DE MSSP Enhanced
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.
- 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 |