AR MI UT MSSP
Ezra Segura
ACO Primary Contact
202-803-7979
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 Email
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.