MS MSSP Community Health Center Enhanced
Location
Location
Aledade Accountable Care 43, LLC
4550 Montgomery Ave Ste 950N
Bethesda, MD 20814
| ACO Participants | ACO Participant in Joint Venture |
| AARON E HENRY COMMUNITY HEALTH | N |
| ACCESS FAMILY HEALTH SERVICES, INC. | N |
| AMITE COUNTY MEDICAL SERVICES INC | N |
| CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC | N |
| CENTRAL MISSISSIPPI HEALTH SERVICES, INC. | N |
| CLAIBORNE COUNTY FAMILY HEALTH CENTER | N |
| COASTAL FAMILY HEALTH CENTER INC | N |
| DELTA HEALTH CENTER, INC. | N |
| EAST CENTRAL MISSISSIPPI HEALTH CARE INC | N |
| FAMILY HEALTH CARE CLINIC INC | N |
| FAMILY HEALTH CENTER INC | N |
| G A CARMICHAEL FAMILY HEALTH CENTER INC | N |
| GREATER MERIDIAN HEALTH CLINIC, INC. | N |
| JEFFERSON COMPREHENSIVE HEALTH CENTER, INC. | N |
| MALLORY COMMUNITY HEALTH | N |
| MANTACHIE RURAL HEALTH CARE, INC | N |
| NORTH MISSISSIPPI PRIMARY HEALTH CARE INC | N |
| NORTHEAST MISSISSIPPI HEALTH CARE INC | N |
| OUTREACH HEALTH SERVICES,INC. | N |
| SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. | N |
| Member First Name | Member Last Name | Member's Voting Power (Expressed as a percentage or number) | Membership Type | Practice Legal Business Name |
| Sally | Toler | 1 | ACO Participant Representative | Amite County Medical Services Inc |
| Christina | Nunnally | 1 | ACO Participant Representative | North Mississippi Primary Health Care Inc |
| Jasmin | Chapman | 1 | ACO Participant Representative | Central Mississippi Civic Improvement Association, Inc |
| Angel | Greer | 1 | ACO Participant Representative | Coastal Family Health Center Inc |
| Margaret | Gray | 1 | ACO Participant Representative | Family Health Care Clinic Inc |
| Marilyn | Sumerford | 1 | ACO Participant Representative | Access Family Health Services, Inc |
| Wilbert | Jones | 1 | ACO Participant Representative | Greater Meridian Health Clinic, Inc. |
| John | Fairman | 1 | ACO Participant Representative | Delta Health Center, Inc. |
| Aurelia | Jones-Taylor | 1 | ACO Participant Representative | Aaron E. Henry Community Health |
| Janice | Bacon | 1 | ACO Participant Representative | Central Mississippi Health Services, Inc. |
| Katrina | Malone | 1 | ACO Participant Representative | Jefferson Comprehensive Health Center, Inc. |
| James | Coleman | 1 | ACO Participant Representative | G A Carmichael Family Health Center Inc |
| Clifton | Rodgers | 1 | ACO Participant Representative | Northeast Mississippi Health Care Inc |
| Rashad | Ali | 1 | ACO Participant Representative | Family Health Center Inc |
| Jill | Bishop | 1 | ACO Participant Representative | East Central Mississippi Health Care Inc |
| Rozell | Chapman | 1 | ACO Participant Representative | Mallory Community Health |
| Grant | McKinney | 1 | ACO Participant Representative | Mantachie Rural Health Care, Inc |
| Geroldean | Dyse | 1 | ACO Participant Representative | Southeast Mississippi Rural Health Initiative, Inc. |
| Sabrina | Howze | 1 | ACO Participant Representative | Outreach Health Services, Inc. |
| James | Oliver | 1 | ACO Participant Representative | Claiborne County Family Health Center |
| Evelyn | Cayson | 1 | Other | Aledade |
| James | Hodges | 1 | Medicare Beneficiary Representative | N/A |
- Executive Director: Evelyn Cayson
- Medical Director: Dr. Kevin Koehler
- Compliance Officer: Sarah Chasson
- Quality Assurance / Improvement Officer: Dr. Emily Maxson
- Compliance Committee: Sarah Chasson
- A network of individual practices of ACO professionals.
First Agreement Period
- Performance Year 2020, $ 8,355,542
First Agreement Period
- Performance Year 2020
- Proportion invested in infrastructure: 9%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 51%
2020 Quality Performance Results
ACO Quality Measure Number
Measure Name
Rate
ACO Mean
ACO-8 [1]
Risk Standardized, All Condition Readmission
15.07
15.07
ACO-38 [1,2]
Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions
53.26
49.50
ACO-43 [3]
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.22
0.95
ACO-13
Falls: Screening for Future Fall Risk
74.22
84.97
ACO-14
Preventive Care and Screening: Influenza Immunization
51.68
76.03
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
93.94
81.67
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
89.82
71.46
ACO-19
Colorectal Cancer Screening
59.50
72.59
ACO-20
Breast Cancer Screening
61.44
74.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
91.60
83.37
ACO-40
Depression Remission at Twelve Months
17.33
13.99
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
16.77
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
61.94
72.87
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