEST UTAH COMMUNITY HEALTH CENTER N
STEVEN SALISBURY N
TANNER MEMORIAL CLINIC N
THE WINSTON CLINIC, P.A. N
TONI BALLITCH TRATE DO PC N
UTAH HEALTHCARE INSTITUTE INC N
UTAH PHYSICIANS CARE CENTERS PC N
WADE FAMILY MEDICINE, INC. N
WALTER GRUBER N
WASATCH PEAK FAMILY PRACTICE INC N
WAYNE COMMUNITY HEALTH CENTERS 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
Peterson Mark Voting Member 1 ACO Participant Representative ARKANSAS CENTRAL PRIMARY CARE PLLC
Lewis Derek Voting Member 1 ACO Participant Representative ARKANSAS PRIMARY CARE CLINICS PA
Pounders Philip Voting Member 1 ACO Participant Representative Autumn Road Family Practice, P.A
Higginbotham Michael Voting Member 1 ACO Participant Representative SHANE HIGGINBOTHAM MD PA
Sra Nirmal Voting Member 1 ACO Participant Representative INTERNAL MEDICINE DIAGNOSTICS INC
Zini James Voting Member 1 ACO Participant Representative JAMES E ZINI DO PA
Lofton Jason Voting Member 1 ACO Participant Representative LOFTON FAMILY CLINIC, MD PA
Walker Angie Voting Member 1 ACO Participant Representative Randy D. Walker, M.D., P.L.L.C.
Martindale Mark       Saline Med-Peds Group, Inc
Callaway Matt Voting Member 1 ACO Participant Representative SAMA Healthcare Services PA
Purifoy Shawn Voting Member 1 ACO Participant Representative Shawn Purifoy, M.D., P.A.
Winston Scott Voting Member 1 ACO Participant Representative THE WINSTON CLINIC, P.A.
Strom Scott Voting Member 1 ACO Participant Representative Alma Family Practice PC
Mohan Annu Voting Member 1 ACO Participant Representative Annu Mohan MD PLLC
Skory Mark Voting Member 1 ACO Participant Representative Mark Skory
Ahmed Naeem Voting Member 1 ACO Participant Representative Bay Area Health Clinic PC
Messenger Andrew Voting Member 1 Other Clinton County Medical Center PC
Smith Eric Voting Member 1 ACO Participant Representative DAVID J. SMITH MD PC
Sarvepalli Prakash Voting Member 1 ACO Participant Representative Great Lakes Medical Associates, PC
Archbold Jeffery Voting Member 1 ACO Participant Representative Midland Family Physicians PC
Kinachtchouk Lioudmila Voting Member 1 ACO Participant Representative NIKOLAI KINACHTCHOUK,M.D. & LIOUDMILA KINACHTCHOUK,M.D. P.L.C.
Saxena Rakesh Voting Member 1 ACO Participant Representative Prism Medical Associates, PC
Maragiri Revan Voting Member 1 ACO Participant Representative Revan Maragiri MD PLC
Myers Nanette Voting Member 1 ACO Participant Representative Riverview Medical Associates,P.C.
Gruber Walter Voting Member 1 ACO Participant Representative Walter Gruber
Schow Jann Erik Voting Member 1 ACO Participant Representative Bear River Medical Arts PC
Green Nate Voting Member 1 ACO Participant Representative Patrick Green MD PLLC
Newman Steve Voting Member 1 ACO Participant Representative Cedar Ridge Family Medicine
Borrowman Ryan Voting Member 1 ACO Participant Representative Desert Edge Medical Co.
Paradela Grace Voting Member 1 ACO Participant Representative Grace Paradela MD PC
Peterson James Voting Member 1 ACO Participant Representative Foothill Clinic, LLC
Gagon Shane Voting Member 1 ACO Participant Representative SHANE D GAGON MD, PC
Beard Lynn Voting Member 1 ACO Participant Representative MEDICAL ARTS CENTER CLINIC OF BRIGHAM CITY INC
Wright Lori Voting Member 1 ACO Participant Representative SOUTHWEST UTAH COMMUNITY HEALTH CENTER
Salisbury Steven Voting Member 1 ACO Participant Representative Steven Salisbury
Anderson Marc Voting Member 1 ACO Participant Representative TANNER MEMORIAL CLINIC
Berneike John Voting Member 1 ACO Participant Representative St. Marks Family Medicine Center (Utah HealthCare Institute Inc)
Kuo David Voting Member 1 ACO Participant Representative Utah Physicians Care Centers PC
Hanna Allison Voting Member 1 ACO Participant Representative Wade Family Medicine, Inc.
Degrauw Jeffery Voting Member 1 ACO Participant Representative Wasatch Peak Family Practice Inc
Chappell Jeff Voting Member 1 ACO Participant Representative WAYNE COMMUNITY HEALTH CENTERS INC
Foy Michael Voting Member 1 Medicare Beneficiary Representative N/A
Overholt Shelly Voting Member 1 Other N/A
  • Executive Director: Shelley Overholt
  • Medical Director: Jennifer Aloff
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Emily Maxson, MD
  • Beneficiary Engagement Committee: Dr. Joel Eisner
  • Evidence-Based Medicine Committee: Dr. Robert Shusman, Dr. Alan Keiser
  • Transitions of Care Committee: Dr. Leroy Flesicher
  • Compliance Committee: Dr. Karl Schwabe
  • Performance Improvement Committee: Dr. Karl Schwabe
  • Networks of individual practices of ACO professionals

Second Agreement Period

  • Performance Year 2020, $ 6,665,770

First Agreement Period

  • Performance Year 2019, $5,788,372
  • Performance Year 2018, $7,504,771
  • Performance Year 2017, $4,350,686

Second Agreement Period

Performance Year 2020

  • Proportion invested in infrastructure: 25% 
  • Proportion invested in redesigned care processes/resources: 10%
  • Proportion of distribution to ACO participants: 65%

First Agreement Period

Performance Year 2019  

  • Proportion invested in infrastructure: 25% 
  • Proportion invested in redesigned care processes/resources: 10%
  • Proportion of distribution to ACO participants: 65%

Performance Year 2018  

  • Proportion invested in infrastructure: 25% 
  • Proportion invested in redesigned care processes/resources: 10%
  • Proportion of distribution to ACO participants: 65%

Performance Year 2017  

  • Proportion invested in infrastructure: 25% 
  • Proportion invested in redesigned care processes/resources: 10%
  • Proportion of distribution to ACO participants: 65%
2020 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-8
Risk Standardized, All Condition Readmission
14.89
15.07
ACO-38
Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions
50.56
49.50
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.14
0.95
ACO-13
Falls: Screening for Future Fall Risk
91.05
84.97
ACO-14
Preventive Care and Screening: Influenza Immunization
79.81
76.03
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
25.00
81.67
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
85.85
71.46
ACO-19
Colorectal Cancer Screening
77.54
72.59
ACO-20
Breast Cancer Screening
72.76
74.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80.47
83.37
ACO-40
Depression Remission at Twelve Months
19.12
13.99
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
22.88
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
73.10
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