CA MSSP 2023 Enhanced
Gavin White
ACO Primary Contact
202-803-7979
Location
Location

Aledade Arkansas ACO, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
 

ACO Participants ACO Participant in Joint Venture
ABDUL KHAN N
Aledade Care Solutions of California, P.C. N
ANDRES ARELLANO N
ARMAN HEKMATI M.D. N
ARROYO MEDICAL GROUP, INC N
ARUN VILLIVALAM MD INC N
BRYAN BENEFIEL N
CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES INC N
CHAITANYA N. MAHIDA M.D., INC N
CHRISTI CHENG MD INC N
ERIC G LEVY MEDICAL CORPORATION N
ERIC R. HANSEN, D.O., PROFESSIONAL CORPORATION N
FAMILY FIRST MEDICAL CARE A PROFESSIONAL CORPORATION N
FCS MEDICAL CORPORATION N
GONZALO GONZALEZ MARTINEZ MD INC N
GOPIKA GANGUPANTULA MD INC N
INDROJ MEDICAL GROUP INC. N
INTERNAL MEDICINE ASSOCIATES OF SANTA BARBARA A MEDICAL GROUP N
JACKSON & ENGBERG MEDICAL CORPORATION N
JEFFREY R POLITO MD A PROFESSIONAL CORPORATION N
JOHN KUNZ N
KELADA PHYSICIANS GROUP INC N
LISA THOMSEN N
MARSHALL MEDICAL CENTER N
MICHAEL C. BORDOFSKY MD N
MIDTOWN INTERNAL MEDICINE GROUP N
OKERBLOM VOEGELE AND HOLE MD A PROFESSIONAL CORPORATION N
ORANGEBURG MEDICAL GROUP N
PALLIATIVE CARE CONSULTANTS OF SANTA BARBARA N
PETER ALAN KRAUSE MEDICAL CORPORATION N
PRITHVI SHANKAR, M.D., INC N
RAHUL PATEL N
REEN MEDICAL GROUP, INC.. N
RELIABLE MEDICAL ASSOCIATES N
RIPON FAMILY PHYSICIANS N
RIVER OAKS MEDICAL GROUP INC N
SANSUM CLINIC N
SANTA BARBARA INTERNAL MEDICINE GROUP A MEDICAL CORPORATION N
SENIORS CHOICE MEDICAL GROUP INC N
SHERMAN OAKS FAMILY MEDICINE INC N
SPRUCE MULTISPECIATLY GROUP N
SUNMED HEALTH AND WEIGHT MANAGEMENT A PROFESSIONAL MED CORP N
TERRY L. FRANKLIN, M.D. N
THOMAS M. DAWES, JR. A MEDICAL CORPORATION N
TIMOTHY LEIGH RODGERS MD A MEDICAL CORPORATION N
TRAUTWEIN MEDICAL CORPORATION N
TUSHAR R MODI, MD., 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
ANDRES ARELLANO Board Member 1.923 ACO Participant Representative Andres Arellano
BRYAN BENEFIEL Board Member 1.923 ACO Participant Representative Bryan Benefiel
MICHAEL BORDOFSKY Board Member 1.923 ACO Participant Representative Michael C. Bordofsky MD
BRITTANY BRYAN Board Member 1.923 ACO Participant Representative Timothy Leigh Rodgers MD A Medical Corporation
ROBERT BYERS Board Member 1.923 ACO Participant Representative Internal Medicine Associates of Santa Barbara A Medical Group
DONNA CASHDAN Board Member/ACO Medical Director 1.923 ACO Participant Representative Sherman Oaks Family Medicine Inc
EDWARD CASTRO Board Member 1.923 ACO Participant Representative FCS Medical Corporation
SAMUEL CERIDON Board Member 1.923 ACO Participant Representative Marshall Medical Center
CHRISTI CHENG Board Member 1.923 ACO Participant Representative Christi Cheng MD Inc
BARBARA CONVISER Board Member 1.923 ACO Participant Representative Sansum Clinic
SILVIA DIEGO Board Member 1.923 ACO Participant Representative Family First Medical Care A Professional Corporation
TERRY FRANKLIN Board Member 1.923 ACO Participant Representative Terry L. Franklin, M.D.
SACHIN GANGUPANTULA Board Member 1.923 ACO Participant Representative Gopika Gangupantula MD INC
ERIC HANSEN Board Member 1.923 ACO Participant Representative Eric R. Hansen, D.O., Professional Corporation
ARMAN HEKMATI Board Member 1.923 ACO Participant Representative Arman Hekmati M.D.
HIADINA HERNANDEZ Board Member 1.923 ACO Participant Representative Sunmed Health And Weight Management A Professional Med Corp
CHAD HINE Board Member/Compliance Committee Lead 1.923 ACO Participant Representative Sansum Clinic
BRYCE HOLDERNESS Board Member 1.923 ACO Participant Representative Sansum Clinic
DONALD HOLE Board Member 1.923 ACO Participant Representative Okerblom Voegele And Hole MD A Professional Corporation
KENT HUFFORD Board Member 1.923 ACO Participant Representative Ripon Family Physicians
LAWRENCE HWANG Board Member 1.923 ACO Participant Representative Arroyo Medical Group, Inc
DOUGLAS JACKSON Board Member 1.923 ACO Participant Representative Jackson & Engberg Medical Corporation
SEAN JOHNSON Board Member 1.923 ACO Participant Representative Sansum Clinic
JOHN KELADA Board Member 1.923 ACO Participant Representative Kelada Physicians Group Inc
ABDUL KHAN Board Member 1.923 ACO Participant Representative Abdul Khan
PETER KRAUSE Board Member 1.923 ACO Participant Representative Peter Alan Krause Medical Corporation
JOHN KUNZ Board Member 1.923 ACO Participant Representative John D Kunz
DAVID LEHMAN Board Member 1.923 ACO Participant Representative Midtown Internal Medicine Group
ERIC LEVY Board Member 1.923 ACO Participant Representative Eric G Levy Medical Corporation
MICHAEL LYNCH Board Member 1.923 ACO Participant Representative Spruce Multispecialty Group
SUMIT MAHAJAN Board Member 1.923 ACO Participant Representative Indroj Medical Group Inc.
CHAITANYA MAHIDA Board Member 1.923 ACO Participant Representative Chaitanya N. Mahida M.D., Inc
MEGAN MALZONE Board Member 1.923 ACO Participant Representative Arroyo Medical Group, Inc
GONZALO MARTINEZ Board Member 1.923 ACO Participant Representative Gonzalo Gonzalez Martinez MD Inc
SUSAN SUEN Board Member 1.923 ACO Participant Representative Seniors Choice Medical Group Inc
TUSHAR MODI Board Member 1.923 ACO Participant Representative Tushar R Modi, MD., Inc.
DEBORA MOORE Board Member 1.923 ACO Participant Representative Thomas M. Dawes, Jr. A Medical Corporation
MARJORIE NEWMAN Board Member 1.923 ACO Participant Representative Sansum Clinic
RAHUL PATEL Board Member 1.923 ACO Participant Representative Rahul Patel
JEFFREY POLITO Board Member 1.923 ACO Participant Representative Jeffrey R Polito MD A Professional Corporation
RUSSELL PORTER Board Member 1.923 ACO Participant Representative Orangeburg Medical Group
KURT RANSOHOFF Board Member 1.923 ACO Participant Representative Sansum Clinic
AMIKJIT REEN Board Member 1.923 ACO Participant Representative Reen Medical Group, Inc..
MARSHALL ROSE Board Member/Medicare Beneficiary Representative 1.923 Medicare Beneficiary Representative N/A
PRITHVI SHANKAR Board Member 1.923 ACO Participant Representative Prithvi Shankar, M.D., Inc
SAMAN TEYMOURI Board Member 1.923 ACO Participant Representative River Oaks Medical Group Inc
LAURA THEIS Board Member 1.923 ACO Participant Representative Central Coast Family Care Medical Associates Inc
LISA THOMSEN Board Member 1.923 ACO Participant Representative Lisa Thomsen
TIMI UNK Board Member 1.923 ACO Participant Representative Reliable Medical Associates
JON UYESAKA Board Member 1.923 ACO Participant Representative Santa Barbara Internal Medicine Group A Medical Corporation
ARUN VILLIVALAM Board Member 1.923 ACO Participant Representative Arun Villivalam MD Inc
GAVIN WHITE Board Member/Chair 1.923 Other Aledade

 


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

 

  • Executive Director: Gavin White
  • Medical Director: Donna Cashdan
  • Compliance Officer: Amy Youtz
  • Quality Assurance/Improvement Officer: Emily Maxson

Committee Name

Committee Leader Name and Position

Compliance Committee

Chad Hine / Compliance Committee Leader

  • ACO professionals in a group practice arrangement.
  • Partnerships or joint venture arrangements between hospitals and ACO professionals.
  • Networks of individual practices of ACO professionals.

Second Agreement Period

  • Performance Year 2022, $5,036,310.30
  • Performance Year 2021, $0
  • Performance Year 2020, $4,650,038
  • Performance Year 2019, $1,600,693

First Agreement Period

  • Performance Year 2019, $1,600,693
  • Performance Year 2018, $0
  • Performance Year 2017, $0


Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

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%
  • 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%
  • Performance Year 2019
    • Proportion invested in infrastructure:10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%


Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

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 17.86 10.71
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 82.9 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 63.27 76.16
Quality ID# 318 Falls: Screening for Future Fall Risk  CMS Web Interface 85.49 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 83.44 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 68.18 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 86.62 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 89 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 90.32 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 14.29 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 0.15 0.151
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] CMS Web Interface 28.02 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS 78.39 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS 93.47 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS 92.6 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS 74.39 77
CAHPS-5 Health Promotion and Education CAHPS for MIPS 58.78 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS 53.01 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS 72.28 73.06
CAHPS-8 Care Coordination CAHPS for MIPS 83.41 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS 90.29 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS 18.34 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