AR MSSP 2022

Nadine Robin

ACO Primary Contact

Location

Aledade Accountable Care 59, LLC

4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814

ACO Participants	ACO Participant in Joint Venture
ARKANSAS FAMILY CARE NETWORK	N
CARDIOLOGY ASSOCIATES OF JONESBORO, INC	N
CORNERSTONE MEDICAL GROUP, PLLC	N
DOCTORS HEALTH GROUP, INC	N
FAMILY PRACTICE CLINIC OF PARAGOULD	N
HOT SPRINGS INTERNAL MEDICINE CLINIC PLLC	N
MAIN STREET MEDICAL CLINIC, P.A.	N
MONFEE MEDICAL CLINIC	N
NOYDEEN SISTERS MEDICAL GROUP & CLINICS INC	N
POCAHONTAS MEDICAL CLINIC PA	N
PROSPECTIVE HEALTH LTD	N
ROBERT FREDERICK NOONAN JR MD PA	N
ROUSE FAMILY MEDICAL CLINIC PA	N
S A HALL M D PA	N
ST BERNARDS PHYSICIAN CLINICS INC	N
ST. BERNARDS CLINICS INC	N
THE KIRKLAND FAMILY MEDICAL CENTER PA	N
TOTEM HEALTH PLLC	N
WILLIAM H. FREEMAN, M.D., P.A.	N
WYNNE PHYSICIANS CLINIC LLC	N

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as a percentage)	Membership Type	Practice Legal Business Name
AHMED	ALI	Board Member	5.556	ACO Participant Representative	Noydeen Sisters Medical Group & Clinics Inc
ALEXANDER	BALTZ	Board Member	5.556	ACO Participant Representative	Pocahontas Medical Clinic PA
JEFFERY	BOSOLD	Board Member	5.556	ACO Participant Representative	Monfee Medical Clinic
DONNA	BURROUGH	Board Member	5.556	ACO Participant Representative	The Kirkland Family Medical Center PA
EVELYN	CATHCART	Board Member	5.556	ACO Participant Representative	Prospective Health, LTD
WILLIAM	FREEMAN	Board Member	5.556	ACO Participant Representative	William H.Freeman, M.D., P.A.
SCOTT	HALL	Board Member	5.556	ACO Participant Representative	S A Hall M D PA
HAROLD	HEDGES	Board Member	5.556	ACO Participant Representative	Arkansas Family Care Network
GINGER	HYDE	Board Member	5.556	ACO Participant Representative	Family Practice Clinic of Paragould
JOSH	JENKINS	Board Member	5.556	ACO Participant Representative	St Bernards Clinics Inc
KAYE	MAHAR	Board Member	5.556	ACO Participant Representative	Cornerstone Medical Group, PLLC
ADAM	MCCALL	Board Member	5.556	ACO Participant Representative	Totem Health PLLC
LEANNA	PERRETT	Board Member	5.556	ACO Participant Representative	Robert Frederick Noonan Jr Md Pa
JACQUELINE	ROBERTS	Board Member/Medicare Beneficiary Representative	5.556	Medicare Beneficiary Representative	N/A
NADINE	ROBIN	Board Member/Chair	5.556	Other	Aledade
CINDY	WESTACOTT	Board Member	5.556	ACO Participant Representative	Rouse Family Medical Clinic PA
SHERYL	WILCHMAN	Board Member	5.556	ACO Participant Representative	Main Street Medical Clinic, P.A.
YANG	XU	Board Member/ACO Medical Director/Compliance Committee Member	5.556	ACO Participant Representative	Hot Springs Internal Medicine Clinic PLLC

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

Executive Director: Nadine Robin
ACO Medical Director: William Freeman
Compliance Officer: Amy Youtz
Quality Assurance/ Improvement Officer: Emily Maxson

Committee Name	Committee Leader Name and Position
Compliance Committee	Yang Xu / Compliance Committee Leader

Networks of individual practices of ACO professionals

Second Agreement Period

Performance Year 2022, $3,566,449.82

First Agreement Period

Performance Year 2021, $766,787
Performance Year 2020, $0

Second Agreement Period

Performance Year 2022
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%

First Agreement Period

Performance Year 2021
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%
Performance Year 2020
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%

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	10.26	10.71
Quality ID# 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	63.81	76.97
Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	69.26	76.16
Quality ID# 318	Falls: Screening for Future Fall Risk	CMS Web Interface	80.86	87.83
Quality ID# 110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	73.36	77.34
Quality ID# 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	48.15	79.27
Quality ID# 113	Colorectal Cancer Screening	CMS Web Interface	67.36	75.32
Quality ID# 112	Breast Cancer Screening	CMS Web Interface	71.82	78.07
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	87.56	86.37
Quality ID# 370	Depression Remission at Twelve Months	CMS Web Interface	9.8	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	0.1658	0.151
Measure# 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	CMS Web Interface	33.38	30.97
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS	88.08	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS	95.2	93.47
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS	93.52	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS	79.42	77
CAHPS-5	Health Promotion and Education	CAHPS for MIPS	55.79	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS	62.26	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS	69.42	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS	88.07	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS	94.16	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS	24.93	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