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 |
| 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 | |
| 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 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 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%
2020 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.14
0.95
ACO-13
Falls: Screening for Future Fall Risk
91.05
84.97
ACO-14
Preventive Care and Screening: Influenza Immunization
79.81
76.03
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
25.00
81.67
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
85.85
71.46
ACO-19
Colorectal Cancer Screening
77.54
72.59
ACO-20
Breast Cancer Screening
72.76
74.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80.47
83.37
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
22.88
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
73.10
72.87
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS® for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
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.