PA MSSP PMA Enhanced

Jeff Mandel

ACO Primary Contact

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

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as a percentage)	Membership Type	ACO Participant Legal Business Name
MARK	BROWN	Board Member	8.33333333	ACO Participant Representative	Penn Medicine-PMA
JONATHAN	BUSSENGER	Board Member	8.33333333	ACO Participant Representative	Penn Medicine-PMA
CHRIS	DIDOMENICO	Board Member/Medicare Beneficiary Representative	8.33333333	Medicare Beneficiary Representative	Penn Medicine-PMA
JOEL	EISNER	Board Member	8.33333333	ACO Participant Representative	Penn Medicine-PMA
LEROY	FLEISCHER	Board Member/ACO Medical Director	8.33333333	ACO Participant Representative	Penn Medicine-PMA
JEFF	MANDEL	Board Member/Chair	8.33333333	Other	Aledade
MANJULA	RAMAN	Board Member	8.33333333	ACO Participant Representative	Penn Medicine-PMA
KARL	SCHWABE	Board Member/Compliance Committee Lead	8.33333333	ACO Participant Representative	Penn Medicine-PMA
ROY	SCHWARTZ	Board Member	8.33333333	ACO Participant Representative	Penn Medicine-PMA
CHARLES	SCHWARTZ	Board Member	8.33333333	ACO Participant Representative	Penn Medicine-PMA
JILLIAN	WAWRZYNIAK	Board Member	8.33333333	ACO Participant Representative	Penn Medicine-PMA
YORK	YANG	Board Member	8.33333333	ACO Participant Representative	Penn Medicine-PMA

Executive Director: Dr. Jeff Mandel
Medical Director: Leroy Fleischer
Compliance Officer: Ms. Amy Youtz
Quality Assurance/Improvement Officer: Emily Maxson

Committee Name	Committee Leader Name
Compliance Committee	Karl Schwabe / Compliance Committee Leader

Networks of individual practices of ACO professionals.

Third Agreement Period
- Performance Year 2021, $ 9,245,805
- 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 2021
- Proportion invested in infrastructure: 20%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 50%
Performance Year 2020
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 35%
- Proportion of distribution to ACO participants: 55%

2021 CMS WEB INTERFACE QUALITY PERFORMANCE RESULTS:

Measure #

Measure Name

Rate

ACO Mean

Measure #: 1

Diabetes: Hemoglobin A1c (HbA1c) Poor Control2

20.70

12.46

Measure #: 134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

89.46

74.38

Measure #: 236

Controlling High Blood Pressure

77.02

74.87

Measure #: 318

Falls: Screening for Future Fall Risk

94.14

87.03

Measure #: 110

Preventative Care and Screening: Influenza Immunization

82.50

80.52

Measure #: 226

Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

27.27

80.97

Measure #: 113

Colorectal Cancer Screening

77.54

73.63

Measure #: 112

Breast Cancer Screening

70.77

75.11

Measure #: 438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81.75

84.24

Measure #: 321

CAHPS for MIPS3

N/A

Measure #: 479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

0.1641

0.1540

Measure #: MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2

37.40

33.94

CAHPS-1

Getting Timely Care, Appointments, and Information

88.21

84.67

CAHPS-2

How Well Providers Communicate

94.70

93.56

CAHPS-3

Patient’s Rating of Provider

93.41

92.19

CAHPS-4

Access to Specialists

74.99

78.80

CAHPS-5

Health Promotion and Education

66.57

61.61

CAHPS-6

Shared Decision Making

58.54

60.89

CAHPS-7

Health Status and Functional Status

74.93

71.78

CAHPS-8

Care Coordination

86.30

85.66

CAHPS-9

Courteous and Helpful Office Staff

89.82

91.88

CAHPS-11

Stewardship of Patient Resources

23.81

24.71

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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

Payment Rule Waivers

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

Waiver for Payment for Telehealth Services: N/A

FRAUD AND ABUSE WAIVERS

ACO Pre-Participation Waiver:: N/A

ACO Participation Waiver: N/A