Pennsylvania PMA 2017 ACO
Jeff Mandel
ACO Primary Contact
215-853-6641
Locations
Locations

Aledade Accountable Care 16, LLC
4550 Montgomery Ave, Ste 95
Bethesda, MD 2081
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, PMA Medical Specialists, LLC
  • Fiorillo, Timothy, Voting Member, 1, PMA Medical Specialists, LLC
  • Slater, Karen, Voting Member, 1, PMA Medical Specialists, LLC
  • Schwabe, Karl, Voting Member, 1, PMA Medical Specialists, LLC
  • Eisner, Joel, Voting Member, 1, PMA Medical Specialists, LLC
  • Fleischer, Leroy, Voting Member, 1, PMA Medical Specialists, LLC
  • Kovalski, Raymond, Voting Member, 1, PMA Medical Specialists, LLC
  • Sickler, John, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Mandel, Jeff, 1, Voting Member and Chair, Aledade, Inc.
  • Executive Director: Jeff Mandel, MD
  • Medical Directors: Timothy Fiorillo, DO
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Emily Maxson, MD
  • Beneficiary Engagement Committee: Dr. Joel Eisner
  • Evidence-Based Medicine Committee: Dr. Robert Shusman, Dr. Alan Keiser
  • Transitions of Care Committee: Dr. Leroy Flesicher
  • Compliance Committee: Dr. Karl Schwabe
  • Performance Improvement Committee: Dr. Karl Schwabe
  • Networks of individual practices of ACO professionals

First Agreement Period
 

  • Performance Year 2017: $4,350,686

First Agreement Period | Performance Year 2017

25% - Reinvest in infrastructure

10% - Invested in redesigned care processes/resources

$2,885,659.19 - Distribution to ACO Participants

100% - Primary Care Professionals

N/A - Specialists

N/A - Hospital

 

2017 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
81.22
80.6
ACO-2
CAHPS: How Well Your Providers Communicate
92.95
93.13
ACO-3
CAHPS: Patients’ Rating of Provider
93.01
92.31
ACO-4
CAHPS: Access to Specialists
86.02
83.32
ACO-5
CAHPS: Health Promotion and Education
59.56
62.3
ACO-6
CAHPS: Shared Decision Making
72.39
75.85
ACO-7
CAHPS: Health Status/Functional Status
73.79
73.05
ACO-34
CAHPS: Stewardship of Patient Resources
29.13
25.68
ACO-8
Risk Standardized, All Condition Readmission
14.8
15.01
ACO-35
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
17.54
18.46
ACO-37
All-Cause Unplanned Admissions for Patients with Heart Failure
85.1
79.16
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
67.49
61.74
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
2.01
1.93
ACO-11
Use of Certified EHR Technology
100
98.48
ACO-12
Medication Reconciliation
82.59
75.32
ACO-13
Falls: Screening for Future Fall Risk
84.98
74.38
ACO-44
Imaging Studies for Low Back Pain
68.97
67.32
ACO-14
Preventive Care and Screening: Influenza Immunization
74.59
72.52
ACO-15
Pneumonia Vaccination Status for Older Adults
76.51
72.92
ACO-16
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
58.86
70.69
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
90.57
90.48
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
76.25
61.98
ACO-19
Colorectal Cancer Screening
68.44
64.58
ACO-20
Breast Cancer Screening
65.3
70.05
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80.52
79.89
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
21.64
16.74
ACO-41
Diabetes: Eye Exam
39.34
50.37
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
67.43
71.47
ACO-30
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
92.04
86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

in public reporting due to a non-material technical error.

For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data

Note: In the Quality Performance Results file(s) above, search for “Aledade Accountable Care 16, LLC” or “Pennsylvania PMA 2017 ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A16978 in the public use files on data.cms.gov.

Payment Rule Waivers

 

No, our ACO does not utilize the SNF 3-Day Rule Waiver.

Our ACO operates a “High Priority AWV Completion Challenge”.