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 2.632 ACO Participant Representative

MI Health Physician PLLC

MARC ANDERSON Board Member 2.632 ACO Participant Representative

Tanner Memorial Clinic

DENNIS BEUHLER Board Member 2.632 ACO Participant Representative

Michigan Primary Care Partners P C

THOMAS CALLAHAN Board Member 2.632 ACO Participant Representative

Callahan Clinic, PC

JOCK COBB Board Member 2.632 ACO Participant Representative

North Hills Family Clinic P A

MELANIE DANCE Board Member 2.632 ACO Participant Representative

Utah Healthcare Institute Inc

JEFFREY DEGRAUW Board Member 2.632 ACO Participant Representative

Wasatch Peak Family Practice Inc

JUDY FUSSELL Board Member/Medicare Beneficiary Representative 2.632 Medicare Beneficiary Representative

N/A

SHANE GAGON Board Member 2.632 ACO Participant Representative

Shane D Gagon MD, PC

ERIN GOSS Board Member 2.632 ACO Participant Representative

SAMA Healthcare Services PA

JOSEPH GOUGH Board Member/Vice Chair 2.632 Other Aledade
NATE GREEN Board Member 2.632 ACO Participant Representative

Patrick Green MD PLLC

DENNIS HAMP Board Member 2.632 ACO Participant Representative

Jordan Landing Family Medicine LLC

NICHOLAS HANSON Board Member 2.632 ACO Participant Representative

Alpine Medical Group

MICHAEL HIGGINBOTHAM Board Member 2.632 ACO Participant Representative

Shane Higginbotham MD PA

DAVID KUO Board Member 2.632 ACO Participant Representative

Utah Physicians Care Centers PC

CINDY LANGSTON Board Member 2.632 ACO Participant Representative

Hometown Doc PA

DEREK LEWIS II Board Member 2.632 ACO Participant Representative

Arkansas Primary Care Clinics PA

JASON LOFTON Board Member 2.632 ACO Participant Representative

Lofton Family Clinic, MD PA

MARK MARTINDALE Board Member 2.632 ACO Participant Representative

Saline Med-Peds Group, Inc

SCOTT NAGAO Board Member 2.632 ACO Participant Representative

Medical Arts Center Clinic of Brigham City Inc

BENJAMIN NEFF Board Member 2.632 ACO Participant Representative Olympus Clinic
STEVEN NEWMAN Board Member/ACO Medical Director 2.632 ACO Participant Representative

Cedar Ridge Family Medicine

GRACE PARADELA Board Member 2.632 ACO Participant Representative

Grace Paradela MD PC

JAMES PETERSON Board Member 2.632 ACO Participant Representative

Foothill Clinic, LLC

JOHN POUNDERS Board Member 2.632 ACO Participant Representative

Autumn Road Family Practice, P.A,

SHAWN PURIFOY Board Member 2.632 ACO Participant Representative

Shawn Purifoy MD PA

SCOTT SALISBURY Board Member 2.632 ACO Participant Representative

Steven Salisbury

JAN-ERIK SCHOW Board Member 2.632 ACO Participant Representative

Bear River Medical Arts PC

EZRA SEGURA Board Member/Chair 2.632 Other Aledade
NIRMAL SIDHU Board Member 2.632 ACO Participant Representative

Internal Medicine Diagnostics Inc

DONAVAN SMITH Board Member 2.632 ACO Participant Representative

Wayne Community Health Centers Inc

ANANDARAJ SUBRAMANIUM Board Member 2.632 ACO Participant Representative

Dr. Andy's Family Practice PLLC

TONI TRATE Board Member/Compliance Committee Lead 2.632 ACO Participant Representative

Toni Ballitch Trate DO PC

ANGIE WALKER Board Member 2.632 ACO Participant Representative

Randy D. Walker, MD, PLLC

EDWARD WHITE Board Member 2.632 ACO Participant Representative

North Central Arkansas Medical Associates

LORI WRIGHT Board Member 2.632 ACO Participant Representative

Southwest Utah Community Health Center

JAMES ZINI Board Member 2.632 ACO Participant Representative

James E Zini DO PA

 


Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

  • Executive Director: Ezra Segura
  • Medical Director: Steven Newman
  • Compliance Officer: Amy Youtz
  • Quality Assurance/Improvement Officer: Emily Maxson

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 2022, $35,592,727.65
  • 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 2022

  • Proportion invested in infrastructure: 25% 
  • Proportion invested in redesigned care processes/resources: 25%
  • Proportion of distribution to ACO participants: 50%

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%
2022 Quality Performance Results
Measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 7.91 10.71
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 79.38 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 84.44 76.16
Quality ID# 318 Falls: Screening for Future Fall Risk  CMS Web Interface 89.69 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 75.69 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 65.22 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 77.99 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 71.34 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 82.47 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 20 16.03
Quality ID# 321 CAHPS for MIPS [3] CMS Web Interface N/A N/A
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] CMS Web Interface 0.1429 0.151
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] CMS Web Interface 23.26 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS 86 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS 93.77 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS 91.93 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS 75.01 77
CAHPS-5 Health Promotion and Education CAHPS for MIPS 59.74 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS 57.02 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS 72.37 73.06
CAHPS-8 Care Coordination CAHPS for MIPS 83.59 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS 91.58 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS 24.62 25.62

                       

 

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.

Fraud and Abuse Waivers

ACO Pre-Participation Waiver::  N/A

 

ACO Participation Waiver: N/A