AR MI UT MSSP

Ezra Segura

ACO Primary Contact

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

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as a percentage)	Membership Type	ACO Participant Legal Business Name
ALTAMASH	AMIN	Board Member	2.632	ACO Participant Representative	MI Health Physician PLLC
MARC	ANDERSON	Board Member	2.632	ACO Participant Representative	Tanner Memorial Clinic
DENNIS	BEUHLER	Board Member	2.632	ACO Participant Representative	Michigan Primary Care Partners P C
THOMAS	CALLAHAN	Board Member	2.632	ACO Participant Representative	Callahan Clinic, PC
JOCK	COBB	Board Member	2.632	ACO Participant Representative	North Hills Family Clinic P A
MELANIE	DANCE	Board Member	2.632	ACO Participant Representative	Utah Healthcare Institute Inc
JEFFREY	DEGRAUW	Board Member	2.632	ACO Participant Representative	Wasatch Peak Family Practice Inc
JUDY	FUSSELL	Board Member/Medicare Beneficiary Representative	2.632	Medicare Beneficiary Representative	N/A
SHANE	GAGON	Board Member	2.632	ACO Participant Representative	Shane D Gagon MD, PC
ERIN	GOSS	Board Member	2.632	ACO Participant Representative	SAMA Healthcare Services PA
JOSEPH	GOUGH	Board Member/Vice Chair	2.632	Other	Aledade
NATE	GREEN	Board Member	2.632	ACO Participant Representative	Patrick Green MD PLLC
DENNIS	HAMP	Board Member	2.632	ACO Participant Representative	Jordan Landing Family Medicine LLC
NICHOLAS	HANSON	Board Member	2.632	ACO Participant Representative	Alpine Medical Group
MICHAEL	HIGGINBOTHAM	Board Member	2.632	ACO Participant Representative	Shane Higginbotham MD PA
DAVID	KUO	Board Member	2.632	ACO Participant Representative	Utah Physicians Care Centers PC
CINDY	LANGSTON	Board Member	2.632	ACO Participant Representative	Hometown Doc PA
DEREK	LEWIS II	Board Member	2.632	ACO Participant Representative	Arkansas Primary Care Clinics PA
JASON	LOFTON	Board Member	2.632	ACO Participant Representative	Lofton Family Clinic, MD PA
MARK	MARTINDALE	Board Member	2.632	ACO Participant Representative	Saline Med-Peds Group, Inc
SCOTT	NAGAO	Board Member	2.632	ACO Participant Representative	Medical Arts Center Clinic of Brigham City Inc
BENJAMIN	NEFF	Board Member	2.632	ACO Participant Representative	Olympus Clinic
STEVEN	NEWMAN	Board Member/ACO Medical Director	2.632	ACO Participant Representative	Cedar Ridge Family Medicine
GRACE	PARADELA	Board Member	2.632	ACO Participant Representative	Grace Paradela MD PC
JAMES	PETERSON	Board Member	2.632	ACO Participant Representative	Foothill Clinic, LLC
JOHN	POUNDERS	Board Member	2.632	ACO Participant Representative	Autumn Road Family Practice, P.A,
SHAWN	PURIFOY	Board Member	2.632	ACO Participant Representative	Shawn Purifoy MD PA
SCOTT	SALISBURY	Board Member	2.632	ACO Participant Representative	Steven Salisbury
JAN-ERIK	SCHOW	Board Member	2.632	ACO Participant Representative	Bear River Medical Arts PC
EZRA	SEGURA	Board Member/Chair	2.632	Other	Aledade
NIRMAL	SIDHU	Board Member	2.632	ACO Participant Representative	Internal Medicine Diagnostics Inc
DONAVAN	SMITH	Board Member	2.632	ACO Participant Representative	Wayne Community Health Centers Inc
ANANDARAJ	SUBRAMANIUM	Board Member	2.632	ACO Participant Representative	Dr. Andy's Family Practice PLLC
TONI	TRATE	Board Member/Compliance Committee Lead	2.632	ACO Participant Representative	Toni Ballitch Trate DO PC
ANGIE	WALKER	Board Member	2.632	ACO Participant Representative	Randy D. Walker, MD, PLLC
EDWARD	WHITE	Board Member	2.632	ACO Participant Representative	North Central Arkansas Medical Associates
LORI	WRIGHT	Board Member	2.632	ACO Participant Representative	Southwest Utah Community Health Center
JAMES	ZINI	Board Member	2.632	ACO Participant Representative	James E Zini DO PA

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

Executive Director: Ezra Segura
Medical Director: Steven Newman
Compliance Officer: Amy Youtz
Quality Assurance/Improvement Officer: Emily Maxson

Committee Name	Committee Leader Name and Position
Compliance Committee	Toni Trate / Compliance Committee Leader

Networks of individual practices of ACO professionals

Second Agreement Period

Performance Year 2022, $35,592,727.65
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 2022

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

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%

2022 Quality Performance Results

Measure #	Measure Name	Collection Type	Rate	ACO Mean
Quality ID# 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]	CMS Web Interface	7.91	10.71
Quality ID# 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	79.38	76.97
Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	84.44	76.16
Quality ID# 318	Falls: Screening for Future Fall Risk	CMS Web Interface	89.69	87.83
Quality ID# 110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	75.69	77.34
Quality ID# 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	65.22	79.27
Quality ID# 113	Colorectal Cancer Screening	CMS Web Interface	77.99	75.32
Quality ID# 112	Breast Cancer Screening	CMS Web Interface	71.34	78.07
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	82.47	86.37
Quality ID# 370	Depression Remission at Twelve Months	CMS Web Interface	20	16.03
Quality ID# 321	CAHPS for MIPS [3]	CMS Web Interface	N/A	N/A
Measure# 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]	CMS Web Interface	0.1429	0.151
Measure# 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	CMS Web Interface	23.26	30.97
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS	86	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS	93.77	93.47
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS	91.93	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS	75.01	77
CAHPS-5	Health Promotion and Education	CAHPS for MIPS	59.74	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS	57.02	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS	72.37	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS	83.59	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS	91.58	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS	24.62	25.62

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

Fraud and Abuse Waivers

ACO Pre-Participation Waiver:: N/A

ACO Participation Waiver: N/A