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 |
| 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 | 2.631578947 | ACO Participant Representative |
MI Health Physician PLLC |
| MARC | ANDERSON | Board Member | 2.631578947 | ACO Participant Representative |
Tanner Memorial Clinic |
| DENNIS | BEUHLER | Board Member | 2.631578947 | ACO Participant Representative |
Michigan Primary Care Partners P C |
| THOMAS | CALLAHAN | Board Member | 2.631578947 | ACO Participant Representative |
Callahan Clinic, PC |
| JOCK | COBB | Board Member | 2.631578947 | ACO Participant Representative |
North Hills Family Clinic P A |
| MELANIE | DANCE | Board Member | 2.631578947 | ACO Participant Representative |
Utah Healthcare Institute Inc |
| JEFFREY | DEGRAUW | Board Member | 2.631578947 | ACO Participant Representative |
Wasatch Peak Family Practice Inc |
| JUDY | FUSSELL | Board Member/Medicare Beneficiary Representative | 2.631578947 | Medicare Beneficiary Representative |
SAMA Healthcare Services PA |
| SHANE | GAGON | Board Member | 2.631578947 | ACO Participant Representative |
Shane D Gagon MD, PC |
| ERIN | GOSS | Board Member | 2.631578947 | ACO Participant Representative |
SAMA Healthcare Services PA |
| JOSEPH | GOUGH | Board Member/Vice Chair | 2.631578947 | Other | Aledade |
| NATE | GREEN | Board Member | 2.631578947 | ACO Participant Representative |
Patrick Green MD PLLC |
| DENNIS | HAMP | Board Member | 2.631578947 | ACO Participant Representative |
Jordan Landing Family Medicine LLC |
| NICHOLAS | HANSON | Board Member | 2.631578947 | ACO Participant Representative |
Alpine Medical Group |
| MICHAEL | HIGGINBOTHAM | Board Member | 2.631578947 | ACO Participant Representative |
Shane Higginbotham MD PA |
| DAVID | KUO | Board Member | 2.631578947 | ACO Participant Representative |
Utah Physicians Care Centers PC |
| CINDY | LANGSTON | Board Member | 2.631578947 | ACO Participant Representative |
Hometown Doc PA |
| DEREK | LEWIS II | Board Member | 2.631578947 | ACO Participant Representative |
Arkansas Primary Care Clinics PA |
| JASON | LOFTON | Board Member | 2.631578947 | ACO Participant Representative |
Lofton Family Clinic, MD PA |
| MARK | MARTINDALE | Board Member | 2.631578947 | ACO Participant Representative |
Saline Med-Peds Group, Inc |
| SCOTT | NAGAO | Board Member | 2.631578947 | ACO Participant Representative |
Medical Arts Center Clinic of Brigham City Inc |
| BENJAMIN | NEFF | Board Member | 2.631578947 | ACO Participant Representative | Olympus Clinic |
| STEVEN | NEWMAN | Board Member/ACO Medical Director | 2.631578947 | ACO Participant Representative |
Cedar Ridge Family Medicine |
| GRACE | PARADELA | Board Member | 2.631578947 | ACO Participant Representative |
Grace Paradela MD PC |
| JAMES | PETERSON | Board Member | 2.631578947 | ACO Participant Representative |
Foothill Clinic, LLC |
| JOHN | POUNDERS | Board Member | 2.631578947 | ACO Participant Representative |
Autumn Road Family Practice, P.A, |
| SHAWN | PURIFOY | Board Member | 2.631578947 | ACO Participant Representative |
Shawn Purifoy MD PA |
| SCOTT | SALISBURY | Board Member | 2.631578947 | ACO Participant Representative |
Steven Salisbury |
| JAN-ERIK | SCHOW | Board Member | 2.631578947 | ACO Participant Representative |
Bear River Medical Arts PC |
| EZRA | SEGURA | Board Member/Chair | 2.631578947 | Other | Aledade |
| NIRMAL | SIDHU | Board Member | 2.631578947 | ACO Participant Representative |
Internal Medicine Diagnostics Inc |
| DONAVAN | SMITH | Board Member | 2.631578947 | ACO Participant Representative |
Wayne Community Health Centers Inc |
| ANANDARAJ | SUBRAMANIUM | Board Member | 2.631578947 | ACO Participant Representative |
Dr. Andy's Family Practice PLLC |
| TONI | TRATE | Board Member/Compliance Committee Lead | 2.631578947 | ACO Participant Representative |
Toni Ballitch Trate DO PC |
| ANGIE | WALKER | Board Member | 2.631578947 | ACO Participant Representative |
Randy D. Walker, MD, PLLC |
| EDWARD | WHITE | Board Member | 2.631578947 | ACO Participant Representative |
North Central Arkansas Medical Associates |
| LORI | WRIGHT | Board Member | 2.631578947 | ACO Participant Representative |
Southwest Utah Community Health Center |
| JAMES | ZINI | Board Member | 2.631578947 | ACO Participant Representative |
James E Zini DO PA |
- 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 | Toni Trate / 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
Measure #: 321
CAHPS for MIPS3
N/A
N/A
Measure #: 479
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2
0.1445
0.1540
Measure #: MCC1
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2
25.85
33.94
CAHPS-1
Getting Timely Care, Appointments, and Information
88.12
84.67
CAHPS-2
How Well Providers Communicate
94.30
93.56
CAHPS-3
Patient’s Rating of Provider
93.24
92.19
CAHPS-4
Access to Specialists
81.72
78.80
CAHPS-5
Health Promotion and Education
71.76
61.61
CAHPS-6
Shared Decision Making
66.14
60.89
CAHPS-7
Health Status and Functional Status
71.36
71.78
CAHPS-8
Care Coordination
89.72
85.66
CAHPS-9
Courteous and Helpful Office Staff
93.85
91.88
CAHPS-11
Stewardship of Patient Resources
25.46
24.71
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
Skilled Nursing Facility (SNF) 3-Day Rule Waiver: N/A
Waiver for Payment for Telehealth Services: N/A
Fraud and Abuse Waivers
ACO Pre-Participation Waiver:: N/A
ACO Participation Waiver: N/A