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

Aledade Primary Care ACO LLC
4550 Montgomery Ave, Ste 950
Bethesda, MD 20814
 

ACO Participants ACO Participant in Joint Venture
Penn Medicine-PMA N
PMA MEDICAL SPECIALISTS 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
Joel Eisner   1 ACO Participant Representative PMA Medical Specialists, LLC
Leroy Fleische   1 ACO Participant Representative PMA Medical Specialists, LLC
Timothy Rimmer   1 ACO Participant Representative PMA Medical Specialists, LLC
Karen Slater   1 ACO Participant Representative PMA Medical Specialists, LLC
John Sickler   1 Medicare Beneficiary Representative N/A
Jeff Mandel President, Secretary, Treasurer  1 Other Aledade
Karl Schwabe   1 ACO Participant Representative PMA Medical Specialists, LLC
Raymond Kovalski   1 ACO Participant Representative PMA Medical Specialists, LLC

 

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

Committee Name Committee Leader Name and Position
Compliance Committee Sarah Chasson, Compliance Committee Chair

Networks of individual practices of ACO professionals. 

 

  • Third Agreement Period

    • Performance Year 2020, $ 7,731,029

  • 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

 

Third Agreement Period

  • Performance Year 2020
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 35%
    • Proportion of distribution to ACO participants: 55%
2020 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
0.95
0.95
ACO-13
Falls: Screening for Future Fall Risk
91.69
84.97
ACO-14
Preventive Care and Screening: Influenza Immunization
91.05
76.03
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
84.21
81.67
ACO-18
Preventive Care and Screening: Screening for Depression and Follow-up Plan
82.65
71.46
ACO-19
Colorectal Cancer Screening
96.00
72.59
ACO-20
Breast Cancer Screening
95.68
74.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83.50
86.75
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
11.95
14.70
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
85.40
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

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:

  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

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.