PA MSSP Legacy + Gateway Enhanced
Jeff Mandel
ACO Primary Contact
215-853-6641
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
AMIN MEDICAL CENTER LLC N
APPLE RIDGE FAMILY MEDICINE 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
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

 

First Name Last Name Member Title/Position  Member's Voting Power (Expressed as a percentage or number) Membership Type Practice Legal Business Name
Mehul Amin   1 ACO Participant Representative AMIN MEDICAL CENTER LLC
Carol Elkins   1 ACO Participant Representative ELKINS MEDICAL PRACTICE PLLC
Sandra Knudsen   1 ACO Participant Representative GREEN AND SEIDNER FAMILY PRACTICE ASSOCIATES PC
Thomas Burkert   1 ACO Participant Representative THOMAS BURKERT
Valerie McAuley   1 ACO Participant Representative FAMILY PRACTICE ASSOCIATES OF EXTON & MARHSALLTON, P.C.
Kristie Bennardi   1 ACO Participant Representative Keystone Rural Health Consortia, Inc.
Ginger Kubala   1 ACO Participant Representative MONTGOMERY FAMILY PRACTICE INC
Lisa Myers   1 ACO Participant Representative Walnut Bottom Family Practice, LLC
Joseph Pion   1 ACO Participant Representative Graham Medical Clinic,P.C.
Timothy Rodgers   1 ACO Participant Representative PentaHealth, LLC
Jeff Mandel President, Secretary, Treasurer 1 Other Aledade
Kim Tuhy   1 ACO Participant Representative Apple Ridge Family Medicine
Michael Arbuckle   1 ACO Participant Representative FAMILY PRACTICE OF HONEY BROOK, PC
Morris Kliger   1 ACO Participant Representative LMG FAMILY PRACTICE PC
Richard Copenhaver   1 Medicare Beneficiary Representative N/A
Baxter Wellmon   1 ACO Participant Representative Baxter Drew Wellmon II D.O.,P.C.
Allan Crimm   1 ACO Participant Representative NINTH STREET INTERNAL MEDICINE ASSOCIATES LTD
Christine Meyer   1 ACO Participant Representative CHRISTINE MEYER MD LLC
Robert Detweiler   1 ACO Participant Representative
DETWEILER FAMILY MEDICINE & ASSO
Peter Gross   1 ACO Participant Representative
GS PETER GROSS DO, PC
Elizabeth Fabens   1 ACO Participant Representative GREENHOUSE INTERNISTS, PC
Tai Chi Kwok   1 ACO Participant Representative ADULT GERIATRICS OF WOOSTER INC
Michael Attanasio   1 ACO Participant Representative VINCENT E. BALDINO DO PC
Michael Overbeck   1 ACO Participant Representative MICHAEL D. OVERBECK,M.D.P.A.
  • 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-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-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
14.38
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
73.65
72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS® for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures

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.