CA MSSP 2023 Enhanced
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