LA MSSP 2016 Enhanced
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 |
| 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 |
| First Name | Last Name | Member's Voting Power (Expressed as a percentage or number) | Membership Type | Practice Legal Business Name |
| Karrie | Kilgore | 1 | ACO Participant Representative | The Family Clinic of Crowley, Inc |
| Ken | Thomas | 1 | ACO Participant Representative | Ken Thomas MD, LLC |
| Stephen | Cannon | 1 | ACO Participant Representative | Crowley Primary Care LLC |
| Jose | Gonzales | 1 | ACO Participant Representative | Family Practice Center of Sulphur, LLC |
| Mark | Dawson | 1 | ACO Participant Representative | Acadiana Family Medical Associates, LLC |
| Ben | Degatur | 1 | ACO Participant Representative | Warren J. Degatur, Jr. MD Inc. |
| Marne | Devillier | 1 | ACO Participant Representative | Maplewood Family Medicine Clinic |
| Eric | Fontenot | 1 | ACO Participant Representative | Eric Fontenot MD Internal Medicine Group LLC |
| Kelly | Fuqua | 1 | ACO Participant Representative | Calcasieu Cameron Hospital Service District |
| Andrew | Davies | 1 | ACO Participant Representative | Andrew T Davies MD LLC |
| Jade | Heinen | 1 | ACO Participant Representative | Brian N. Heinen MD, APMC |
| Ronald | Lahasky | 1 | ACO Participant Representative | Lakasky Medical Clinic, APMC |
| Bryan | LeBean | 1 | ACO Participant Representative | Bryan A. LeBean, Sr., M.D. APMC |
| Jose | Mata | 1 | ACO Participant Representative | Family Medicine Clinic |
| Edward | Coreil | 1 | ACO Participant Representative | SW Louisiana Internal Medicine LLC |
| Geoffrey | Mire | 1 | ACO Participant Representative | Geoffrey A. Mire, MD Inc |
| Maguerite | Picou | 1 | ACO Participant Representative | Natchitoches Medical Specialists |
| Thomas | Powers | 1 | Medicare Beneficiary Representative | N/A |
| Greg | Riggs | 1 | ACO Participant Representative | Lafayette Internal Medicine Clinic, LLC |
| Jody | George | 1 | ACO Participant Representative | The Family Care Center of Southwest Louisiana, LLC |
| Meg | Barnum | 1 | ACO Participant Representative | Barnum Internal Medicine |
| Kevin | Schlamp | 1 | ACO Participant Representative | Kevin T. Schlamp MD LLC |
| Nadine | Robin | 1 | Other | Aledade, Inc. |
- Executive Director: Ms. Nadine Robin
- Medical Director: Dr. Stephen Cannon
- 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 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. 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 2020
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 40%
- 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. 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.
2020 Quality Performance Results
ACO#
Measure Name
Rate
ACO Mean
ACO-8
Risk Standardized, All Condition Readmission
14.55
15.07
ACO-38
Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions
47.80
49.50
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.08
0.95
ACO-13
Falls: Screening for Future Fall Risk
91.30
84.97
ACO-14
Preventive Care and Screening: Influenza Immunization
88.21
76.03
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
82.86
81.67
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
86.17
71.46
ACO-19
Colorectal Cancer Screening
76.66
72.59
ACO-20
Breast Cancer Screening
76.66
74.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89.20
83.37
ACO-40
Depression Remission at Twelve Months
23.26
13.99
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
13.92
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
78.34
72.87
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