AR MI UT MSSP
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 |
| First Name | Last Name | Member Title/Position | Member's Voting Power (Expressed as a percentage or number) | Membership Type | Practice Legal Business Name | |
| Ezra | Segura | President, Secretary, Treasurer | 1 | Other | Aledade Inc. | esegura@aledade.com |
| Judy | Fussell | 1 | Medicare Beneficiary Representative | N/A | judithfussell88@gmail.com | |
| Jann-Erik | Schow | 1 | ACO Participant Representative | Bear River Medical Arts PC | jjschow@comcast.net | |
| Nate | Green | 1 | ACO Participant Representative | Patrick Green MD, PLLC | nate@bonnevillefp.com | |
| Steve | Newman | 1 | ACO Participant Representative | Cedar Ridge Family Medicine | snewman51@outlook.com | |
| Ryan | Borrowman | 1 | ACO Participant Representative | Desert Edge Medical | ryborrowman@gmail.com | |
| Grace | Paradela | 1 | ACO Participant Representative | Grace Paradela MD PC | drp@dixieprimarycare.com | |
| Lori | Wright | 1 | ACO Participant Representative | Southwest Utah Community Health Center | lori@familyhc.org | |
| James | Peterson | 1 | ACO Participant Representative | Foothill Clinic LLC | jpeterson@foothillfamilyclinic.com | |
| Shane | Gagon | 1 | ACO Participant Representative | Shane Gagon MD, PC | shanegagon@hotmail.com | |
| Dennis | Hamp | 1 | ACO Participant Representative | Jordan Landing Family Medicine LLC | Dennishamp@mail.com | |
| Lynn | Beard | 1 | ACO Participant Representative | Medical Arts Center Clinic of Brigham City Inc. | lynnbeard7@gmail.com | |
| John | Berneike | 1 | ACO Participant Representative | Utah Healthcare Institute Inc | jberneike@utahhealthcare.org | |
| Steven | Salisbury | 1 | ACO Participant Representative | Steven Salisbury | steven.salisbury@imail2.org | |
| Marc | Anderson | 1 | ACO Participant Representative | Tanner Memorial Clinic | marc.anderson@tannerclinic.com | |
| David | Kuo | 1 | ACO Participant Representative | Utah Physicians Care Centers PC | dkuo1@msn.com | |
| WendySue | Smith | 1 | ACO Participant Representative | Wade Family Medicine Inc | wendilyn7@yahoo.com | |
| Jeffrey | DeGrauw | 1 | ACO Participant Representative | Wasatch Peak Family Practice Inc | wasatchpeakfp@yahoo.com | |
| Evan | Christensen | 1 | ACO Participant Representative | Wayne Community Health Centers Inc | evanc@waynechc.org | |
| Derek | Lewis, II | 1 | ACO Participant Representative | ARKANSAS PRIMARY CARE CLINICS PA / NORTH LITTLE ROCK PRIMARY CARE AND DIAGNOSTIC CLINIC PLLC | dlewis2@arkansasprimarycare.com | |
| Philip | Pounders | 1 | ACO Participant Representative | AUTUMN ROAD FAMILY PRACTICE, P.A, | jppounders@gmail.com | |
| Michael | Higginbotham | 1 | ACO Participant Representative | SHANE HIGGINBOTHAM MD PA | higginbotham29@aol.com | |
| Nirmal | Sidhu | 1 | ACO Participant Representative | INTERNAL MEDICINE DIAGNOSTICS INC | imdgp@centurytel.net | |
| Mark | Martindale | 1 | ACO Participant Representative | SALINE MED-PEDS GROUP, INC | Markm1129@yahoo.com | |
| Matt | Callaway | 1 | ACO Participant Representative | SAMA HEALTHCARE SERVICES PA | Mdcallaway@samahealthcare.com | |
| Shawn | Purifoy | 1 | ACO Participant Representative | SHAWN PURIFOY MD PA | spurifoy@aledade.com | |
| Angie | Walker | 1 | ACO Participant Representative | RANDY D WALKER, MD, PLLC | Angie@drrandywalker.com | |
| Scott | Winston, MD | 1 | ACO Participant Representative | THE WINSTON CLINIC, P.A. | swinston@thewinstonclinic.net | |
| James | Zini, DO | 1 | ACO Participant Representative | JAMES E ZINI DO PA | judy.zini@zinimedical.com | |
| Jason | Lofton, MD | 1 | ACO Participant Representative | LOFTON FAMILY CLINIC, MD PA | jasonlofton@gmail.com | |
| Jock | Cobb, MD | 1 | ACO Participant Representative | NORTH HILLS FAMILY CLINIC P A | Docjock@Comcast.net | |
| Cindy | Langston | 1 | ACO Participant Representative | HOMETOWN DOC PA | clangston@hometowndoc.arcoxmail.com | |
| Anandaraj | Subramanium | 1 | ACO Participant Representative | DR. ANDY'S FAMILY PRACTICE PLLC | anandvas2001@yahoo.com | |
| Edward | White, MD | 1 | ACO Participant Representative | NORTH CENTRAL ARKANSAS MEDICAL ASSOCIATES | dredwhite@yahoo.com | |
| Mark | Skory | 1 | ACO Participant Representative | MARK SKORY | drskory@auburnclinic.com | |
| Andrew | Whiteside | 1 | ACO Participant Representative | RIVERVIEW MEDICAL ASSOCIATES,P.C. | awhiteside0@gmail.com | |
| Naeem | Ahmed | 1 | ACO Participant Representative | BAY AREA HEALTH CLINIC PC | ahmed.bayarea@gmail.com | |
| Walter | Gruber | 1 | ACO Participant Representative | WALTER GRUBER | g.walterj@yahoo.com | |
| Revan | Maragiri | 1 | ACO Participant Representative | REVAN MARAGIRI MD PLC | revanmaragiri@gmail.com | |
| Nikolai | Kinachtchouk | 1 | ACO Participant Representative | NIKOLAI KINACHTCHOUK,M.D. & LIOUDMILA KINACHTCHOUK,M.D. P.L.C. | oleg535@sbcglobal.net | |
| Scott | Strom | 1 | ACO Participant Representative | ALMA FAMILY PRACTICE PC | stromsco@gmail.com | |
| Annu | Mohan | 1 | ACO Participant Representative | ANNU MOHAN MD PLLC | rosewoodhealthcare@gmail.com | |
| Andrew | Messenger | 1 | ACO Participant Representative | CLINTON COUNTY MEDICAL CENTER PC | andrew.w.messenger@ccmcpc.com | |
| Eric | Smith | 1 | ACO Participant Representative | DAVID J. SMITH MD PC | pelican.smith@gmail.com | |
| Prakash | Sarvapalli | 1 | ACO Participant Representative | GREAT LAKES MEDICAL ASSOCIATES, PC | sailajaprakash@yahoo.com | |
| Jeffrey | Archbold | 1 | ACO Participant Representative | MIDLAND FAMILY PHYSICIANS PC | jtafpdo@gmail.com | |
| Toni | Trate | 1 | ACO Participant Representative | TONI BALLITCH TRATE DO PC | drtrate01@sbcglobal.net | |
| Rakesh | Saxena | 1 | ACO Participant Representative | PRISM MEDICAL ASSOCIATES PC | rsaxena@prism-pc.com | |
| Altamash | Amin | 1 | ACO Participant Representative | MI HEALTH PHYSICIAN PLLC | draminsoffice@gmail.com | |
| Altamash | Amin | 1 | ACO Participant Representative | ALTAMASH A AMIN MD PLC | draminsoffice@gmail.com | |
| Linda | LeChance | 1 | ACO Participant Representative | LIVINGSTON INTERNAL MEDICINE PC | livingstoninternalmedicine@gmail.com | |
| Girish | Juneja | 1 | ACO Participant Representative | MICHIGAN PRIMARY CARE PARTNERS P C | wmpain@gmail.com | |
| Andrew | Messenger | 1 | ACO Participant Representative | COMPASS HEALTHCARE PLC | andrew.w.messenger@ccmcpc.com |
- Executive Director: Ezra Segura
- Medical Director: Jennifer Aloff
- Compliance Officer: Ms. Sarah Chasson
- Quality Assurance/Improvement Officer: Emily Maxson, MD
| Committee Name | Committee Leader Name and Position |
| Compliance Committee | Sarah Chasson, Chair |
- 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: 10%
- Proportion of distribution to ACO participants: 65%
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%
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.