MS MSSP Enhanced

Evelyn Cayson

ACO Primary Contact

Locations

Aledade Mississippi ACO, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814

ACO Participants	ACO Participant in Joint Venture
Biloxi Internal Medicine Clinic PA	N
BRIDGES CLINIC LLC	N
Christina Hossley Inc	N
Clinton Family Care LLC	N
DELTA FAMILY MEDICAL SERVICES INC	N
DENESIA Y GIFFIN PLLC	N
DESOTO FAMILY MEDICAL CENTER	N
Family Medical Clinic of Crystal Springs PLLC	N
Family Medical Clinic of North MS Inc	N
FAMILY MEDICINE ASSOCIATES OF NATCHEZ, PLLC	N
Gulf Coast Life PLLC	N
Horn Lake Family Practice Inc	N
Internal Medicine Associates of Natchez, PLLC	N
J Russell Barnes MD PC	N
James Ervin	N
Jones Family Medicine Clinic PLLC	N
Joseph L Wilson MD Inc	N
K McDaniel Inc	N
Kamlesh Parekh	N
LANDMARK INTERNAL MEDICINE	N
MCCLENDON MEDICAL CLINIC PLLC	N
Mississippi Family Medicine	N
North Bay Family Medical Clinic, PA	N
Olive Branch Family Medical Center	N
Premier Medical Group of Mississippi LLC	N
Primary Care Clinic of Ripley PA	N
RICHARD C RANDOLPH MD PA	N
RIPLEY MEDICAL CLINIC INC	N
RLGMDPA Inc	N
Robert C Masterson DO PA Inc	N
ROBERT M CANNON MD LLC	N
Sale Creek Family Practice, PLLC	N
South Sunflower County Hospital	N
SOUTHAVEN INTERNAL MEDICINE, P.C.	N
Susan A Chiarito MD PA Inc	N
Syed A A Zaidi, MD, PLLC	N
THE GREENVILLE CLINIC	N
WEBB FAMILY MEDICAL CLINIC PLLC	N

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as a percentage)	Membership Type	Practice Legal Business Name
MARION	ANDREWS	Board Member/Medicare Beneficiary Representative	3.84615385	Medicare Beneficiary Representative	Biloxi Internal Medicine Clinic PA
DANIEL	BLACK	Board Member	3.84615385	ACO Participant Representative	Sale Creek Family Practice, PLLC
JAMES	BRIDGES	Board Member	3.84615385	ACO Participant Representative	Bridges Clinic LLC
TROY	CAPPLEMAN	Board Member	3.84615385	ACO Participant Representative	Primary Care Clinic of Ripley PA
EVELYN	CAYSON	Board Member/Chair	3.84615385	Other	Aledade
SUSAN	CHIARITO	Board Member/ACO Medical Director/Compliance Committee Lead	3.84615385	ACO Participant Representative	Susan A Chiarito MD PA Inc
ERIN	DEWITT	Board Member	3.84615385	ACO Participant Representative	Gulf Coast Life PLLC
WILLIAM	DOWELL	Board Member	3.84615385	ACO Participant Representative	South Sunflower County Hospital
EDWARD	ELDRED	Board Member	3.84615385	ACO Participant Representative	Olive Branch Family Medical Center
JAMES	ERVIN	Board Member	3.84615385	ACO Participant Representative	Family Medical Clinic of Crystal Springs PLLC
BARRY	GILLESPIE	Board Member	3.84615385	ACO Participant Representative	The Greenville Clinic
SAMUEL	HOLDINESS	Board Member	3.84615385	ACO Participant Representative	Premier Medical Group of Mississippi LLC
MUKESH	JAIN	Board Member	3.84615385	ACO Participant Representative	Landmark Internal Medicine
MATTHEW	JONES	Board Member	3.84615385	ACO Participant Representative	Jones Family Medicine Clinic PLLC
WILLIAM	MCCLENDON	Board Member	3.84615385	ACO Participant Representative	McClendon Medical Clinic PLLC
BLANE	MIRE	Board Member	3.84615385	ACO Participant Representative	Internal Medicine Associates of Natchez, PLLC
TROY	MORRIS	Board Member	3.84615385	ACO Participant Representative	Desoto Family Medical Center
REZA	MOTAKHAVERI	Board Member	3.84615385	ACO Participant Representative	Biloxi Internal Medicine Clinic PA
KAMLESH	PAREKH	Board Member	3.84615385	ACO Participant Representative	Kamlesh Parekh
ACHIN	SHARMA	Board Member	3.84615385	ACO Participant Representative	Horn Lake Family Practice Inc
CHRISTOPHER	SHELBY	Board Member	3.84615385	ACO Participant Representative	North Bay Family Medical Clinic, PA
ROBERT	SKINNER	Board Member	3.84615385	ACO Participant Representative	Family Medical Clinic of North MS Inc
CHARLES	STOKLEY	Board Member	3.84615385	ACO Participant Representative	Mississippi Family Medicine
ROBERT	SUARES Jr	Board Member	3.84615385	ACO Participant Representative	Delta Family Medical Services Inc
DAVID	WHEAT	Board Member	3.84615385	ACO Participant Representative	Clinton Family Care LLC
SYED	ZAIDI	Board Member	3.84615385	ACO Participant Representative	Syed A A Zaidi, MD, PLLC

Executive Director: Ms. Evelyn Cayson
Medical Director: Dr. Susan Chiarito
Compliance Officer: Ms. Amy Youtz
Quality Assurance/Improvement Officer: Dr. Emily Maxson

Committee Name	Committee Leader Name and Position
Compliance Committee	Dr. Susan Chiarito / Compliance Committee Leader
Beneficiary Engagement Committee	Dr. David Wheat/ Beneficiary Engagement Committee Leader
Transitions of Care Committee	Dr. Troy Cappleman/ Transitions of Care Committee Leader

A network of individual practices of ACO professionals.

Second Agreement Period

Performance Year 2021, $12,033,689
Performance Year 2020, $14,587,843
Performance Year 2019, $10,068,785

First Agreement Period

Performance Year 2019, $10,068,785
Performance Year 2018, $2,435,513
Performance Year 2017, $4,549,453
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 2021
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 50%
Performance Year 2020
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 50%
Performance Year 2019
- Proportion invested in infrastructure: 10%
- 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: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%
Performance Year 2018
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%
Performance Year 2017
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%
Performance Year 2016
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- 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.

2021 CMS WEB INTERFACE QUALITY PERFORMANCE RESULTS:

Measure #

Measure Name

Rate

ACO Mean

Measure #: 1

Diabetes: Hemoglobin A1c (HbA1c) Poor Control2

13.48

12.46

Measure #: 134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

84.78

74.38

Measure #: 236

Controlling High Blood Pressure

79.56

74.87

Measure #: 318

Falls: Screening for Future Fall Risk

89.34

87.03

Measure #: 110

Preventive Care and Screening: Influenza Immunization

82.17

80.52

Measure #: 226

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

73.08

80.97

Measure #: 113

Colorectal Cancer Screening

79.94

73.63

Measure #: 112

Breast Cancer Screening

73.04

75.11

Measure #: 438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86.62

84.24

Measure #: 321

CAHPS for MIPS3

N/A

Measure #: 479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

0.1500

0.1540

Measure #: MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2

30.10

33.94

CAHPS-1

Getting Timely Care, Appointments, and Information

87.73

84.67

CAHPS-2

How Well Providers Communicate

95.46

93.56

CAHPS-3

Patient’s Rating of Provider

93.80

92.19

CAHPS-4

Access to Specialists

81.81

78.80

CAHPS-5

Health Promotion and Education

55.50

61.61

CAHPS-6

Shared Decision Making

58.76

60.89

CAHPS-7

Health Status and Functional Status

71.79

71.78

CAHPS-8

Care Coordination

88.26

85.66

CAHPS-9

Courteous and Helpful Office Staff

93.53

91.88

CAHPS-11

Stewardship of Patient Resources

26.47

24.71

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver: N/A

Waiver for Payment for Telehealth Services: N/A

Fraud and Abuse Waivers

ACO Pre-Participation Waiver:: N/A

ACO Participation Waiver: N/A