AR MI UT MSSP
Shelley Overholt
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
ANNU MOHAN MD PLLC N
ARKANSAS CENTRAL PRIMARY CARE 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
DAVID J. SMITH MD PC N
DESERT EDGE MEDICAL N
FOOTHILL CLINIC, LLC N
GRACE PARADELA MD PC N
GREAT LAKES MEDICAL ASSOCIATES, PC N
INTERNAL MEDICINE DIAGNOSTICS INC N
JAMES E ZINI DO PA N
KOCHAR PLC N
LOFTON FAMILY CLINIC, MD PA N
MARK SKORY N
MEDICAL ARTS CENTER CLINIC OF BRIGHAM CITY INC N
MIDLAND FAMILY PHYSICIANS PC N
NIKOLAI KINACHTCHOUK,M.D. & LIOUDMILA KINACHTCHOUK,M.D. P.L.C. 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
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

Member Last Name Member First Name Member Title/Position Member's Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
Peterson Mark Voting Member 1 ACO Participant Representative ARKANSAS CENTRAL PRIMARY CARE PLLC
Lewis Derek Voting Member 1 ACO Participant Representative ARKANSAS PRIMARY CARE CLINICS PA
Pounders Philip Voting Member 1 ACO Participant Representative Autumn Road Family Practice, P.A
Higginbotham Michael Voting Member 1 ACO Participant Representative SHANE HIGGINBOTHAM MD PA
Sra Nirmal Voting Member 1 ACO Participant Representative INTERNAL MEDICINE DIAGNOSTICS INC
Zini James Voting Member 1 ACO Participant Representative JAMES E ZINI DO PA
Lofton Jason Voting Member 1 ACO Participant Representative LOFTON FAMILY CLINIC, MD PA
Walker Angie Voting Member 1 ACO Participant Representative Randy D. Walker, M.D., P.L.L.C.
Martindale Mark       Saline Med-Peds Group, Inc
Callaway Matt Voting Member 1 ACO Participant Representative SAMA Healthcare Services PA
Purifoy Shawn Voting Member 1 ACO Participant Representative Shawn Purifoy, M.D., P.A.
Winston Scott Voting Member 1 ACO Participant Representative THE WINSTON CLINIC, P.A.
Strom Scott Voting Member 1 ACO Participant Representative Alma Family Practice PC
Mohan Annu Voting Member 1 ACO Participant Representative Annu Mohan MD PLLC
Skory Mark Voting Member 1 ACO Participant Representative Mark Skory
Ahmed Naeem Voting Member 1 ACO Participant Representative Bay Area Health Clinic PC
Messenger Andrew Voting Member 1 Other Clinton County Medical Center PC
Smith Eric Voting Member 1 ACO Participant Representative DAVID J. SMITH MD PC
Sarvepalli Prakash Voting Member 1 ACO Participant Representative Great Lakes Medical Associates, PC
Archbold Jeffery Voting Member 1 ACO Participant Representative Midland Family Physicians PC
Kinachtchouk Lioudmila Voting Member 1 ACO Participant Representative NIKOLAI KINACHTCHOUK,M.D. & LIOUDMILA KINACHTCHOUK,M.D. P.L.C.
Saxena Rakesh Voting Member 1 ACO Participant Representative Prism Medical Associates, PC
Maragiri Revan Voting Member 1 ACO Participant Representative Revan Maragiri MD PLC
Myers Nanette Voting Member 1 ACO Participant Representative Riverview Medical Associates,P.C.
Gruber Walter Voting Member 1 ACO Participant Representative Walter Gruber
Schow Jann Erik Voting Member 1 ACO Participant Representative Bear River Medical Arts PC
Green Nate Voting Member 1 ACO Participant Representative Patrick Green MD PLLC
Newman Steve Voting Member 1 ACO Participant Representative Cedar Ridge Family Medicine
Borrowman Ryan Voting Member 1 ACO Participant Representative Desert Edge Medical Co.
Paradela Grace Voting Member 1 ACO Participant Representative Grace Paradela MD PC
Peterson James Voting Member 1 ACO Participant Representative Foothill Clinic, LLC
Gagon Shane Voting Member 1 ACO Participant Representative SHANE D GAGON MD, PC
Beard Lynn Voting Member 1 ACO Participant Representative MEDICAL ARTS CENTER CLINIC OF BRIGHAM CITY INC
Wright Lori Voting Member 1 ACO Participant Representative SOUTHWEST UTAH COMMUNITY HEALTH CENTER
Salisbury Steven Voting Member 1 ACO Participant Representative Steven Salisbury
Anderson Marc Voting Member 1 ACO Participant Representative TANNER MEMORIAL CLINIC
Berneike John Voting Member 1 ACO Participant Representative St. Marks Family Medicine Center (Utah HealthCare Institute Inc)
Kuo David Voting Member 1 ACO Participant Representative Utah Physicians Care Centers PC
Hanna Allison Voting Member 1 ACO Participant Representative Wade Family Medicine, Inc.
Degrauw Jeffery Voting Member 1 ACO Participant Representative Wasatch Peak Family Practice Inc
Chappell Jeff Voting Member 1 ACO Participant Representative WAYNE COMMUNITY HEALTH CENTERS INC
Foy Michael Voting Member 1 Medicare Beneficiary Representative N/A
Overholt Shelly Voting Member 1 Other N/A
  • Executive Director: Shelley Overholt
  • Medical Director: Jennifer Aloff
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Emily Maxson, MD
  • Beneficiary Engagement Committee: Dr. Joel Eisner
  • Evidence-Based Medicine Committee: Dr. Robert Shusman, Dr. Alan Keiser
  • Transitions of Care Committee: Dr. Leroy Flesicher
  • Compliance Committee: Dr. Karl Schwabe
  • Performance Improvement Committee: Dr. Karl Schwabe
  • Networks of individual practices of ACO professionals

First Agreement Period

  • Performance Year 2019, $5,788,372
  • Performance Year 2018, $7,504,771
  • Performance Year 2017, $4,350,686

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%
2019 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
88.37
85.86
ACO-2
CAHPS: How Well Your Providers Communicate
95.13
94.11
ACO-3
CAHPS: Patients’ Rating of Provider
93.10
92.69
ACO-4
CAHPS: Access to Specialists
83.61
81.54
ACO-5
CAHPS: Health Promotion and Education
64.32
60.44
ACO-6
CAHPS: Shared Decision Making
56.03
62.78
ACO-7
CAHPS: Health Status/Functional Status
73.94
73.79
ACO-34
CAHPS: Stewardship of Patient Resources
29.95
26.17
ACO-45
CAHPS: Courteous and Helpful Office Staff
91.67
92.84
ACO-46
CAHPS: Care Coordination
86.86
86.89
ACO-8
Risk Standardized, All Condition Readmission
15.03
14.86
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
59.26
58.15
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
2.12
1.87
ACO-13
Falls: Screening for Future Fall Risk
91.98
84.04
ACO-14
Preventive Care and Screening: Influenza Immunization
78.27
74.77
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
46.34
78.04
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
89.25
70.40
ACO-19
Colorectal Cancer Screening
68.21
70.76
ACO-20
Breast Cancer Screening
74.61
73.84
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81.58
82.17
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
25.24
13.88
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
80.71
75.04

Please note, the ACO-40 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