DE MSSP Enhanced
Tyler Blanchard
ACO Primary Contact
202-803-7979
Location
Location

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

ACO Participants ACO Participant in Joint Venture
Atlantic Adult and Pediatric Medicine, PA N
Bijan Sorouri M.D. P.A. N
CHAS MEDICINE LLC N
DELAWARE PRIMARY CARE LLC N
Family Medicine at Greenhill N
Family Practice Associates, PA N
Georgetown Medical Associates, LLC N
Glasgow Internal Medicine Associates PA N
GLASSNER FAMILY PRACTICE LLC N
Horizons Family Practice PA N
Ian Myers, MD LLC N
Kirk Family Practice, LLC N
Lifespan Medical Services LLC N
Mark Glassner N
Mid-Atlantic Family Practice N
Peninsula Health LLC N
Primary Care of Delaware,LLC N
ROBERT S. CALLAHAN, M.D., P.A. N
Southbridge Medical Advisory Council Inc N
Southern Delaware Medical Group N
Stoney Batter Family Medicine Associates P.A. N
Sussex Internal Medicine LLC N
William B. Funk, M.D., PA N

Member First Name Member Last Name Member's Voting Power (Expressed as a percentage or number) Membership Type Practice Legal Business Name
Tyler Blanchard 1 ACO Participant Representative Aledade
Katelin Haley 1 ACO Participant Representative Atlantic Adult and Pediatric Medicine
Dorothy Burke 1 Medicare Beneficiary Representative N/A Medicare Beneficiary Represenative
Kayvan Sorouri 1 ACO Participant Representative BIJAN SOROURI M.D. P.A
Charles Stanislav 1 ACO Participant Representative Charlie Stanislav, MD
Sandeep Mann 1 ACO Participant Representative Delaware Primary Care LLC
Theodore Tan 1 ACO Participant Representative Delaware Primary Care LLC
Abimbola Osunkoya 1 ACO Participant Representative Delaware Primary Care LLC
Robert Callahan 1 ACO Participant Representative Dr. Robert Callahan
James Gill 1 ACO Participant Representative Family Medicine at Greenhill
Stephanie Malleus 1 ACO Participant Representative Family Medicine at Greenhill
David Krasner 1 ACO Participant Representative Family Practice Associates, PA
Beshara Helou 1 ACO Participant Representative Georgetown Medical Associates, LLC
Curt Blacklock 1 ACO Participant Representative Glasgow Internal Medicine Associates PA
Mark Glassner 1 ACO Participant Representative Glassner Family Practice LLC
Julio Navarro 1 ACO Participant Representative Horizons Family Practice PA
Ian Myers 1 ACO Participant Representative Ian Myers, MD LLC
Deborah Kirk 1 ACO Participant Representative Kirk Family Practice, LLC
Harsha Tankala 1 ACO Participant Representative Lifespan Medical Services LLC
Greg Bahtiarian 1 ACO Participant Representative Mid-Atlantic Family Practice
Brian Caswell-Monack 1 ACO Participant Representative Mid-Atlantic Family Practice
Carmelo DiSalvo 1 ACO Participant Representative Mid-Atlantic Family Practice
Erin Lavin 1 ACO Participant Representative Mid-Atlantic Family Practice
Mark Sordi 1 ACO Participant Representative Mid-Atlantic Family Practice
Jeffrey Heckert 1 ACO Participant Representative Mid-Atlantic Family Practice
Fadi Damouni 1 ACO Participant Representative Peninsula Health LLC
Vineet Puri 1 ACO Participant Representative Primary Care of Delaware,LLC
Yvette Gbemudu 1 ACO Participant Representative Southbridge Medical Advisory Council Inc
Cedric Barnes 1 ACO Participant Representative Southern Delaware Medical Group
Scott Hammer 1 ACO Participant Representative Southern Delaware Medical Group
Julie Prosseda 1 ACO Participant Representative Stoney Batter Family Medicine
Sarah Mullins 1 ACO Participant Representative Stoney Batter Family Medicine Associates P.A.
Manu Sehgal 1 ACO Participant Representative Sussex Internal Medicine LLC
Bill Funk 1 ACO Participant Representative William B. Funk, M.D., PA
  • Executive Director: Mr. Tyler Blanchard
  • Medical Director: Dr. Yele Osunkoya
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson
  • Compliance Committee: Dr. Fadi Damouni, Chair
  • Medical Director: Dr. Abimbola Osunkoya
  • Networks of individual practices of ACO professionals

Third Agreement Period

  • Performance Year 2020, $14,428,753

  • Performance Year 2019, $12,778,666

Second Agreement Period

  • Performance Year 2019, $12,778,666
  • Performance Year 2018, $0

First Agreement Period

  • Performance Year 2017, $2,638,892

  • Performance Year 2016, $0

  • Performance Year 2015, $0

Note: Our ACO participated in multiple performance years during Calendar Year 2019. 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.

Third Agreement Period

  • Performance Year 2020
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2019
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 50%

Second Agreement Period

  • Performance Year 2019
    • 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 2017 
    • 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. 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.

2020 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-8
Risk Standardized, All Condition Readmission
14.96
15.07
ACO-38
Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions
46.04
49.50
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
0.97
0.95
ACO-13
Falls: Screening for Future Fall Risk
93.50
84.97
ACO-14
Preventive Care and Screening: Influenza Immunization
93.14
76.03
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
90.00
81.67
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
88.42
71.46
ACO-19
Colorectal Cancer Screening
90.19
72.59
ACO-20
Breast Cancer Screening
86.25
74.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
95.31
83.37
ACO-40
Depression Remission at Twelve Months
11.54
13.99
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
9.52
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
78.91
72.87

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

Payment Rule Waivers
  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612
  • Waiver for Payment for Telehealth Services: 
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.
       

 

Fraud and Abuse Waivers

ACO Participation Waiver

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement. 

Parties to the Arrangement Date of the Arrangement Items, services, goods, or facility provided
Georgetown Medical Associates, LLC 02/02/2021 - 04/30/2021 $63.00
Glasgow Internal Medicine Associates PA 02/02/2021 - 04/30/2021 $50.00
Delaware Primary Care LLC 02/02/2021 - 04/30/2021 $100.00
Family Practice Associates, PA 02/02/2021 - 04/30/2021 $50.00
Lifespan Medical Services LLC 02/02/2021 - 04/30/2021 $50.00
Primary Care of Delaware,LLC 02/02/2021 - 04/30/2021 $50.00
Southern Delaware Medical Group 02/02/2021 - 04/30/2021 $50.00
Southern Delaware Medical Group 02/02/2021 - 04/30/2021 $50.00
William B. Funk, M.D., PA 02/02/2021 - 04/30/2021 $50.00