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 |
| 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