AR MI UT MSSP
Ezra Segura
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
ALPINE MEDICAL GROUP N
ALTAMASH A AMIN MD PLC N
ARKANSAS PRIMARY CARE CLINICS PA N
AUTUMN ROAD FAMILY PRACTICE, P.A, N
BEAR RIVER MEDICAL ARTS PC N
CALLAHAN CLINIC, PC N
CEDAR RIDGE FAMILY MEDICINE N
COLUMBIAVILLE FAMILY CLINIC PLLC N
COMPASS HEALTHCARE PLC N
DAYONE FAMILY HEALTHCARE PC N
DR. ANDY'S FAMILY PRACTICE PLLC N
FOOTHILL CLINIC, LLC N
GLADWIN FAMILY CARE PLLC N
GRACE PARADELA MD 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
MEDICAL ARTS CENTER CLINIC OF BRIGHAM CITY INC N
MI HEALTH PHYSICIAN PLLC N
MICHIGAN PRIMARY CARE PARTNERS P C N
MOHAMED ALLY HEALTH PLAZA PLLC 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
OLYMPUS CLINIC N
PATRICK GREEN MD PLLC N
RANDY D WALKER, MD, PLLC N
SAGINAW VALLEY WALK IN CLINIC PLLC 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
TONI BALLITCH TRATE DO PC N
UTAH HEALTHCARE INSTITUTE INC N
UTAH PHYSICIANS CARE CENTERS PC N
WADE FAMILY MEDICINE, INC. N
WASATCH PEAK FAMILY PRACTICE INC N
WAYNE COMMUNITY HEALTH CENTERS INC N

First Name Last Name Member Title/Position Member's Voting Power (Expressed as a percentage or number) Membership Type Practice Legal Business Name
ALTAMASH AMIN Board Member 1 ACO Participant Representative MI Health Physician PLLC
MARC ANDERSON Board Member 1 ACO Participant Representative Tanner Clinic
THOMAS CALLAHAN Board Member 1 ACO Participant Representative Callahan Clinic
EVAN CHRISTENSEN Board Member 1 ACO Participant Representative Wayne Community Health Centers
JOCK COBB Board Member 1 ACO Participant Representative North Hills Family Medical Center
MELANIE DANCE Board Member 1 ACO Participant Representative St. Marks Family Medicine Center (Utah HealthCare Institute)
JEFFREY DEGRAUW Board Member 1 ACO Participant Representative Wasatch Peak Family Practice
JUDY FUSSELL Board Member/Medicare Beneficiary Representative 1 Medicare Beneficiary Representative SAMA Healthcare Services PA
SHANE GAGON Board Member 1 ACO Participant Representative Gagon Family Medicine
JOSEPH GOUGH Board Member/Vice Chair 1 Other Aledade
NATE GREEN Board Member 1 ACO Participant Representative Bonneville Family Practice
DENNIS HAMP Board Member 1 ACO Participant Representative Jordan Landing Family Medicine
NICHOLAS HANSON Board Member 1 ACO Participant Representative Alpine Medical Group LLC
MICHAEL HIGGINBOTHAM Board Member 1 ACO Participant Representative Higginbotham Family Clinic
GIRISH JUNEJA Board Member/Compliance Committee Leader 1 ACO Participant Representative Michigan Primary Care Partners PC
NIKOLAI KINACHTCHOUK Board Member 1 ACO Participant Representative Nikola Kinachtchouk MD & Lioudmila Kinachtchouk MD PLC
DAVID KUO Board Member 1 ACO Participant Representative Utah Physician Care Centers
LINDA LACHANCE Board Member 1 ACO Participant Representative Livingston Internal Medicine
CINDY LANGSTON Board Member 1 ACO Participant Representative Hometown Doc
DEREK LEWIS II Board Member 1 ACO Participant Representative Arkansas Primary Care Clinic
JASON LOFTON Board Member 1 ACO Participant Representative Lofton Family Clinic MD PA
NAVEED MAHFOOZ Board Member 1 ACO Participant Representative Jehad Jafari Clinic
MARK MARTINDALE Board Member 1 ACO Participant Representative Saline Med-Peds Group Inc.
SCOTT NAGAO Board Member 1 ACO Participant Representative Medical Arts Center Clinic of Brigham City
BENJAMIN NEFF Board Member 1 ACO Participant Representative Olympus Family Medicine
STEVEN NEWMAN Board Member/ACO Medical Director 1 ACO Participant Representative Cedar Ridge Family Medicine
GRACE PARADELA Board Member 1 ACO Participant Representative Dixie Primary Care
JAMES PETERSON Board Member 1 ACO Participant Representative Foothill Family Clinic
JOHN POUNDERS Board Member 1 ACO Participant Representative Autumn Road Family Practice
SHAWN PURIFOY Board Member 1 ACO Participant Representative Shawn Purifoy M.D. P.A.
SCOTT SALISBURY Board Member 1 ACO Participant Representative Steven Salisbury MD
ERIN SAMA Board Member 1 ACO Participant Representative Healthcare Services PA
JAN-ERIK SCHOW Board Member 1 ACO Participant Representative Bear River Medical Arts
EZRA SEGURA Board Member/Chair 1 Other Aledade
NIRMAL SIDHU Board Member 1 ACO Participant Representative Internal Medicine Diagnostics
ANANDARAJ SUBRAMANIUM Board Member 1 ACO Participant Representative Dr. Andy's Family Practice
TONI TRATE Board Member 1 ACO Participant Representative Toni Ballitch Trate DO PC
ANGIE WALKER Board Member 1 ACO Participant Representative Randy D. Walker MD
EDWARD WHITE Board Member 1 ACO Participant Representative North Central Arkansas Medical Associates Pa
LORI WRIGHT Board Member 1 ACO Participant Representative Family Healthcare (SW Utah Community Health)
JAMES ZINI Board Member 1 ACO Participant Representative James E. Zini D.O. P.A.
  • Executive Director: Ezra Segura
  • Medical Director: Steven Newman
  • Compliance Officer: Amy Youtz
  • Quality Assurance/Improvement Officer: Emily Maxson, MD

Committee Name Committee Leader Name and Position
Compliance Committee Girish Juneja / Compliance Committee Leader
  • Networks of individual practices of ACO professionals

Second Agreement Period

  • Performance Year 2021, $25,267,117
  • 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 2021

  • Proportion invested in infrastructure: 25% 
  • Proportion invested in redesigned care processes/resources: 25%
  • Proportion of distribution to ACO participants: 50%

Performance Year 2020

  • Proportion invested in infrastructure: 25% 
  • Proportion invested in redesigned care processes/resources: 25%
  • Proportion of distribution to ACO participants: 50%

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%
2021 CMS WEB INTERFACE QUALITY PERFORMANCE RESULTS:
Measure #
Measure Name
Rate
ACO Mean
Measure #: 1
Diabetes: Hemoglobin A1c (HbA1c) Poor Control2
8.83
12.46
Measure #: 134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
67.84
74.38
Measure #: 236
Controlling High Blood Pressure
75.32
74.87
Measure #: 318
Falls: Screening for Future Fall Risk
88.44
87.03
Measure #: 110
Preventative Care and Screening: Influenza Immunization
79.87
80.52
Measure #: 226
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
76.00
80.97
Measure #: 113
Colorectal Cancer Screening
73.07
73.63
Measure #: 112
Breast Cancer Screening
67.92
75.11
Measure #: 438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78.45
84.24

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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.