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

Aledade Accountable Care 16, LLC
4550 Montgomery Ave, Ste 95
Bethesda, MD 2081
202-803-7979

 

  • ALMA FAMILY PRACTICE PC
  • ANNU MOHAN MD PLLC
  • ARKANSAS CENTRAL PRIMARY CARE PLLC
  • ARKANSAS PRIMARY CARE CLINICS PA
  • AUTUMN ROAD FAMILY PRACTICE, P.A,
  • BAY AREA HEALTH CLINIC PC
  • BEAR RIVER MEDICAL ARTS PC
  • CEDAR RIDGE FAMILY MEDICINE
  • CLINTON COUNTY MEDICAL CENTER PC
  • DAVID J. SMITH MD PC
  • DESERT EDGE MEDICAL
  • FOOTHILL CLINIC, LLC
  • GRACE PARADELA MD PC
  • GREAT LAKES MEDICAL ASSOCIATES, PC
  • INTERNAL MEDICINE DIAGNOSTICS INC
  • JAMES E ZINI DO PA
  • KOCHAR PLC
  • LOFTON FAMILY CLINIC, MD PA
  • MARK SKORY
  • MEDICAL ARTS CENTER CLINIC OF BRIGHAM CITY INC
  • MIDLAND FAMILY PHYSICIANS PC
  • NIKOLAI KINACHTCHOUK,M.D. & LIOUDMILA KINACHTCHOUK,M.D. P.L.C.
  • NORTH LITTLE ROCK PRIMARY CARE AND DIAGNOSTIC CLINIC PLLC
  • PATRICK GREEN MD PLLC
  • PRISM MEDICAL ASSOCIATES PC
  • RANDY D WALKER, MD, PLLC
  • REVAN MARAGIRI MD PLC
  • RIVERVIEW MEDICAL ASSOCIATES,P.C.
  • SALINE MED-PEDS GROUP, INC
  • SAMA HEALTHCARE SERVICES PA
  • SHANE D GAGON MD, PC
  • SHANE HIGGINBOTHAM MD PA
  • SHAWN PURIFOY MD PA
  • SOUTHWEST UTAH COMMUNITY HEALTH CENTER
  • STEVEN SALISBURY
  • TANNER MEMORIAL CLINIC
  • THE WINSTON CLINIC, P.A.
  • UTAH HEALTHCARE INSTITUTE INC
  • UTAH PHYSICIANS CARE CENTERS PC
  • WADE FAMILY MEDICINE, INC.
  • WALTER GRUBER
  • WASATCH PEAK FAMILY PRACTICE INC
  • WAYNE COMMUNITY HEALTH CENTERS INC

 

 

  • Dr. Mark Peterson,  Voting Member, 1, ACO Participant Representative, Arkansas Central Primary Care PLLC
  • Derek Lewis, II,  Voting Member, 1, ACO Participant Representative, Arkansas Primary Care Clinics PA
  • Dr. Philip Pounders,  Voting Member, 1, ACO Participant Representative, Autumn Road Family Practice, P.A
  • Dr. Michael Higginbotham,  Voting Member, 1, ACO Participant Representative, SHANE HIGGINBOTHAM MD PA
  • Nirmal Sra,  Voting Member, 1, ACO Participant Representative, INTERNAL MEDICINE DIAGNOSTICS INC
  • Dr. James Zini,  Voting Member, 1, ACO Participant Representative, JAMES E ZINI DO PA
  • Dr. Jason Lofton,  Voting Member, 1, ACO Participant Representative, LOFTON FAMILY CLINIC, MD PA
  • Angie Walker,  Voting Member, 1, ACO Participant Representative, Randy D. Walker, M.D., P.L.L.C.
  • Dr. Mark Martindale,  Voting Member, 1, ACO Participant Representative, Saline Med-Peds Group, Inc
  • Dr. Matt Callaway,  Voting Member, 1, ACO Participant Representative, SAMA Healthcare Services PA
  • Dr. Shawn Purifoy,  Voting Member, 1, ACO Participant Representative, Shawn Purifoy, M.D., P.A.
  • Dr. Scott Winston,  Voting Member, 1, ACO Participant Representative, THE WINSTON CLINIC, P.A.
  • Scott Strom, DO,  Voting Member, 1, ACO Participant Representative, Alma Family Practice PC
  • Annu Mohan, MD,  Voting Member, 1, ACO Participant Representative, Annu Mohan MD PLLC
  • Mark Skory, MD,  Voting Member, 1, ACO Participant Representative, Mark Skory
  • Naeem Ahmed, MD,  Voting Member, 1, ACO Participant Representative, Bay Area Health Clinic PC
  • Andrew W. Messenger, DO,  Voting Member, 1, ACO Participant Representative, Clinton County Medical Center PC
  • Dr. Eric Smith, MD,  Voting Member, 1, ACO Participant Representative, DAVID J. SMITH MD PC
  • Prakash Sarvepalli, MD,  Voting Member, 1, ACO Participant Representative, Great Lakes Medical Associates, PC
  • Jeffery Archbold, MD,  Voting Member, 1, ACO Participant Representative, Midland Family Physicians PC
  • Lioudmila Kinachtchouk, MD,  Voting Member, 1, ACO Participant Representative, NIKOLAI KINACHTCHOUK,M.D. & LIOUDMILA KINACHTCHOUK,M.D. P.L.C.
  • Rakesh Saxena, MD,  Voting Member, 1, ACO Participant Representative, Prism Medical Associates, PC
  • Revan Maragiri, MD,  Voting Member, 1, ACO Participant Representative, Revan Maragiri MD PLC
  • Nanette Myers, DO,  Voting Member, 1, ACO Participant Representative, Riverview Medical Associates,P.C.
  • Walter Gruber, MD,  Voting Member, 1, ACO Participant Representative, Walter Gruber
  • Dr. Jann-Erik Schow,  Voting Member, 1, ACO Participant Representative, BEAR RIVER MEDICAL ARTS PC
  • Nate Green,  Voting Member, 1, ACO Participant Representative, Patrick Green MD PLLC
  • Dr. Steve Newman,  Voting Member, 1, ACO Participant Representative, Cedar Ridge Family Medicine
  • Ryan Borrowman DNP,  Voting Member, 1, ACO Participant Representative, Desert Edge Medical
  • Dr. Grace Paradela,  Voting Member, 1, ACO Participant Representative, Grace Paradela MD PC
  • Dr. James Peterson,  Voting Member, 1, ACO Participant Representative, FOOTHILL CLINIC, LLC
  • Dr. Shane Gagon,  Voting Member, 1, ACO Participant Representative, SHANE D GAGON MD, PC
  • Dr. Lynn Beard,  Voting Member, 1, ACO Participant Representative, MEDICAL ARTS CENTER CLINIC OF BRIGHAM CITY INC
  • Lori Wright, MPA (CEO),  Voting Member, 1, ACO Participant Representative, SOUTHWEST UTAH COMMUNITY HEALTH CENTER
  • Dr. Steven Salisbury,  Voting Member, 1, ACO Participant Representative, Steven Salisbury
  • Dr Marc Anderson,  Voting Member, 1, ACO Participant Representative, TANNER MEMORIAL CLINIC
  • Dr. John Berneike,  Voting Member, 1, ACO Participant Representative, Utah HealthCare Institute Inc
  • Dr. David Kuo,  Voting Member, 1, ACO Participant Representative, Utah Physicians Care Centers PC
  • Allison Hanna,  Voting Member, 1, ACO Participant Representative, Wade Family Medicine, Inc.
  • Dr Jeffrey Degrauw,  Voting Member, 1, ACO Participant Representative, WASATCH PEAK FAMILY PRACTICE INC
  • Dr. Jeff Chappell,  Voting Member, 1, ACO Participant Representative, WAYNE COMMUNITY HEALTH CENTERS INC
  • Michael Foy,  Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Shelley Overholt,  Voting Member, 1, Other, Aledade

 

  • Executive Director: Shelley Overholt
  • Medical Directors: TBD
  • 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

First Agreement Period

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

First Agreement Period |Performance Year 2019 | Performance Year 2018 | Performance Year 2017

 

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

 

2019 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
88.37
85.86
ACO-2
CAHPS: How Well Your Providers Communicate
95.13
94.11
ACO-3
CAHPS: Patients’ Rating of Provider
93.10
92.69
ACO-4
CAHPS: Access to Specialists
83.61
81.54
ACO-5
CAHPS: Health Promotion and Education
64.32
60.44
ACO-6
CAHPS: Shared Decision Making
56.03
62.78
ACO-7
CAHPS: Health Status/Functional Status
73.94
73.79
ACO-34
CAHPS: Stewardship of Patient Resources
29.95
26.17
ACO-45
CAHPS: Courteous and Helpful Office Staff
91.67
92.84
ACO-46
CAHPS: Care Coordination
86.86
86.89
ACO-8
Risk Standardized, All Condition Readmission
15.03
14.86
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
59.26
58.15
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
2.12
1.87
ACO-13
Falls: Screening for Future Fall Risk
91.98
84.04
ACO-14
Preventive Care and Screening: Influenza Immunization
78.27
74.77
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
46.34
78.04
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
89.25
70.40
ACO-19
Colorectal Cancer Screening
68.21
70.76
ACO-20
Breast Cancer Screening
74.61
73.84
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81.58
82.17
ACO-40
Depression Remission at Twelve Months
18.68
13.58
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
25.24
13.88
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
80.71
75.04


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

Payment Rule Waivers

Our ACO operates a “High Priority AWV Completion Challenge”.

Our ACO operates a "Primary Care Challenge"