FL MSSP Enhanced
Location
Location
Aledade Florida Central ACO, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
|
| First Name | Last Name | Member Title/Position | Member's Voting Power (Expressed as a percentage or number) | Membership Type | Practice Legal Business Name |
| GERRY | BESSETTE | Board Member | 1 | ACO Participant Representative | Medical Associates of Brevard (MAB) |
| JOHN | CAPPLEMAN | Board Member/ACO Medical Director | 1 | ACO Participant Representative | Cappleman Medical Group |
| ANDREW | CHANG | Board Member/Chair | 1 | Other | Aledade |
| DONALD | COLLINS | Board Member | 1 | ACO Participant Representative | Donald M Collins MD |
| FABIO | ECHAVARRIA | Board Member | 1 | ACO Participant Representative | Fabio Echavarria PA |
| AASHIV | HARI | Board Member | 1 | ACO Participant Representative | Physicians Medical Group LLC |
| FRANK | JENKINS | Board Member/Medicare Beneficiary Representative | 1 | Medicare Beneficiary Representative | Paul Sovran MD PA |
| MARK | KENDRICK | Board Member | 1 | ACO Participant Representative | Dunlawton Family Medicine |
| DAVID | LICHTINGER | Board Member | 1 | ACO Participant Representative | Central Florida Medical Care |
| JORDAN | LOFTIS | Board Member | 1 | ACO Participant Representative | Complete Care Family Medicine |
| MARLO | LUCIANI | Board Member | 1 | ACO Participant Representative | North Point Physicians |
| NIBHA | MEDIRATTA | Board Member | 1 | ACO Participant Representative | Nibha Mediratta PLC |
| SHAZIA | NASIR | Board Member | 1 | ACO Participant Representative | South Lake Medical Center Inc |
| SHARON | OLM NICKELL | Board Member | 1 | ACO Participant Representative | Sharon Ann Nickell-Olm MD |
| STEVEN | RIVERS | Board Member | 1 | ACO Participant Representative | Rivers Family Medicine |
| CARL | SALADINO | Board Member | 1 | ACO Participant Representative | Suntree Medical Associates P.A. |
| PAUL | SOVRAN | Board Member/Compliance Committee Lead | 1 | ACO Participant Representative | Paul D Sovran MD PA |
| RAMON | SUEIRO | Board Member | 1 | ACO Participant Representative | South Lake Primary Care |
- Executive Director: Mr. Andrew Chang
- Medical Director: Dr. John Cappleman
- Compliance Officer: Ms. Amy Youtz
- Quality Assurance/Improvement Officer: Dr. Emily Maxson
| Committee Name |
Committee Leader Name and Position |
| Compliance Committee |
Dr. Paul Sovran / Compliance Committee Leader |
| Beneficiary Engagement Committee |
Dr. Paul Sovran / Committee Member |
| Performance Improvement Committee |
Dr. Paul Sovran / Committee Member |
- Networks of individual practices of ACO professionals
Second Agreement Period
- Performance Year 2021, $1,446,546
- Performance Year 2020, $2,730,568
- Performance Year 2019: $2,018,260
First Agreement Period
- Performance Year 2019, $2,018,260
- Performance Year 2018, $1,620,489
- Performance Year 2017, $3,741,517
- Performance Year 2016, $2,263,161
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.
Second 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%
- Performance Year 2019
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 100%
First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 100%
- Performance Year 2018
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 100%
- Performance Year 2017
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 100%
- Performance Year 2016
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 100%
10% - Reinvest in infrastructure
30% - Invested in redesigned care processes/resources
60% - Distribution to ACO Participants
2021 CMS WEB INTERFACE QUALITY PERFORMANCE RESULTS:
Measure #
Measure Name
Rate
ACO Mean
Measure #: 134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
91.61
74.38
Measure #: 236
Controlling High Blood Pressure
84.81
74.87
Measure #: 318
Falls: Screening for Future Fall Risk
97.23
87.03
Measure #: 110
Preventive Care and Screening: Influenza Immunization
90.10
80.52
Measure #: 113
Colorectal Cancer Screening
90.12
73.63
Measure #: 112
Breast Cancer Screening
94.67
75.11
Measure #: 438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80.95
84.24
Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.
Payment Rule Waivers
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