PA MSSP PMA Enhanced
Jeff Mandel
ACO Primary Contact
202-803-7979
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

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
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