CA MSSP 2020 Enhanced
Location
Location
Aledade Accountable Care 60, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
| ACO Participants |
ACO Participant in Joint Venture |
| ACACIA FAMILY MEDICAL GROUP | N |
| ANILKUMAR PATEL | N |
| ANTONIO A TAN MD PROFESSIONAL CORPORATION | N |
| ARROYO OAKS MEDICAL ASSOCIATES INC | N |
| ARVINDER S. BIR MD, SEEMA BIR MD CORP | N |
| ATHENA MEDICAL GROUP OF THE CENTRAL COAST INC | N |
| BURROWS FAMILY PRACTICE INC | N |
| CEJA & SINGH A MEDICAL CORPORATION | N |
| DHARMAVIJAYPAL NARAYAN | N |
| DIMPLE AGARWAL | N |
| EDMUND H LEW, MD, INC | N |
| ELOY ROMERO MD INC A PROFESSIONAL CORPORATION | N |
| GARCIA LEE AND CONCEPCION MEDICAL GROUP INC | N |
| HILLCREST INTERNAL MEDICINE A MEDICAL CORPORATION | N |
| IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP APC | N |
| INDUS HEALTHCARE, INC. | N |
| KINGS MEDICAL GROUP PC | N |
| KU JUEY RAYMOND CHANG INC. | N |
| LAURA R MORGAN MD INC | N |
| ML PROFESSIONAL CORPORATION | N |
| NARAKANTI N RAO MD INC | N |
| NINA MAW MAW | N |
| ORANGECREST MEDICAL GROUP, INC. | N |
| PAJARO VALLEY MEDICAL CLINIC INC | N |
| PATRICIA L JAMES MD INC | N |
| PATRICK GOLDEN | N |
| PAUL PERCIVAL, MD INC | N |
| PLAZITA MEDICAL CLINIC INC | N |
| PREFERRED MEDICAL GROUP INC | N |
| PRESTIGE MEDICAL ASSOCIATES, INC. | N |
| PRICE MEDICAL CORPORATION | N |
| PRIMARY CARE CONSULTANTS INC A MEDICAL GROUP | N |
| PRIMEHEALTH 360 INC | N |
| RAINCROSS MEDICAL GROUP | N |
| ROBERT STEPHENSON | N |
| RUPINDER MANN M D INC | N |
| SARA HAMIDI MD INC | N |
| SINGH A. BOUN, MD & NICK LEE, MD, A PROFESSIONAL CORPORATION | N |
| SUMMIT HEALTH GROUP INC | N |
| VOLTAIRE S VELARDE MD INC | N |
| YOUR MEDICAL GROUP INC | N |
| Member First Name | Member Last Name | Member Title/Position | Member's Voting Power (Expressed as a percentage) | Membership Type | Practice Legal Business Name |
| DIMPLE | AGARWAL | Board Member | 2.439 | ACO Participant Representative | Dimple Agarwal |
| NAVEEN | ANBALAGAN | Board Member | 2.439 | ACO Participant Representative | Nina Maw Maw |
| LAWRENCE | ARROYO | Board Member | 2.439 | ACO Participant Representative |
Arroyo Oaks Medical Associates Inc |
| SEEMA | BIR | Board Member | 2.439 | ACO Participant Representative |
Arvinder S. Bir MD, Seema Bir MD Corp |
| SINGH | BOUN | Board Member | 2.439 | ACO Participant Representative |
Singh A. Boun, MD & Nick Lee, MD, A Professional Corporation |
| MARY | BURROWS | Board Member | 2.439 | ACO Participant Representative |
Burrows Family Practice Inc |
| ROBERT | CHAN | Board Member | 2.439 | ACO Participant Representative |
Preferred Medical Group Inc |
| DIEM | CHANG | Board Member | 2.439 | ACO Participant Representative |
Ku Juey Raymond Chang Inc. |
| MARC | CONCEPCION | Board Member/Compliance Committee Member | 2.439 | ACO Participant Representative |
Garcia Lee and Concepcion Medical Group Inc |
| SHIRLEY | DICKINSON | Board Member | 2.439 | ACO Participant Representative |
Plazita Medical Clinic Inc |
| MARY | HAVENS | Board Member/Medicare Beneficiary Representative | 2.439 | Medicare Beneficiary Representative |
Summit Health Group Inc |
| HAROLD | JACKSON | Board Member | 2.439 | ACO Participant Representative |
Orangecrest Medical Group, Inc. |
| PATRICIA | JAMES | Board Member | 2.439 | ACO Participant Representative |
Laura R Morgan MD Inc |
| DILSHAD | KHERAJ | Board Member | 2.439 | ACO Participant Representative |
Paul Percival, MD Inc |
| WILLIAM | KHIEU | Board Member | 2.439 | ACO Participant Representative |
Athena Medical Group of the Central Coast Inc |
| CARL | KNOPKE | Board Member/Compliance Committee Member | 2.439 | ACO Participant Representative |
Raincross Medical Group |
| RAY | KUSUMOTO | Board Member | 2.439 | ACO Participant Representative |
Your Medical Group Inc |
| MATTHEW | LEW | Board Member | 2.439 | ACO Participant Representative |
Edmund H Lew, Md, Inc |
| RUPINDER | MANN | Board Member | 2.439 | ACO Participant Representative |
Rupinder Mann M D Inc |
| PRATHIMA | NARAYAN | Board Member | 2.439 | ACO Participant Representative |
Dharmavijaypal Narayan |
| CHRISTOPHER | O'GRADY | Board Member | 2.439 | ACO Participant Representative |
Pajaro Valley Medical Clinic Inc |
| AMIT | PALIWAL | Board Member | 2.439 | ACO Participant Representative |
Indus Healthcaren Inc. |
| ANILKUMAR | PATEL | Board Member | 2.439 | ACO Participant Representative |
Anilkumar Patel |
| CHRISTOPHER | PRICE | Board Member | 2.439 | ACO Participant Representative |
Price Medical Corporation |
| SHARNJIT | PUREWAL | Board Member | 2.439 | ACO Participant Representative |
Primary Care Consultants Inc A Medical Group |
| NARAKANTI | RAO | Board Member | 2.439 | ACO Participant Representative |
Narakanti N Rao MD Inc |
| SAEED | RASHIDI | Board Member | 2.439 | ACO Participant Representative |
Sara Hamidi MD Inc |
| SUMANA | REDDY | Board Member/ACO Medical Director | 2.439 | ACO Participant Representative |
Acacia Family Medical Group |
| ELOY | ROMERO | Board Member | 2.439 | ACO Participant Representative |
Eloy Romero MD Inc A Professional Corporation |
| UNNATI | SAMPAT | Board Member | 2.439 | ACO Participant Representative |
Imperial Valley Family Care Medical Group APC |
| PRADEEP | SINGH | Board Member | 2.439 | ACO Participant Representative |
Ceja & Singh A Medical Corporation |
| ROBERT | STEPHENSON | Board Member | 2.439 | ACO Participant Representative |
Robert Stephenson |
| ANTONIO | TAN | Board Member | 2.439 | ACO Participant Representative |
Antonio A Tan MD Professional Corporation |
| TREISE | TOMLINSON-CHESNUT | Board Member | 2.439 | ACO Participant Representative |
Prestige Medical Associates, Inc. |
| VOLTAIRE | VELARDE | Board Member | 2.439 | ACO Participant Representative |
Voltaire S Velarde MD Inc |
| RAMAN | VERMA | Board Member | 2.439 | ACO Participant Representative |
ML Professional Corporation |
| GAVIN | WHITE | Board Member/Chair | 2.439 | Other | Aledade |
| ASELA | WICKREMASINGHE | Board Member | 2.439 | ACO Participant Representative |
Kings Medical Group Pc |
| DONNELLY | WILKES | Board Member | 2.439 | ACO Participant Representative |
Summit Health Group Inc |
| STEFAN | WILLGING | Board Member | 2.439 | ACO Participant Representative |
Hillcrest Internal Medicine A Medical Corporation |
| CARMEN | ZUNIGA | Board Member | 2.439 | ACO Participant Representative | Patrick Golden |
Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.
- Executive Director: Gavin White
- Medical Director: Sumana Reddy
- Compliance Officer: Amy Youtz
- Quality Assurance / Improvement Officer: Emily Maxson
| Committee Name | Committee Leader Name and Position |
| Compliance Committee | Carl Knopke / Compliance Committee Member |
| Compliance Committee |
Marc Laurondo Concepcion / Compliance Committee Member |
- Networks of individual practices of ACO professionals
Second Agreement Period
- Performance Year 2022, $30,333,050.63
First Agreement Period
- Performance Year 2021, $0
- Performance Year 2020, $2,557,907
SecondAgreement 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 | 21.33 | 10.71 |
| Quality ID# 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 76.36 | 76.97 |
| Quality ID# 236 | Controlling High Blood Pressure | CMS Web Interface | 71.02 | 76.16 |
| Quality ID# 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 84.69 | 87.83 |
| Quality ID# 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 74.62 | 77.34 |
| Quality ID# 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 76.67 | 79.27 |
| Quality ID# 113 | Colorectal Cancer Screening | CMS Web Interface | 71.38 | 75.32 |
| Quality ID# 112 | Breast Cancer Screening | CMS Web Interface | 66.77 | 78.07 |
| Quality ID# 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 90.06 | 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 | 0.1536 | 0.151 |
| Measure# 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | CMS Web Interface | 24.2 | 30.97 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS | 81.83 | 83.96 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS | 88.74 | 93.47 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS | 88.89 | 92.06 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS | 74.81 | 77 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS | 55.88 | 62.68 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS | 53.93 | 60.97 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS | 73.18 | 73.06 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS | 81.91 | 85.46 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS | 87.59 | 91.97 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS | 24.35 | 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