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	4	Medicare Beneficiary Representative	N/A
DANIEL	BLACK	Board Member	4	ACO Participant Representative	Sale Creek Family Practice, PLLC
JAMES	BRIDGES	Board Member	4	ACO Participant Representative	Bridges Clinic LLC
TROY	CAPPLEMAN	Board Member	4	ACO Participant Representative	Primary Care Clinic of Ripley PA
EVELYN	CAYSON	Board Member/Chair	4	Other	Aledade
SUSAN	CHIARITO	Board Member/ACO Medical Director/Compliance Committee Lead	4	ACO Participant Representative	Susan A Chiarito MD PA Inc
ERIN	DEWITT	Board Member	4	ACO Participant Representative	Gulf Coast Life PLLC
WILLIAM	DOWELL	Board Member	4	ACO Participant Representative	South Sunflower County Hospital
EDWARD	ELDRED	Board Member	4	ACO Participant Representative	Olive Branch Family Medical Center
JAMES	ERVIN	Board Member	4	ACO Participant Representative	Family Medical Clinic of Crystal Springs PLLC
BARRY	GILLESPIE	Board Member	4	ACO Participant Representative	The Greenville Clinic
SAMUEL	HOLDINESS	Board Member	4	ACO Participant Representative	Premier Medical Group of Mississippi LLC
MUKESH	JAIN	Board Member	4	ACO Participant Representative	Landmark Internal Medicine
WILLIAM	MCCLENDON	Board Member	4	ACO Participant Representative	McClendon Medical Clinic PLLC
BLANE	MIRE	Board Member	4	ACO Participant Representative	Internal Medicine Associates of Natchez, PLLC
TROY	MORRIS	Board Member	4	ACO Participant Representative	Desoto Family Medical Center
REZA	MOTAKHAVERI	Board Member	4	ACO Participant Representative	Biloxi Internal Medicine Clinic PA
KAMLESH	PAREKH	Board Member	4	ACO Participant Representative	Kamlesh Parekh
ACHIN	SHARMA	Board Member	4	ACO Participant Representative	Horn Lake Family Practice Inc
CHRISTOPHER	SHELBY	Board Member	4	ACO Participant Representative	North Bay Family Medical Clinic, PA
ROBERT	SKINNER	Board Member	4	ACO Participant Representative	Family Medical Clinic of North Mississippi Inc
CHARLES	STOKLEY	Board Member	4	ACO Participant Representative	Mississippi Family Medicine
ROBERT	SUARES Jr	Board Member	4	ACO Participant Representative	Delta Family Medical Services Inc
DAVID	WHEAT	Board Member	4	ACO Participant Representative	Clinton Family Care LLC
SYED	ZAIDI	Board Member	4	ACO Participant Representative	Syed A A Zaidi, MD, PLLC

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

Executive Director: Evelyn Cayson
Medical Director: Susan Chiarito
Compliance Officer: Amy Youtz
Quality Assurance/Improvement Officer: 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 2022, $20,418,305.85
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. The 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 2022
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 50%
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. The 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.

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	9.68	10.71
Quality ID# 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	85.76	76.97
Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	76.68	76.16
Quality ID# 318	Falls: Screening for Future Fall Risk	CMS Web Interface	91.61	87.83
Quality ID# 110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	78.91	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	77.36	75.32
Quality ID# 112	Breast Cancer Screening	CMS Web Interface	78.96	78.07
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	86.39	86.37
Quality ID# 370	Depression Remission at Twelve Months	CMS Web Interface	10.26	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	0.1462	0.151
Measure# 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	CMS Web Interface	27.88	30.97
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS	89.5	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS	95.82	93.47
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS	93.77	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS	85.58	77
CAHPS-5	Health Promotion and Education	CAHPS for MIPS	57.14	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS	65.73	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS	74.12	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS	87.11	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS	95.25	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS	28.07	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