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

 

TBD

  • 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

25% - Reinvest in infrastructure

10% - Invested in redesigned care processes/resources

$2,885,659.19 - Distribution to ACO Participants

100% - Primary Care Professionals

N/A - Specialists

N/A - Hospital

 

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

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

 

Note: In the Quality Performance Results file(s) above, search for “Aledade Accountable Care 16, LLC” or “Pennsylvania PMA 2017 ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A3458 in the public use files on data.cms.gov.

Payment Rule Waivers

 

No, our ACO does not utilize the SNF 3-Day Rule Waiver.

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

Our ACO operates a "Primary Care Challenge"

 

Download the AWV Challenge waiver Download the Primary Care Challenge Waiver