Opportunity MSSP 2022
Jennifer Campioli
ACO Primary Contact
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
APRIL GATSON N
ARIMAH MEDICAL INC. N
ATHENS GERIATRICS AND INTERNAL MEDICINE, PC N
BEAR LAKE COMMUNITY HEALTH CENTER N
BENNY J GREEN MD PA N
BITTERROOT FAMILY MEDICINE, P.C. N
BLALOCK FAMILY AND URGENT CARE N
BLUFF CITY MULTISPECIALTY CLINIC N
BOAZ AND ALBERTVILLE FAMILY CARE LLC N
BROOKRIDGE INTERNAL MEDICINE ASSOCIATES, PA N
CARILLON SPORTS AND FAMILY MEDICINE PA N
CARLOS PORTU MD PLLC N
CENTER FOR HEALTH & SPORTS MEDICINE LLC N
CENTRAL FLORIDA HEALTHCARE GROUP LLC N
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. N
CHARINA YANGO-CADAVOS LLC N
CHARLESTON MEDICAL ASSOCIATES N
CHRISTOPHER HISEL N
COIMBRA FAMILY MEDICAL CENTER PA N
COLUMBIA MEDICAL CENTER LTD N
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC N
COMMUNITY PHYSICIANS OF NORTH PORT, PA N
DANIEL M BRUDNAK MD FAAFP PA N
DICKSON MEDICAL ASSOCIATES PC N
DR LUIS REYNOSO PA N
DR MARY TILAK P C N
DREAM PHYSICIANS N
EAST TEXAS FAMILY MEDICINE PA N
EVANS MEDICAL CLINIC, PLLC N
FAMILY HEALTH CENTER OF ADEL, INC. N
FAMILY MEDICAL GROUP OF TEXARKANA N
FAMILY MEDICINE LLC N
FRANK REDA MD PA N
FRANKLIN PRIMARY HEALTH CENTER, INC. N
GALO CONSTANTE MD PA 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
HILCREST CLINIC, PC N
HOBDARI FAMILY HEALTH LLC N
HONG-I SHEN, M.D., P.A. N
HOPE CLINIC, INC. N
HURON HEALTH CARE RASHID IQBAL MD PC 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 G CUNNAR MD SC N
JIMMERSON FAMILY HEALTH CARE P.A. N
JOHN MANCHIN II & JOHN MANCHIN III N
KURANI MED INC N
LANDER MEDICAL CLINIC P C 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 MCDERMOTT MD PC N
MARTIN ORTHOPAEDICS, LLC N
MATTA MEDICAL CLINIC LLC N
MCELROY MEDICAL, L.L.C. N
MEDICS PRIMARY CARE N
MERCURY STREET MEDICAL GROUP PLLC N
MICHAEL HORD N
MICHELLE WOODARD MD, LLC N
MIDSOUTH INDEPENDENT GROUP PLLC N
MILTON HABER N
MOUNTAINLANDS COMMUNITY HEALTH CENTER INC N
MYRTLE BEACH FAMILY MEDICINE PA N
NAYLES MEDICAL CLINIC LLC N
NEW BOSTON MEDICAL GROUP LLP N
OPP FAMILY MEDICINE, P.C. N
PEDRO YLISASTIGUI. M.D.P.A. N
PINNER CLINIC PA N
RANDOLPH MEDICAL PRACTICES PA N
RASHID IQBAL MD PC N
RENATO Y MANDANAS N
ROBINSON & ASSOCIATES PC N
ROCKY MOUNTAIN FAMILY MEDICINE, LLC N
RURAL HEALTH MEDICAL PROGRAM, INC. N
SAGINAW HEALTH CLINIC 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
SIDAROUS, LLC N
SOUTHERN FAMILY HEALTHCARE, P.A. N
SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC N
SREEMAN JAMPANA MD PLLC N
SSD MEDICAL GROUP INC N
STORYBROOK MEDICINE PLLC N
SUMTER INTERNAL MEDICINE ASSOCIATES N
SURYA LANKA N
SWAN PRIMARY CARE PLLC N
TALCOTT PRIMARY CARE LLC N
TAPIA INTERNAL MEDICINE CLINIC PLLC N
THEODORE GERARD A. CASPE, M.D., A MEDICAL CORPORATION N
TOMBALL REGIONAL INTERNAL MEDICINE ASSOCIATES 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
WAYT HEALTH CARE, PLLC N
WELLNESS FAMILY MEDICINE N
WELLSPRINGS HEALTH CARE PARTNERS, INC N
WEST HUDSON PULMONARY ASSOCIATES CORPC N
WESTERN MONTANA CLINIC PC N
WHITE RIVER HEALTH SYSTEM INC N
WILLIAMS FAMILY PRACTICE PLLC N
WILLIS CLINIC N
WINFIELD INTERNAL MEDICINE, PC N
WOODLANDS MEDICAL SPECIALISTS P A N

First Name Last Name Member Title/Position Member's Voting Power (Expressed as a percentage or number) Membership Type Practice Legal Business Name
JERROD ANDERSON Board Member 1 ACO Participant Representative White River Health System Inc
JENNIFER CAMPIOLI Board Member/Chair 1 Other Aledade
GILBERT DARRINGTON Board Member 1 ACO Participant Representative Health Services Inc
WILLIAM DIXON Board Member 1 ACO Participant Representative Lovelace Family Medicine
THOMAS EVANS Board Member/Compliance Committee Lead 1 ACO Participant Representative Evans Medical Clinic PLLC
BENJAMIN FONTENOT Board Member 1 ACO Participant Representative Imperial Health
CAROLYN FORBES Board Member 1 ACO Participant Representative Valley Family Medicine
PIYUSH GUPTA Board Member/ACO Medical Director 1 ACO Participant Representative Sevi Health
HOLLY HARPER Board Member 1 ACO Participant Representative Mercury Street Medical Group Pllc
ROBERT JIMMERSON II Board Member 1 ACO Participant Representative Jimmersons Family Health Care
RUTH MANN Board Member/Medicare Beneficiary Representative 1 Medicare Beneficiary Representative Evans Medical Clinic PLLC
JENNIFER MILEY Board Member 1 ACO Participant Representative Woodlands Medical Specialists
STEVEN PEARLMAN Board Member 1 ACO Participant Representative Talcott Primary Care Llc
SHAWN STUSSY Board Member 1 ACO Participant Representative Family Medical Group of Texarkana
ENAS TUPPO Board Member 1 ACO Participant Representative United MSO
BRENDA VOZZA Board Member 1 ACO Participant Representative Brookridge Internal Medicine Associates Pa
PAUL WASHBURN Board Member 1 ACO Participant Representative Paul Jordan Washburn MD
JEREMY WILLIAMS Board Member 1 ACO Participant Representative Williams Family Practice Pllc
PEDRO YLISASTIGUI Board Member 1 ACO Participant Representative Pedro Ylisastigui. M.D.P.A.

  • ACO Executive: Jennifer Campioli
  • Medical Director: Piyush Gupta 
  • Compliance Officer: Amy Youtz
  • Quality Assurance / Improvement Officer: Emily Maxson 

Committee Name

Committee Leader Name and Position

Compliance Committee

Thomas Evans / Compliance Committee Leader

  • 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.