GA MSSP
Raj Kaneriya
Executive Director
732-423-4638
Location
Location

Aledade Accountable Care 34, LLC

4550 Montgomery Ave Ste 950N
Bethesda, MD 20814
 

ACO Participants ACO Participant in Joint Venture
CENTER FOR PRIMARY CARE, P.C. N
EVANS MEDICAL GROUP N
FAMILY PHYSICIANS OF EVANS N
SOUTHERN FAMILY MEDICAL CENTER PC N

Member Last Name Member First Name Member Title/Position Member's Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
Jester David Voting Member 1 ACO Participant Representative CENTER FOR PRIMARY CARE, P.C.
Apostol Christopher Voting Member 1 ACO Participant Representative EVANS MEDICAL GROUP
Harrover David Voting Member 1 ACO Participant Representative FAMILY PHYSICIANS OF EVANS
Lynch Sean Voting Member 1 ACO Participant Representative SOUTHERN FAMILY MEDICAL CENTER PC
Kennedy Phillip Voting Member 1 ACO Participant Representative CENTER FOR PRIMARY CARE, P.C.
Suykerbuyk Rob Voting Member 1 ACO Participant Representative CENTER FOR PRIMARY CARE, P.C.
Embry Katherine Voting Member 1 ACO Participant Representative CENTER FOR PRIMARY CARE, P.C.
Schmidt Steven Voting Member 1 ACO Participant Representative FAMILY PHYSICIANS OF EVANS
Davis James Voting Member 1 Medicare Beneficiary Representative N/A
Kaneriya Raj Voting Member 1 Other N/A
  • Raj Kaneriya, ACO Executive
  • Christopher Apostol, Medical Director 
  • Sarah Chasson, Compliance Officer
  • Emily Maxson, Quality Assurance / Improvement Officer 
  • Compliance Committee, Sarah Chasson
  • Networks of individual practices of ACO professionals

First Agreement Period

  • Performance Year 2020, $ 3,785,709

First Agreement Period 

  • Performance Year 2020
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
2020 Quality Performance Results
ACO#
Measure Name
Rate
ACO Mean
ACO-8 [1]
Risk Standardized, All Condition Readmission
15.13
15.07
ACO-38 [1,2]
Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions
41.25
49.50
ACO-43 [3]
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
0.81
0.95
ACO-13
Falls: Screening for Future Fall Risk
90.15
84.97
ACO-14
Preventive Care and Screening: Influenza Immunization
76.19
76.03
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
88.24
81.67
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
84.49
71.46
ACO-19
Colorectal Cancer Screening
81.23
72.59
ACO-20
Breast Cancer Screening
69.97
74.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84.67
83.37
ACO-40
Depression Remission at Twelve Months
7.32
13.99
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
8.10
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
72.40
72.87
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