PA MSSP Legacy + Gateway
Jeff Mandel
ACO Primary Contact
215-853-6641
Location
Location

Aledade Accountable Care 15, LLC
4550 Montgomery Ave, Ste 950
Bethesda, MD 20814
 

 

  • AMIN MEDICAL CENTER LLC
  • APPLE RIDGE FAMILY MEDICINE
  • BAXTER DREW WELLMON II D.O.,P.C.
  • ELKINS MEDICAL PRACTICE PLLC
  • FAMILY PRACTICE ASSOCIATES OF EXTON & MARSHALLTON, P.C
  • FAMILY PRACTICE OF HONEY BROOK, PC
  • GATEWAY MEDICAL ASSOCIATES PC
  • GRAHAM MEDICAL CLINIC,P.C.
  • GREEN AND SEIDNER FAMILY PRACTICE ASSOCIATES PC
  • KEYSTONE RURAL HEALTH CONSORTIA, INC.
  • LMG FAMILY PRACTICE PC
  • MONTGOMERY FAMILY PRACTICE INC
  • PentaHealth, LLC
  • THOMAS BURKERT
  • WALNUT BOTTOM FAMILY PRACTICE, LLC
  • WAYNESBORO FAMILY MEDICAL ASSOCIATES, LLP

 

 

  • Mehul Amin,  Voting Member, 1, ACO Participant Representative, AMIN MEDICAL CENTER LLC
  • Carol Elkins,  Voting Member, 1, ACO Participant Representative, ELKINS MEDICAL PRACTICE PLLC
  • Valerie McAuley,  Voting Member, 1, ACO Participant Representative, FAMILY PRACTICE ASSOCIATES OF EXTON & MARHSALLTON, P.C.
  • Michael Arbuckle,  Voting Member, 1, ACO Participant Representative, FAMILY PRACTICE OF HONEY BROOK, PC
  • Sandra Knudsen,  Voting Member, 1, ACO Participant Representative, GREEN AND SEIDNER FAMILY PRACTICE ASSOCIATES PC
  • Morris Kliger,  Voting Member, 1, ACO Participant Representative, LMG FAMILY PRACTICE PC
  • Thomas Burkert,  Voting Member, 1, ACO Participant Representative, THOMAS BURKERT
  • Bennardi, Kristie,  Voting Member, 1, ACO Participant Representative, Keystone Rural Health Consortia, Inc.
  • Kubala, Ginger,  Voting Member, 1, ACO Participant Representative, MONTGOMERY FAMILY PRACTICE INC
  • Myers, Lisa C,  Voting Member, 1, ACO Participant Representative, Walnut Bottom Family Practice, LLC
  • Pion, Joseph (Medical Director),  Voting Member, 1, ACO Participant Representative, Graham Medical Clinic,P.C.
  • Smith, Talbot,  Voting Member, 1, ACO Participant Representative, Apple Ridge Family Medicine
  • Wellmon, Baxter,  Voting Member, 1, ACO Participant Representative, Baxter Drew Wellmon II D.O.,P.C.
  • Rodgers, Timothy,  Voting Member, 1, ACO Participant Representative, GATEWAY MEDICAL ASSOCIATES, P.C.
  • Copenhaver, Richard, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Mandel, Jeff, Voting Member, Chair Person, 1, ACO Executive, Aledade, Inc.
  • ACO Executive: Jeff Mandel, MD
  • Medical Director: Victor Lahnovych
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Emily Maxson, MD
  • Beneficiary Engagement Committee: Dr. Ginger Kubala, Chair, Dr. Stephen Rettig
  • Performance Improvement Committee: Dr. Baxter Wellmon, Chair, Dr. Natale Falanga
  • Transitions of Care Committee: Dr. Lisa Myers, Chair, Dr. Talbot Smith
  • Compliance Committee:Kristie Bennardi, Sarah Chasson
  • Evidence-Based Medicine Committee: Dr. Victor Lahnovych, Chair, Dr. Nora Olson
  • Federally Qualified Health Center (FQHC)
  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Rural Health Clinic (RHC)

Second Agreement Period

  • Performance Year 2020, $ 2,221,208

First Agreement Period

  • Performance Year 2019, $0
  • Performance Year 2018, $0
  • Performance Year 2017, $0

Second Agreement Period

  • Performance Year 2020
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 50%
2020 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-8
Risk Standardized, All Condition Readmission
15.21
15.07
ACO-38
Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions
47.55
49.50
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
0.80
0.95
ACO-13
Falls: Screening for Future Fall Risk
85.53
84.97
ACO-14
Preventive Care and Screening: Influenza Immunization
80.97
76.03
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
90.00
81.67
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
82.15
71.46
ACO-19
Colorectal Cancer Screening
74.77
72.59
ACO-20
Breast Cancer Screening
72.73
74.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83.54
83.37
ACO-40
Depression Remission at Twelve Months
25.00
13.99
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
14.38
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
73.65
72.87

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

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