LA MSSP 2022 Enhanced
Location
Location
Aledade Accountable Care 35, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
| ACO Participants | ACO Participant in Joint Venture |
| ACADIA TOTAL HEALTH LLC | N |
| BOSSIER FAMILY MEDICINE, LLC | N |
| BRIAN CLINIC, L.L.P. | N |
| CAPITAL CITY MEDICAL GROUP, L.L.C. | N |
| CHARLES E. RAY, M.D. APMC | N |
| CHESTER BOUDREAUX | N |
| DR. GARY BIRDSALL MEDICAL CLINIC LLC | N |
| EDWARDS FAMILY MEDICINE A PROFESSIONAL MEDICAL CORPORATION | N |
| FAMILY DOCTOR CLINIC DRS HARRIS & MAGEE A MEDICAL CORPORATION | N |
| Haydel Family Practice, APMC | N |
| HEALTHPLEX FAMILY CLINIC, LLC | N |
| JAMES SOIGNET | N |
| JENNINGS INTERNAL MEDICINE ASSOCIATES INC. | N |
| Lechtenberg and Foret, LLC | N |
| SEGURA FAMILY MEDICINE | N |
| SHAMINDER M GUPTA, APMC | N |
| SHREVEPORT INTERNAL MEDICINE LLC | N |
| SOUTH LOUISIANA MEDICAL ASSOCIATES | N |
| THOMAS CHAISSON | N |
| VIDRINE COMMUNITY CLINIC, LLC | N |
| Member First Name | Member Last Name | Member Title/Position | Member's Voting Power (Expressed as a percentage or number) | Membership Type |
Practice Legal Business Name |
| GARY | BIRDSALL | Board Member | 5 | ACO Participant Representative |
Dr. Gary Birdsall Medical Clinic LLC |
| CHESTER | BOUDREAUX | Board Member | 5 | ACO Participant Representative |
Chester Boudreaux |
| GREGORY | BRIAN | Board Member | 5 | ACO Participant Representative |
Brian Clinic, L.L.P. |
| KENNETH | BROWN | Board Member/ACO Medical Director | 5 | ACO Participant Representative |
Brian Clinic, L.L.P. |
| RICK | EDWARDS | Board Member | 5 | ACO Participant Representative |
Edwards Family Medicine a Professional Medical Corporation |
| RYAN | FORET | Board Member | 5 |
ACO Participant Representative |
Lechtenberg and Foret, LLC |
| MICHAEL | GARCIA | Board Member | 5 | ACO Participant Representative |
South Louisiana Medical Associates |
| PATRICK | GRIFFITH | Board Member | 5 | ACO Participant Representative |
Jennings Internal Medicine Associates Inc. |
| JOSHUA | HUVAL | Board Member | 5 | ACO Participant Representative |
Family Doctor Clinic Drs Harris & Magee a Medical Corporation |
| KEITH | KENNEY | Board Member/ Medicare Beneficiary Representative | 5 | Medicare Beneficiary Representative |
N/A |
| NICHOLAS | LAHAYE | Board Member | 5 | ACO Participant Representative |
Vidrine Community Clinic, LLC |
| PATRICK | LELEUX | Board Member | 5 | ACO Participant Representative |
Acadia Total Health, LLC |
| WILLIAM | MARANTO | Board Member | 5 | ACO Participant Representative |
Bossier Family Medicine, LLC |
| CRAIG | MILLER | Board Member | 5 | ACO Participant Representative |
Shreveport Internal Medicine LLC |
| CHARLES | RAY | Board Member | 5 | ACO Participant Representative |
Charles E. Ray, M.D. APMC |
| NADINE | ROBIN | Board Member/Chair | 5 | Other | Aledade |
| JOHN | SEGURA | Board Member /Compliance Committee Lead | 5 | ACO Participant Representative |
Segura Family Medicine |
| JOHN | SMITH | Board Member | 5 | ACO Participant Representative |
Healthplex Family Clinic, LLC |
| CYNTHIA | TILLMAN | Board Member | 5 | ACO Participant Representative |
Capital City Medical Group, L.L.C. |
| JAMES | WATKINS | Board Member | 5 | ACO Participant Representative |
Haydel Family Practice, APMC |
Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.
- ACO Executive: Nadine Robin
- Medical Director: Kenneth Brown
- Compliance Officer: Amy Youtz
- Quality Assurance/Improvement Officer: Emily Maxson
| Committee Name |
Committee Leader Name and Position |
| Compliance Committee |
John Segura / Compliance Committee Leader |
| Beneficiary Engagement Committee |
Richard Edwards / Beneficiary Engagement Committee Leader |
- A network of individual practices of ACO professionals
Third Agreement Period
- Performance Year 2022, $9,206,640.03
Second Agreement Period
- Performance Year 2021, $5,305,032
- Performance Year 2020, $6,527,819
First Agreement Period
- Performance Year 2019, $0
- Performance Year 2018, $0
Third Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%
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%
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 | 7.44 | 10.71 |
| Quality ID# 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 84.16 | 76.97 |
| Quality ID# 236 | Controlling High Blood Pressure | CMS Web Interface | 81.59 | 76.16 |
| Quality ID# 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 87.93 | 87.83 |
| Quality ID# 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 79.93 | 77.34 |
| Quality ID# 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 82.76 | 79.27 |
| Quality ID# 113 | Colorectal Cancer Screening | CMS Web Interface | 74.22 | 75.32 |
| Quality ID# 112 | Breast Cancer Screening | CMS Web Interface | 71.79 | 78.07 |
| Quality ID# 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 89.45 | 86.37 |
| Quality ID# 370 | Depression Remission at Twelve Months | CMS Web Interface | 37.04 | 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 | 0.1601 | 0.151 |
| Measure# 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | CMS Web Interface | 28.63 | 30.97 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS | 91.35 | 83.96 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS | 95.29 | 93.47 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS | 95.2 | 92.06 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS | 83.28 | 77 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS | 61.52 | 62.68 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS | 58.9 | 60.97 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS | 71.74 | 73.06 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS | 87.92 | 85.46 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS | 93.75 | 91.97 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS | 25.71 | 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