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
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