LA MSSP 2016
Location
Location
Aledade Louisiana ACO, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
| ACO Participants | ACO Participant in Joint Venture |
| Ken Thomas MD LLC | N |
| Lannan Family Practice, LLC | N |
| Acadiana Family Medical Associates, LLC | N |
| ACADIANA PEDIATRICS, L.L.C. | N |
| Andrew T Davies MD LLC | N |
| BARNUM INTERNAL MEDICINE | N |
| Braud Family Practice LLC | N |
| Brian N. Heinen MD, APMC | N |
| Bryan A. LeBean, Sr., M.D.APMC | N |
| Calcasieu Cameron Hospital Service District | N |
| Crowley Primary Care LLC | N |
| Darrin Menard | N |
| Eric Fontenot Md Internal Medicine Group Llc | N |
| Family Medicine Clinic | N |
| Family Practice Center of Sulphur, LLC | N |
| Geoffrey A. Mire, MD Inc | N |
| HEINEN MEDICAL CLINICS LLC | N |
| Kevin T. Schlamp MD LLC | N |
| Lafayette Internal Medicine Clinic, LLC | N |
| LAHASKY MEDICAL CLINIC, APMC | N |
| Maplewood Family Medicine Clinic | N |
| Natchitoches Medical Specialists | N |
| The Family Care Center of Southwest Louisiana, LLC | N |
| The Family Clinic of Crowley, Inc | N |
| Warren J. Degatur, Jr. MD Inc | 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 |
| Gonzales | Jose | Voting Member | 1 | ACO Participant Representative | Family Practice Center of Sulphur, LLC |
| Braud | Rebecca | Voting Member | 1 | ACO Participant Representative | Braud Family Practice LLC |
| Cannon | Stephen | Voting Member | 1 | ACO Participant Representative | Crowley Primary Care LLC |
| Davies | Andrew | Voting Member | 1 | ACO Participant Representative | Andrew T Davies MD LLC |
| Dawson | Mark | Voting Member | 1 | ACO Participant Representative | Acadiana Family Medical Associates, LLC |
| Degatur | Ben | Voting Member | 1 | ACO Participant Representative | Warren J. Degatur, Jr. MD Inc |
| Devillier | Marne | Voting Member | 1 | ACO Participant Representative | Maplewood Family Medicine Clinic |
| Fontenot | Eric | Voting Member | 1 | ACO Participant Representative | Eric Fontenot Md Internal Medicine Group Llc |
| Fuqua | Kelly | Voting Member | 1 | ACO Participant Representative | Calcasieu Cameron Hospital Service District |
| George | Jody | Voting Member | 1 | ACO Participant Representative | The Family Care Center of Southwest Louisiana, LLC |
| Heinen | Brian | Voting Member | 1 | ACO Participant Representative | Brian N. Heinen MD, APMC |
| Lahasky | Ronald | Voting Member | 1 | ACO Participant Representative | LAHASKY MEDICAL CLINIC, APMC |
| Lebean | Bryan | Voting Member | 1 | ACO Participant Representative | Bryan A. LeBean, Sr., M.D.APMC |
| Mata | Jose | Voting Member | 1 | ACO Participant Representative | Family Medicine Clinic |
| Menard | Darrin | Voting Member | 1 | ACO Participant Representative | Darrin Menard |
| Mire | Geoffrey | Voting Member | 1 | ACO Participant Representative | Geoffrey A. Mire, MD Inc |
| Picou | Marguerite | Voting Member | 1 | ACO Participant Representative | Natchitoches Medical Specialists |
| Riggs | Gregory | Voting Member | 1 | ACO Participant Representative | Lafayette Internal Medicine Clinic, LLC |
| Schlamp | Kevin | Voting Member | 1 | ACO Participant Representative | Kevin T. Schlamp MD LLC |
| Barnum | Meg | Voting Member | 1 | ACO Participant Representative | BARNUM INTERNAL MEDICINE |
| Powers | Thomas | Voting Member | 1 | Medicare Beneficiary Representative | N/A |
| Robin | Nadine | Voting Member | 1 | Other | N/A |
- Executive Director: Ms. Nadine Robin
- Medical Director: Dr. Darrin Menard
- Compliance Officer: Ms. Sarah Chasson
- Quality Assurance/Improvement Officer: Dr. Emily Maxson
- Beneficiary Engagement Committee: Dr. Kemp Coriel
- Evidence-Based Medicine Committee: Dr. Darrin Menard
- Transitions of Care Committee: Dr. Geoffrey Mire
- Compliance Committee: Dr. Darrin Menard
- Performance Improvement Committee: Dr. Gregory Riggs, Dr. Darrin Menard
- Networks of individual practices of ACO professionals
Second Agreement Period
- Performance Year 2019, $9,612,920
First Agreement Period
- Performance Year 2019, $9,612,920
- Performance Year 2018, $3,327,294
- Performance Year 2017, $0
- Performance Year 2016, $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.
Second Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 60%
First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2018
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 60%
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
2019 Quality Performance Results
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
91.10
85.86
ACO-2
CAHPS: How Well Your Providers Communicate
96.78
94.11
ACO-3
CAHPS: Patients’ Rating of Provider
95.00
92.69
ACO-4
CAHPS: Access to Specialists
87.64
81.54
ACO-5
CAHPS: Health Promotion and Education
60.50
60.44
ACO-6
CAHPS: Shared Decision Making
72.10
62.78
ACO-7
CAHPS: Health Status/Functional Status
72.09
73.79
ACO-34
CAHPS: Stewardship of Patient Resources
35.45
26.17
ACO-45
CAHPS: Courteous and Helpful Office Staff
95.24
92.84
ACO-46
CAHPS: Care Coordination
89.42
86.89
ACO-8
Risk Standardized, All Condition Readmission
14.53
14.86
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
53.39
58.15
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
2.06
1.87
ACO-13
Falls: Screening for Future Fall Risk
92.21
84.04
ACO-14
Preventive Care and Screening: Influenza Immunization
92.89
74.77
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
84.62
78.04
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
86.50
70.40
ACO-19
Colorectal Cancer Screening
75.47
70.76
ACO-20
Breast Cancer Screening
81.19
73.84
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
90.12
82.17
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
9.78
13.88
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
82.52
75.04
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to the low sample size.
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.
Payment Rule Waivers