AR MI UT MSSP
Locations
Locations
Aledade Accountable Care 16, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 2081
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| First Name | Last Name | Member Title/Position | Member's Voting Power (Expressed as a percentage or number) | Membership Type | Practice Legal Business Name |
| ALTAMASH | AMIN | Board Member | 1 | ACO Participant Representative | MI Health Physician PLLC |
| MARC | ANDERSON | Board Member | 1 | ACO Participant Representative | Tanner Clinic |
| THOMAS | CALLAHAN | Board Member | 1 | ACO Participant Representative | Callahan Clinic |
| EVAN | CHRISTENSEN | Board Member | 1 | ACO Participant Representative | Wayne Community Health Centers |
| JOCK | COBB | Board Member | 1 | ACO Participant Representative | North Hills Family Medical Center |
| MELANIE | DANCE | Board Member | 1 | ACO Participant Representative | St. Marks Family Medicine Center (Utah HealthCare Institute) |
| JEFFREY | DEGRAUW | Board Member | 1 | ACO Participant Representative | Wasatch Peak Family Practice |
| JUDY | FUSSELL | Board Member/Medicare Beneficiary Representative | 1 | Medicare Beneficiary Representative | SAMA Healthcare Services PA |
| SHANE | GAGON | Board Member | 1 | ACO Participant Representative | Gagon Family Medicine |
| JOSEPH | GOUGH | Board Member/Vice Chair | 1 | Other | Aledade |
| NATE | GREEN | Board Member | 1 | ACO Participant Representative | Bonneville Family Practice |
| DENNIS | HAMP | Board Member | 1 | ACO Participant Representative | Jordan Landing Family Medicine |
| NICHOLAS | HANSON | Board Member | 1 | ACO Participant Representative | Alpine Medical Group LLC |
| MICHAEL | HIGGINBOTHAM | Board Member | 1 | ACO Participant Representative | Higginbotham Family Clinic |
| GIRISH | JUNEJA | Board Member/Compliance Committee Leader | 1 | ACO Participant Representative | Michigan Primary Care Partners PC |
| NIKOLAI | KINACHTCHOUK | Board Member | 1 | ACO Participant Representative | Nikola Kinachtchouk MD & Lioudmila Kinachtchouk MD PLC |
| DAVID | KUO | Board Member | 1 | ACO Participant Representative | Utah Physician Care Centers |
| LINDA | LACHANCE | Board Member | 1 | ACO Participant Representative | Livingston Internal Medicine |
| CINDY | LANGSTON | Board Member | 1 | ACO Participant Representative | Hometown Doc |
| DEREK | LEWIS II | Board Member | 1 | ACO Participant Representative | Arkansas Primary Care Clinic |
| JASON | LOFTON | Board Member | 1 | ACO Participant Representative | Lofton Family Clinic MD PA |
| NAVEED | MAHFOOZ | Board Member | 1 | ACO Participant Representative | Jehad Jafari Clinic |
| MARK | MARTINDALE | Board Member | 1 | ACO Participant Representative | Saline Med-Peds Group Inc. |
| SCOTT | NAGAO | Board Member | 1 | ACO Participant Representative | Medical Arts Center Clinic of Brigham City |
| BENJAMIN | NEFF | Board Member | 1 | ACO Participant Representative | Olympus Family Medicine |
| STEVEN | NEWMAN | Board Member/ACO Medical Director | 1 | ACO Participant Representative | Cedar Ridge Family Medicine |
| GRACE | PARADELA | Board Member | 1 | ACO Participant Representative | Dixie Primary Care |
| JAMES | PETERSON | Board Member | 1 | ACO Participant Representative | Foothill Family Clinic |
| JOHN | POUNDERS | Board Member | 1 | ACO Participant Representative | Autumn Road Family Practice |
| SHAWN | PURIFOY | Board Member | 1 | ACO Participant Representative | Shawn Purifoy M.D. P.A. |
| SCOTT | SALISBURY | Board Member | 1 | ACO Participant Representative | Steven Salisbury MD |
| ERIN | SAMA | Board Member | 1 | ACO Participant Representative | Healthcare Services PA |
| JAN-ERIK | SCHOW | Board Member | 1 | ACO Participant Representative | Bear River Medical Arts |
| EZRA | SEGURA | Board Member/Chair | 1 | Other | Aledade |
| NIRMAL | SIDHU | Board Member | 1 | ACO Participant Representative | Internal Medicine Diagnostics |
| ANANDARAJ | SUBRAMANIUM | Board Member | 1 | ACO Participant Representative | Dr. Andy's Family Practice |
| TONI | TRATE | Board Member | 1 | ACO Participant Representative | Toni Ballitch Trate DO PC |
| ANGIE | WALKER | Board Member | 1 | ACO Participant Representative | Randy D. Walker MD |
| EDWARD | WHITE | Board Member | 1 | ACO Participant Representative | North Central Arkansas Medical Associates Pa |
| LORI | WRIGHT | Board Member | 1 | ACO Participant Representative | Family Healthcare (SW Utah Community Health) |
| JAMES | ZINI | Board Member | 1 | ACO Participant Representative | James E. Zini D.O. P.A. |
- Executive Director: Ezra Segura
- Medical Director: Steven Newman
- Compliance Officer: Amy Youtz
- Quality Assurance/Improvement Officer: Emily Maxson, MD
| Committee Name | Committee Leader Name and Position |
| Compliance Committee | Girish Juneja / Compliance Committee Leader |
- 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: 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%
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.