LA MSSP 2022 Enhanced
Nadine Robin
ACO Primary Contact
202-803-7979
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