Aledade Accountable Care 92, LLC
4550 Montgomery Ave Ste 950N
Bethesda, MD 20814
ACO Participant in Joint Venture
|A & S KHANDELWAL MD INC||N|
|BECKETT RIDGE FAMILY MEDICINE, INC.||N|
|CARROLL FAMILY HEALTHCARE||N|
|DAYTON FAMILY PRACTICE ASSOCIATES INC||N|
|DILEY MEDICAL GROUP LLC||N|
|FAIRFIELD COMMUNITY HEALTH CENTER||N|
|FAMILY PHYSICIANS INC||N|
|FINDLAY FAMILY PRACTICE INC||N|
|HOLMES FAMILY MEDICINE INC||N|
|LAWRENCE P WANG MD LLC||N|
|MAINEVILLE FAMILY PHYSICIANS INC||N|
|METROPOLITAN FAMILY CARE, INC.||N|
|NORTHERN OHIO FAMILY PRACTICE, INC.||N|
|PREMIER PHYSICIANS CENTERS INC||N|
|PRIMARY CARE INTERNISTS, INC.||N|
|STARK MEDICAL SPECIALTIES, INC||N|
|TERRENCE L. JOHNSON & ROBERT C.ADAMS PTR||N|
|VALLEY MEDICAL PRIMARY CARE, INC||N|
|WARREN MEDICAL GROUP INC||N|
|Member First Name||Member Last Name||Member Title/Position||Member's Voting Power (Expressed as a percentage)||Membership Type||Practice Legal Business Name|
|EAN||BETT||Board Member||4.762||ACO Participant Representative||
Fairfield Community Health Center
|SCOTT||BROWN||Board Member||4.762||ACO Participant Representative||
Holmes Family Medicine Inc
|SHILPA||CHAWLA||Board Member||4.762||ACO Participant Representative||Ajay Chawla|
|KERRIE||DAVID||Board Member||4.762||ACO Participant Representative||
Stark Medical Specialties, Inc
|DAVID||DENKA||Board Member||4.762||ACO Participant Representative||
Dayton Family Practice Associates Inc
|CHRISTOPHER||DIATTE||Board Member||4.762||ACO Participant Representative||
Beckett Ridge Family Medicine, Inc.
|BORIS||GLINER||Board Member||4.762||ACO Participant Representative||Boris Gliner|
|ADAM||HOUG||Board Member||4.762||ACO Participant Representative||
Terrence L. Johnson & Robert C.Adams PTR
|GURJEET||KAHLON||Board Member||4.762||ACO Participant Representative||
Valley Medical Primary Care, Inc
|ANAND||KHANDELWAL||Board Member||4.762||ACO Participant Representative||
A & S Khandelwal MD Inc
|TODD||LESLIE||Board Member||4.762||ACO Participant Representative||
Findlay Family Practice Inc
|BINDU||SEHGAL||Board Member||4.762||ACO Participant Representative||
Premier Physicians Centers Inc
|JONI||STASIAK||Board Member||4.762||ACO Participant Representative||
Carroll Family Healthcare
|CASSANDRA||SUGGS||Board Member||4.762||ACO Participant Representative||
Metropolitan Family Care, Inc.
|LOUETTA||SUTTON||Board Member||4.762||ACO Participant Representative||
Northern Ohio Family Practice, Inc.
|SCOTT||SWABB||Board Member||4.762||ACO Participant Representative||
Primary Care Internists, Inc.
|THONG||TRUONG||Board Member||4.762||ACO Participant Representative||
Warren Medical Group Inc
|DUSTIN||WAGNER||Board Member||4.762||ACO Participant Representative||
Family Physicians Inc
|DAVID||WHITT||Board Member||4.762||ACO Participant Representative||
Diley Medical Group LLC
|GEORGE||ZOEBL||Board Member/Medicare Beneficiary Representative||4.762||Medicare Beneficiary Representative||
Metropolitan Family Care, Inc.
Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.
- ACO Executive: Sarah McHugh
- Medical Director: Stephen Stack
- Compliance Officer: Amy Youtz
- Quality Assurance / Improvement Officer: Emily Maxson
Committee Leader Name and Position
Lawrence Wang / Compliance Committee Leader
- Networks of individual practices of ACO professionals
First Agreement Period
- Performance Year 2022, $1,716,985.49
First 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%
|Measure #||Measure Name||Collection Type||Rate||ACO Mean|
|Quality ID# 001||Diabetes: Hemoglobin A1c (HbA1c) Poor Control ||CMS Web Interface||6.02||10.71|
|Quality ID# 134||Preventative Care and Screening: Screening for Depression and Follow-up Plan||CMS Web Interface||85.56||76.97|
|Quality ID# 236||Controlling High Blood Pressure||CMS Web Interface||82.66||76.16|
|Quality ID# 318||Falls: Screening for Future Fall Risk||CMS Web Interface||85.31||87.83|
|Quality ID# 110||Preventative Care and Screening: Influenza Immunization||CMS Web Interface||82.64||77.34|
|Quality ID# 226||Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention||CMS Web Interface||53.33||79.27|
|Quality ID# 113||Colorectal Cancer Screening||CMS Web Interface||76.82||75.32|
|Quality ID# 112||Breast Cancer Screening||CMS Web Interface||80.07||78.07|
|Quality ID# 438||Statin Therapy for the Prevention and Treatment of Cardiovascular Disease||CMS Web Interface||87.76||86.37|
|Quality ID# 370||Depression Remission at Twelve Months||CMS Web Interface||17.24||16.03|
|Quality ID# 321||CAHPS for MIPS ||CMS Web Interface||N/A||N/A|
|Measure# 479||Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups ||CMS Web Interface||0.1575||0.151|
|Measure# 484||Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions ||CMS Web Interface||36.23||30.97|
|CAHPS-1||Getting Timely Care, Appointments, and Information||CAHPS for MIPS||85.92||83.96|
|CAHPS-2||How Well Providers Communicate||CAHPS for MIPS||93.83||93.47|
|CAHPS-3||Patient’s Rating of Provider||CAHPS for MIPS||92.62||92.06|
|CAHPS-4||Access to Specialists||CAHPS for MIPS||75.85||77|
|CAHPS-5||Health Promotion and Education||CAHPS for MIPS||62.61||62.68|
|CAHPS-6||Shared Decision Making||CAHPS for MIPS||60.54||60.97|
|CAHPS-7||Health Status and Functional Status||CAHPS for MIPS||74.61||73.06|
|CAHPS-8||Care Coordination||CAHPS for MIPS||84.39||85.46|
|CAHPS-9||Courteous and Helpful Office Staff||CAHPS for MIPS||93.26||91.97|
|CAHPS-11||Stewardship of Patient Resources||CAHPS for MIPS||31.28||25.62|
ACO Pre-Participation Waiver: N/A
ACO Participation Waiver:
- Parties to the arrangement: AAC 92, LLC
- Date of arrangement: 11/21/2023
- Items, services, goods, or facility provided: Staffing of value based care initiatives.
The ACO will make payments as necessary to Participants in the ACO to reimburse the staffing costs required to complete certain value based care activities, which includes:
a) Conduct outreach to patients.
b) Contact patients recently discharged from a hospital emergency department or inpatient/outpatient status to assess if needs were met and schedule a follow up visit with their primary care physician if needed.
c) Contact patients who have not been seen by their primary care physician in 6-12 months (depending on chronic conditions) and schedule annual wellness or other diagnostically appropriate appointments.
d) Contact patients who are new to the Medicare program and schedule a “Welcome to Medicare” visit.
e) Implement and routinize use of the Aledade application to provide insights into patient health, diagnosis coding opportunities, and visibility into the total cost of patient care.
f) Reviewing the “care gap worklist” in the Aledade App to apprise patients of test results, conducting outreach to patients to schedule preventive screenings, and follow up with patients concerning medication adherence concerns.
g) Support accurate and complete diagnosis documentation and coding.