Opportunity MSSP 2022
Jennifer Campioli
Executive Director
202-803-7979
Location
Location

Aledade Accountable Care 90, LLC

4550 Montgomery Ave Ste 950N
Bethesda, MD 20814
 

ACO Participants ACO Participant in Joint Venture
AFFINITY FAMILY PRACTICE N
ALLIANCE SENIOR HEALTH, PLLC N
AMERICAN HORIZON MEDICAL PLLC N
ANGELO CHINNICI N
APRIL GATSON N
ARIBBE A. MARTIN, MD, PSC N
ARIMAH MEDICAL INC. N
ASPIRE INTEGRATIVE HEALTH CLINIC N
ATHENS GERIATRICS AND INTERNAL MEDICINE, PC N
AXTELL CLINIC PA N
B M PHYSICIANS, LLC N
BALHARA INTERNAL MEDICINE ASSOCIATES PC N
BEAR LAKE COMMUNITY HEALTH CENTER N
BENNY J GREEN MD PA N
BERRYVILLE MEDICAL ASSOCIATES PLC N
BITTERROOT FAMILY MEDICINE, P.C. N
BLUFF CITY MULTISPECIALTY CLINIC N
BRIDGES CLINIC LLC N
BROOKRIDGE INTERNAL MEDICINE ASSOCIATES, PA N
CALLAHAN CLINIC, PC N
CARILLON SPORTS AND FAMILY MEDICINE PA N
CARLOS PORTU MD PLLC N
CAROL A FISCHER MD PC N
CARY CARPENTER, M.D. P.C. N
CENTER FOR HEALTH & SPORTS MEDICINE LLC N
CENTRAL FLORIDA HEALTHCARE GROUP LLC N
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. N
CHARLESTON MEDICAL ASSOCIATES N
CHENNELL FAMILY WELLNESS LLC N
CHRISTOPHER HISEL N
COIMBRA FAMILY MEDICAL CENTER PA N
COLUMBIA MEDICAL CENTER LTD N
COLUMBIAVILLE FAMILY CLINIC PLLC N
COMMUNITY PHYSICIANS OF NORTH PORT, PA N
COMPLETE PHYSICIAN SERVICES N
DANIEL M BRUDNAK MD FAAFP PA N
DESOTO FAMILY MEDICAL CENTER N
DICKSON MEDICAL ASSOCIATES PC N
DR LUIS REYNOSO PA N
DR MARY TILAK P C N
DR. NAIR INTERNAL MEDICINE, PLLC N
DREAM PHYSICIANS N
DRS. MORRIS & HILL MEDICAL CLINIC, LLC N
EAST TEXAS FAMILY MEDICINE PA N
EVANS MEDICAL CLINIC, PLLC N
FAMILY DOCTOR CLINIC DRS HARRIS & MAGEE A MEDICAL CORPORATION N
FAMILY FIRST PRIMARY PHYSICIANS LLC N
FAMILY HEALTH CENTER OF ADEL, INC. N
FAMILY MEDCENTERS PA N
FAMILY MEDICAL GROUP OF TEXARKANA N
FAMILY MEDICINE LLC N
FAMILY MEDICINE OF ABILENE PA N
FAMILY PRACTICE ASSOCIATES OF MAYSVILLE, P.S.C. N
FIRST US CLINIC PA N
FLINT HILLS COMMUNITY HEALTH CENTER INC N
FRANCONIA FAMILY MEDICINE PC N
FRANK REDA MD PA N
FRANKLIN PRIMARY HEALTH CENTER, INC. N
GALO CONSTANTE MD PA N
GEORGIA FAMILY CARE, LLC N
GILA VALLEY CLINIC PC N
GILBERT FAMILY MEDICINE KEITH N
GLADWIN FAMILY CARE PLLC N
GREAT LAKES MEDICAL CENTER PLLC N
GREEN HILL FAMILY PRACTICE LLC N
GREGORY IVERSON FAMILY MEDICINE, PLLC N
HABERSHAM FAMILY MEDICINE N
HALEYVILLE MEDICAL ASSOCIATES, INC. N
HARTWELL FAMILY PRACTICE, P.C. N
HAWKINS FAMILY MEDICINE PLLC N
HEALTH MEDICAL INSITITUTE N
HEALTH SERVICES INC N
HEALTHY LIVING FAMILY MEDICINE PLLC N
HILCREST CLINIC, PC N
HOBDARI FAMILY HEALTH LLC N
HONG-I SHEN, M.D., P.A. N
HOPE CLINIC, INC. N
HURON CLINIC FOUNDATION LTD N
IMPERIAL HEALTH LLP N
INDIANA SPORTS & MEDICAL SCIENCE INSTITUTE, PC N
INTERNAL MEDICINE OF WEST HAVEN LLC N
IRENE BOSWELL MD PC N
J FRANK MARTIN JR MD LLC N
JAI SWAMINARAYAN INC N
JAMES CARPENTER N
JAMES G CUNNAR MD SC N
JIMMERSON FAMILY HEALTH CARE P.A. N
JOHN MANCHIN II & JOHN MANCHIN III N
KNOLL CLINIC LLC N
KURANI MED INC N
LACKAWANNA MEDICAL GROUP PC N
LANDER MEDICAL CLINIC P C N
LANSDOWNE TRAVEL AND FAMILY MEDICINE LLC N
LENDERMON SPORTS MEDICINE PLC N
LEONARD DUBIN MD LLC N
LOVELACE FAMILY MEDICINE PA N
MACKEY FAMILY PRACTICE PA N
MANCHIN CLINIC OF BRIDGEPORT N
MANCHIN CLINIC SOUTH, LLC N
MARC D PRICE DO PLLC N
MARCOTTE MEDICAL GROUP PC N
MARION HEART CENTER, PA N
MARTIN ORTHOPAEDICS, LLC N
MCELROY MEDICAL, L.L.C. N
MERCURY STREET MEDICAL GROUP PLLC N
MICHELLE WOODARD MD, LLC N
MIDSOUTH INDEPENDENT GROUP PLLC N
MILTON HABER N
MOHAMED ALLY HEALTH PLAZA PLLC N
MOUNTAINLANDS COMMUNITY HEALTH CENTER INC N
MYFAMILYDOC, LLC N
MYRTLE BEACH FAMILY MEDICINE PA N
NAYLES MEDICAL CLINIC LLC N
NORTHWEST PHYSICIANS ASSOCIATES, P.C. N
NOYDEEN SISTERS MEDICAL GROUP & CLINICS INC N
OPP FAMILY MEDICINE, P.C. N
PEDRO YLISASTIGUI. M.D.P.A. N
PETER R HONIG DO PC N
PHEASANT RIDGE FAMILY MEDICINE, LLC N
PINNER CLINIC PA N
PIYUSH R PATEL MD PC N
PRIMARY CARE 360 N
PRIMARY CARE GROUP OF WEST GEORGIA N
RANDOLPH MEDICAL PRACTICES PA N
RENATO MANDANAS N
RICHICHI FAMILY HEALTH N
ROBERT L. HOGUE M.D. PA N
ROBINSON & ASSOCIATES PC N
ROCKY MOUNTAIN FAMILY MEDICINE, LLC N
RURAL HEALTH MEDICAL PROGRAM, INC. N
SAGINAW VALLEY FAMILY CARE PLLC N
SAGINAW VALLEY WALK IN CLINIC PLLC N
SAMUEL B COBARRUBIAS MD, PC N
SANDHILLS FAMILY MEDICINE, PC N
SERIES A - A SERIES OF PRAXIS HEALTHCARE HOLDINGS SERIES LLC N
SHANE C HERNESMAN MD PA N
SHOBHA S IYENGAR MD SC N
SISSELMAN MEDICAL GROUP PC N
SOUTHERN FAMILY HEALTHCARE, P.A. N
SREEMAN JAMPANA MD PLLC N
SSD MEDICAL GROUP INC N
STORYBROOK MEDICINE PLLC N
SUMTER INTERNAL MEDICINE ASSOCIATES N
SWAN PRIMARY CARE PLLC N
TALCOTT PRIMARY CARE LLC N
TAPIA INTERNAL MEDICINE CLINIC PLLC N
TARA LYN CUDA DO PC N
THEODORE GERARD A. CASPE, M.D., A MEDICAL CORPORATION N
THOMAS D FAUSETT JR MD PC N
TOMBALL REGIONAL INTERNAL MEDICINE ASSOCIATES N
TREASURE COAST PRIMARY CARE, PA N
TRI-COUNTY PRIMARY CARE INC N
TRINITY FAMILY PRACTICE N
TRINITY MEDICAL ASSOCIATES L L C N
VALLEY FAMILY MEDICINE PC N
VERZOSA UNGAB INTERNAL MEDICINE N
VILLAGE AT NEWTOWN MEDICAL CENTER PC N
WAYT HEALTH CARE, PLLC N
WEST HUDSON PULMONARY ASSOCIATES CORPC N
WESTERN MONTANA CLINIC PC N
WHITE RIVER HEALTH SYSTEM INC N
WICHITA FAMILY MEDICINE SPECIALISTS, LLC N
WILLIAMS FAMILY PRACTICE PLLC N
WILLIS CLINIC N
WINFIELD INTERNAL MEDICINE, PC N
WOODLANDS MEDICAL SPECIALISTS P A N

Member First Name Member Last Name Member's Voting Power (Expressed as a percentage or number) Membership Type Practice Legal Business Name
Dr. Barbara Geater 1 ACO Participant Representative Midsouth Independent Group PLLC
Dr. Thomas Evans 1 ACO Participant Representative EVANS MEDICAL CLINIC, PLLC
Jennifer Miley, MD 1 ACO Participant Representative Woodlands Medical Specialists PA
Tom Callahan, DO 1 ACO Participant Representative Callahan Clinic, PC
Gilbert Darrington 1 ACO Participant Representative Health Services Inc
Dr. Thomas Fausett 1 ACO Participant Representative THOMAS D FAUSETT JR MD PC
Robert Jimmerson, MD 1 ACO Participant Representative JIMMERSON FAMILY HEALTH CARE P.A.
Sherif Kaiser, MD 1 ACO Participant Representative Berryville Medical Associates PLC
Diane Steere 1 ACO Participant Representative WICHITA FAMILY MEDICINE SPECIALISTS, LLC
Jeremy Williams 1 ACO Participant Representative Williams Family Practice, PLLC
Jeff Angel, MD 1 ACO Participant Representative WHITE RIVER HEALTH SYSTEM INC
Dr. Brenda  Vozza 1 ACO Participant Representative Brookridge Internal Medicine Associates, Pa
Dr. Sandro Sinatora 1 ACO Participant Representative Tomball Regional Internal Medicine Associates
Tara Cuda 1 ACO Participant Representative Tara L. Cuda, DO PC
Ben Fontenot 1 ACO Participant Representative Imperial Health LLP
Steven Pearlman 1 ACO Participant Representative Talcott Primary Care LLC
Spencer Lovelace 1 ACO Participant Representative Lovelace Family Medicine PA
Pedro Ylisastigui 1 ACO Participant Representative PEDRO YLISASTIGUI. M.D.P.A.
Jehad Saliba 1 ACO Participant Representative West Hudson Pulmonary Associates Corpc
Paul J. Washburn, MD 1 ACO Participant Representative Health Medical Institute
Sreedhar Gottiparthy 1 ACO Participant Representative INTERNAL MEDICINE OF WEST HAVEN LLC
Troy Morris, MD 1 ACO Participant Representative Desoto Family Medical Center
Stephen Sisselman, DO 1 ACO Participant Representative Sisselman Medical Group, PC
Kevin Green 1 Medicare Beneficiary Representative N/A
Jennifer Campiloi 1 Other Aledade

 

 

  • Jennifer Campioli, ACO Executive
  • Shane Hernesman, Medical Director 
  • Sarah Chasson, Compliance Officer
  • Emily Maxson, Quality Assurance / Improvement Officer 
  • Compliance Committee, Sarah Chasson
  • Networks of individual practices of ACO professionals
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

ACO Participation Waiver 

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement. 
 

Parties to the arrangement: All ACO Participants are eligible to participate. 
Date of arrangement: 3/30/2022 - 12/31/2022
Items, services, goods, or facility provided: Authorization of ACO Participation Waiver to Support Staffing of Value-Based Care Initiatives. During performance year 2022, the ACO's (identified below) will make payments necessary to Participants in the ACO to reimburse fair market value staffing costs to complete the following specific activities.

  • 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. 
  • 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 
  • Contact patients who are new to the Medicare program and schedule a “Welcome to Medicare” visit 
  • 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.