PA MSSP PMA
Jeff Mandel
ACO Primary Contact
215-853-6641
Location
Location

Aledade Primary Care ACO LLC
4550 Montgomery Ave, Ste 950
Bethesda, MD 20814
202-803-7979

  • PMA MEDICAL SPECIALISTS LLC

No participants are involved in a joint venture between ACO professionals and hospitals

 

  • Rimmer, Timothy, Voting Member, 1, ACO Participant Representative,  PMA MEDICAL SPECIALISTS LLC
  • Slater, Karen, Voting Member, 1, ACO Participant Representative,  PMA MEDICAL SPECIALISTS LLC
  • Eisner, Joel, Voting Member, 1, ACO Participant Representative,  PMA MEDICAL SPECIALISTS LLC
  • Kovalski, Raymond, Voting Member, 1, ACO Participant Representative,  PMA MEDICAL SPECIALISTS LLC
  • Schwabe, Karl, Voting Member, 1, ACO Participant Representative,  PMA MEDICAL SPECIALISTS LLC
  • Fleischer, Leroy, Voting Member, 1, ACO Participant Representative,  PMA MEDICAL SPECIALISTS LLC
  • Sickler, John, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Jeff Mandel, Voting Member, 1, Chair, Other 

 

  • Executive Director: Dr. Jeff Mandel
  • Medical Director: Lee Fleischer
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Kim Lynch

 

  • Compliance Committee: Karl Schwabe
  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

 

 

  • Second Agreement Period

    • Performance Year 2019, $0

  • First Agreement Period

    • Performance Year 2018, $0
    • Performance Year 2017, $0
    • Performance Year 2016, $0
    • Performance Year 2015, $0

 

Second Agreement Period | Performance Year 2019

  • N/A - Reinvest in infrastructure
  • N/A - Invested in redesigned care processes/resources
  • N/A - Distribution to ACO Participants
  • 100% - Primary Care Professionals
  • N/A - Specialists
  • N/A - Hospital

First Agreement Period | Performance Year 2018

  • N/A - Reinvest in infrastructure
  • N/A - Invested in redesigned care processes/resources
  • N/A - Distribution to ACO Participants
  • 100% - Primary Care Professionals
  • N/A - Specialists
  • N/A - Hospital

 

First Agreement Period | Performance Year 2017 | Performance Year 2016 | Performance Year 2015

  • N/A - Reinvest in infrastructure
  • N/A - Invested in redesigned care processes/resources
  • N/A - Distribution to ACO Participants
  • 100% - Primary Care Professionals
  • N/A - Specialists
  • N/A - Hospital
2019 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
90.87
85.86
ACO-2
CAHPS: How Well Your Providers Communicate
95.30
94.11
ACO-3
CAHPS: Patients’ Rating of Provider
94.36
92.69
ACO-4
CAHPS: Access to Specialists
79.23
81.54
ACO-5
CAHPS: Health Promotion and Education
74.77
60.44
ACO-6
CAHPS: Shared Decision Making
62.07
62.78
ACO-7
CAHPS: Health Status/Functional Status
75.30
73.79
ACO-34
CAHPS: Stewardship of Patient Resources
29.18
26.17
ACO-45
CAHPS: Courteous and Helpful Office Staff
95.79
92.84
ACO-46
CAHPS: Care Coordination
88.71
86.89
ACO-8
Risk Standardized, All Condition Readmission
14.66
14.86
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
51.67
58.15
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.78
1.87
ACO-13
Falls: Screening for Future Fall Risk
97.53
84.04
ACO-14
Preventive Care and Screening: Influenza Immunization
94.08
74.77
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
78.95
78.04
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
88.92
70.40
ACO-19
Colorectal Cancer Screening
95.05
70.76
ACO-20
Breast Cancer Screening
95.95
73.84
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86.75
82.17
ACO-40
Depression Remission at Twelve Months
66.67
13.58
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
7.89
13.88
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
91.40
75.04

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

 

Note: In the Quality Performance Results file(s) above, search for “Aledade Primary Care ACO LLC” or “Pennsylvania Gateway 2017 ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A2643 in the public use files on data.cms.gov.

Payment Rule Waivers

 

Yes, our ACO does use the SNF 3-Day Rule Waiver

For any feedback or complaints about the SNF 3-Day Rule Waiver, please contact:

Our ACO operates a “High Priority AWV Completion Challenge”

Download the waiver Download the TCM waiver