PA MSSP Legacy + Gateway Enhanced
Location
Location
Aledade Accountable Care 15, LLC
4550 Montgomery Ave, Ste 950
Bethesda, MD 20814
| ACO Participants | ACO Participant in Joint Venture |
| ADULT GERIATRICS OF WOOSTER INC | N |
| Aledade Care Solutions of Pennsylvania P.C. | N |
| AMIN MEDICAL CENTER LLC | N |
| BAXTER DREW WELLMON II D.O.,P.C. | N |
| CHRISTINE MEYER MD LLC | N |
| DETWEILER FAMILY MEDICINE & ASSO | N |
| ELKINS MEDICAL PRACTICE PLLC | N |
| FAMILY PRACTICE ASSOCIATES OF EXTON & MARSHALLTON, P.C | N |
| FAMILY PRACTICE OF HONEY BROOK, PC | N |
| GATEWAY MEDICAL ASSOCIATES PC | N |
| GRAHAM MEDICAL CLINIC,P.C. | N |
| GREEN AND SEIDNER FAMILY PRACTICE ASSOCIATES PC | N |
| GREEN HILL FAMILY PRACTICE LLC | N |
| GREENHOUSE INTERNISTS, PC | N |
| GS PETER GROSS DO, PC | N |
| KEYSTONE RURAL HEALTH CONSORTIA, INC. | N |
| LMG FAMILY PRACTICE PC | N |
| MICHAEL D. OVERBECK,M.D.P.A. | N |
| MONTGOMERY FAMILY PRACTICE INC | N |
| NINTH STREET INTERNAL MEDICINE ASSOCIATES LTD | N |
| PentaHealth, LLC | N |
| REINHARDT FAMILY PRACTICE PC | N |
| THOMAS BURKERT | N |
| VINCENT E. BALDINO DO PC | N |
| WALNUT BOTTOM FAMILY PRACTICE, LLC | N |
| Member First Name | Member Last Name | Member Title/Position | Member's Voting Power (Expressed as a percentage) | Membership Type | Practice Legal Business Name |
| MEHUL | AMIN | Board Member | 4.348 | ACO Participant Representative |
Amin Medical Center LLC |
| MICHAEL | ARBUCKLE | Board Member | 4.348 | ACO Participant Representative |
Family Practice of Honey Brook, P.C. |
| MICHAEL | ATTANASIO | Board Member | 4.348 | ACO Participant Representative |
Vincent E. Baldino DO PC |
| KRISTIE | BENNARDI | Board Member/Compliance Committee Lead | 4.348 | ACO Participant Representative |
Keystone Rural Health Consortia, Inc. |
| THOMAS | BURKERT | Board Member | 4.348 | ACO Participant Representative | Thomas Burkert |
| CLEM | CICCARELLI | Board Member | 4.348 | ACO Participant Representative |
Green Hill Family Practice LLC |
| RICHARD | COPENHAVER | Board Member/Medicare Beneficiary Representative | 4.348 | Medicare Beneficiary Representative |
N/A |
| ALLAN | CRIMM | Board Member | 4.348 | ACO Participant Representative |
Ninth Street Internal Medicine Associates LTD |
| ROBERT | DETWEILER | Board Member | 4.348 | ACO Participant Representative |
Detweiler Family Medicine & Asso |
| CAROL | ELKINS | Board Member | 4.348 | ACO Participant Representative |
Elkins Medical Practice PLLC |
| G.S. PETER | GROSS | Board Member | 4.348 | ACO Participant Representative |
GS Peter Gross DO, PC |
| MORRIS | KLIGER | Board Member | 4.348 | ACO Participant Representative |
LMG Family Practice PC |
| SANDRA | KNUDSEN | Board Member | 4.348 | ACO Participant Representative |
Green and Seidner Family Practice Associates PC |
| GINGER | KUBALA | Board Member | 4.348 | ACO Participant Representative |
Montgomery Family Practice Inc |
| TAI-CHI | KWOK | Board Member | 4.348 | ACO Participant Representative |
Adult Geriatrics of Wooster Inc |
| VICTOR | LAHNOVYCH | Board Member/ACO Medical Director | 4.348 | ACO Participant Representative |
Keystone Rural Health Consortia, Inc. |
| CHRISTOPHER | MALEY | Board Member | 4.348 | ACO Participant Representative | PentaHealth, LLC |
| JEFF | MANDEL | Board Member/Chair | 4.348 | Other | Aledade |
| CHRISTINE | MEYER | Board Member | 4.348 | ACO Participant Representative |
Christine Meyer MD LLC |
| GEORGE | OVERBECK | Board Member | 4.348 | ACO Participant Representative |
Michael D. Overbeck,M.D.P.A. |
| JOSEPH | PION | Board Member | 4.348 | ACO Participant Representative |
Graham Medical Clinic, P.C. |
| JOHN | REINHARDT | Board Member | 4.348 | ACO Participant Representative |
Reinhardt Family Practice PC |
| DREW | WELLMON | Board Member | 4.348 | ACO Participant Representative |
Baxter Drew Wellmon II D.O.,P.C. |
Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.
- ACO Executive: Jeff Mandel
- Medical Director: Victor Lahnovych
- Compliance Officer: Amy Youtz
- Quality Assurance/Improvement Officer: Emily Maxson
| Committee Name |
Committee Leader Name and Position |
| Compliance Committee |
Kristie Bennardi / Compliance Committee Leader |
| Beneficiary Engagement Committee |
Ginger Kubala / Beneficiary Engagement Committee Leader |
| Performance Improvement Committee |
Baxter Wellmon / Performance Improvement Committee Leader |
| Evidence-Based Medicine Committee |
Victor Lahnovych / Evidence-Based Medicine Committee Leader |
- 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 2022, $29,934,201.23
- Performance Year 2021, $17,394,295
- 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 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%
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 | 10.73 | 10.71 |
| Quality ID# 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 86.12 | 76.97 |
| Quality ID# 236 | Controlling High Blood Pressure | CMS Web Interface | 87.3 | 76.16 |
| Quality ID# 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 90.37 | 87.83 |
| Quality ID# 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 81.27 | 77.34 |
| Quality ID# 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 64.71 | 79.27 |
| Quality ID# 113 | Colorectal Cancer Screening | CMS Web Interface | 84.52 | 75.32 |
| Quality ID# 112 | Breast Cancer Screening | CMS Web Interface | 86.02 | 78.07 |
| Quality ID# 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 89.91 | 86.37 |
| Quality ID# 370 | Depression Remission at Twelve Months | CMS Web Interface | 17.24 | 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 | 0.1481 | 0.151 |
| Measure# 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | CMS Web Interface | 28.48 | 30.97 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS | 90.45 | 83.96 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS | 95.32 | 93.47 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS | 92.76 | 92.06 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS | 76.95 | 77 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS | 67.58 | 62.68 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS | 64.07 | 60.97 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS | 74.55 | 73.06 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS | 85.68 | 85.46 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS | 94.04 | 91.97 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS | 25.15 | 25.62 |
FRAUD AND ABUSE WAIVERS
ACO Pre-Participation Waiver:: N/A
ACO Participation Waiver: N/A