LA MSSP 2016 Enhanced
Nadine Robin
ACO Primary Contact
202-803-7979
Location
Location

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

ACO Participants ACO Participant in Joint Venture
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 Medicine of Acadiana LLC N
Family Practice Center of Sulphur, LLC N
Geoffrey A. Mire, MD Inc N
HEINEN MEDICAL CLINICS LLC N
Kathleen E Kautz MD Medical Corporation N
Ken Thomas MD LLC N
Kevin T. Schlamp MD LLC N
Lafayette Internal Medicine Clinic, LLC N
LAHASKY MEDICAL CLINIC, APMC N
Lannan Family Practice, LLC N
Maplewood Family Medicine Clinic N
Natchitoches Medical Specialists N
SW LOUISIANA INTERNAL MEDICINE LLC 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 First Name Member Last Name Member Title/Position Member's Voting Power (Expressed as a percentage) Membership Type

ACO Participant Legal Business Name

MEG BARNUM Board Member 4.167 ACO Participant Representative

Barnum Internal Medicine

STEPHEN CANNON Board Member 4.167 ACO Participant Representative

Crowley Primary Care LLC

EDWARD KEMP COREIL Board Member 4.167 ACO Participant Representative

SW Louisiana Internal Medicine LLC

ANDREW DAVIES Board Member 4.167 ACO Participant Representative

Andrew T Davies MD LLC

MARK DAWSON Board Member 4.167 ACO Participant Representative

Family Medicine of Acadiana LLC

BENJAMIN DEGATUR Board Member 4.167 ACO Participant Representative

Warren J. Degatur, Jr. MD Inc

MARNE DEVILLIER Board Member 4.167 ACO Participant Representative

Maplewood Family Medicine Clinic

DANIELLE DUHON Board Member 4.167 ACO Participant Representative

Acadiana Pediatrics, L.L.C.

ERIC FONTENOT Board Member 4.167 ACO Participant Representative

Eric Fontenot MD Internal Medicne Group Llc

KELLY FUQUA Board Member 4.167 ACO Participant Representative

Calcasieu Cameron Hospital Service District

JODY GEORGE Board Member 4.167 ACO Participant Representative

The Family Care Center of Southwest Louisiana, LLC

JOSE GONZALES Board Member 4.167 ACO Participant Representative

Family Practice Center of Sulphur, LLC

JADE HEINEN Board Member 4.167 ACO Participant Representative

Heinen Medical Clinics LLC

KARRIE KILGORE Board Member 4.167 ACO Participant Representative

The Family Clinic of Crowley, Inc

RONALD LAHASKY Board Member 4.167 ACO Participant Representative

Lahasky Medical Clinic, APMC

BRYAN ANTHONY LEBEAN Sr Board Member 4.167 ACO Participant Representative

Bryan A. LeBean, Sr., M.D.APMC

JOSE MATA Board Member 4.167 ACO Participant Representative

Family Medicine Clinic

DARRIN MENARD Board Member/ACO Medical Director/Compliance Committee Lead 4.167 ACO Participant Representative Darrin Menard
BRYAN PICOU JR. Board Member 4.167 ACO Participant Representative

Natchitoches Medical Specialists

THOMAS POWERS Board Member/Medicare Beneficiary Representative 4.167 Medicare Beneficiary Representative N/A
GREGORY RIGGS Board Member 4.167 ACO Participant Representative

Lafayette Internal Medicine Clinic, LLC

NADINE ROBIN Board Member/Chair 4.167 Other Aledade
KEVIN SCHLAMP Board Member 4.167 ACO Participant Representative

Kevin T. Schlamp MD LLC

KENNETH THOMAS Board Member 4.167 ACO Participant Representative

Ken Thomas MD LLC

 


Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

  • Executive Director: Nadine Robin
  • Medical Director: Darrin Menard
  • Compliance Officer: Amy Youtz
  • Quality Assurance/Improvement Officer: Emily Maxson

Committee Name

Committee Leader Name and Position

Compliance Committee

Darrin Menard / Compliance Committee Leader

Beneficiary Engagement Committee

Kemp Coriel/ Beneficiary Engagement Leader

Evidence-Based Medicine Committee

Darrin Menard / Evidence-Based Medicine Committee Leader

Performance Improvement Committee

Gregory Riggs / Performance Improvement Committee Member

Performance Improvement Committee

Darrin Menard / Performance Improvement Committee Member

  • Networks of individual practices of ACO professionals

Second Agreement Period

  • Performance Year 2022, $19,281,070.19
  • Performance Year 2021, $15,518,571
  • Performance Year 2020, $14,352,134
  • 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. The 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 2022
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2021
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2020
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2019
    • Proportion invested in infrastructure: 30%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 50%

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. The 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.

2022 Quality Performance Results
Measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 10 10.71
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 85.14 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 82.74 76.16
Quality ID# 318 Falls: Screening for Future Fall Risk  CMS Web Interface 89.87 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 82.52 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 72.41 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 80.06 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 81.29 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 92.99 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 12 16.03
Quality ID# 321 CAHPS for MIPS [3] CMS Web Interface N/A N/A
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] CMS Web Interface 0.147 0.151
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] CMS Web Interface 24.64 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS 89.86 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS 96.4 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS 95.63 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS 80.69 77
CAHPS-5 Health Promotion and Education CAHPS for MIPS 63.06 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS 66.2 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS 74.38 73.06
CAHPS-8 Care Coordination CAHPS for MIPS 89.78 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS 94.51 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS 39.39 25.62

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

Fraud and Abuse Waivers

ACO Pre-Participation Waiver::  N/A

 

ACO Participation Waiver: N/A