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 |
| 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 |
| 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's Voting Power (Expressed as a percentage or number) | Membership Type | Practice Legal Business Name |
| William | Maranto | 1 | ACO Participant Representative | BOSSIER FAMILY MEDICINE, LLC |
| Charles | Ray | 1 | ACO Participant Representative | CHARLES E. RAY, M.D. APMC |
| Richard | Edwards | 1 | ACO Participant Representative | EDWARDS FAMILY MEDICINE A PROFESSIONAL MEDICAL CORPORATION |
| James | Watkins | 1 | ACO Participant Representative | Haydel Family Practice, APMC |
| John | Smith | 1 | ACO Participant Representative | HEALTHPLEX FAMILY CLINIC, LLC |
| Patrick | Griffith | 1 | ACO Participant Representative | JENNINGS INTERNAL MEDICINE ASSOCIATES INC. |
| Ryan | Foret | 1 | ACO Participant Representative | Lechtenberg and Foret, LLC |
| John | Segura | 1 | ACO Participant Representative | SEGURA FAMILY MEDICINE |
| Nicholas | LaHaye | 1 | ACO Participant Representative | VIDRINE COMMUNITY CLINIC, LLC |
| Michael | Garcia | 1 | ACO Participant Representative | SOUTH LOUISIANA MEDICAL ASSOCIATES |
| Gary | Birdsall | 1 | ACO Participant Representative | DR. GARY BIRDSALL MEDICAL CLINIC LLC |
| Greg | Brian | 1 | ACO Participant Representative | BRIAN CLINIC, L.L.P. |
| Rachel | Hery | 1 | ACO Participant Representative | CAPITAL CITY MEDICAL GROUP, L.L.C. |
| Chester | Boudreaux | 1 | ACO Participant Representative | CHESTER BOUDREAUX |
| Craig | Miller | 1 | ACO Participant Representative | SHREVEPORT INTERNAL MEDICINE LLC |
| Keith | Kenney | 1 | Medicare Beneficiary Representative | N/A |
| Nadine | Robine | 1 | Other | Aledade |
- ACO Executive: Ms. Nadine Robin
- Medical Director: Kenneth Brown
- Compliance Officer: Ms. Sarah Chasson
- Quality Assurance/Improvement Officer: Dr. Emily Maxson
- Beneficiary Engagement Committee: Dr. Richard Edwards, Chair
- Performance Improvement Committee: Dr. Mukesh Jain, Chair
- Transitions of Care Committee: Dr. James McNally, Chair
- Compliance Committee: Dr. Mukesh Jain, Chair
- Evidence-Based Medicine Committee: Dr. Christopher Achee, Chair, Dr. Ryan Foret
- A network of individual practices of ACO professionals
Second Agreement Period
- Performance Year 2020, $6,527,819
First Agreement Period
- Performance Year 2019, $0
- Performance Year 2018, $0
Second 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
Risk Standardized, All Condition Readmission
15.44
15.07
ACO-38
Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions
49.44
49.50
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.39
0.95
ACO-13
Falls: Screening for Future Fall Risk
89.94
84.97
ACO-14
Preventive Care and Screening: Influenza Immunization
82.05
76.03
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
94.87
81.67
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
84.47
71.46
ACO-19
Colorectal Cancer Screening
71.38
72.59
ACO-20
Breast Cancer Screening
70.40
74.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84.43
83.37
ACO-40
Depression Remission at Twelve Months
25.58
13.99
ACO-38
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
14.06
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
79.03
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