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 2019, $5,788,372

      Performance Year 2018, $7,504,771
    • Performance Year 2017, $4,350,686

First Agreement Period |Performance Year 2019 | Performance Year 2018 | 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

 

2019 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
88.37
85.86
ACO-2
CAHPS: How Well Your Providers Communicate
95.13
94.11
ACO-3
CAHPS: Patients’ Rating of Provider
93.10
92.69
ACO-4
CAHPS: Access to Specialists
83.61
81.54
ACO-5
CAHPS: Health Promotion and Education
64.32
60.44
ACO-6
CAHPS: Shared Decision Making
56.03
62.78
ACO-7
CAHPS: Health Status/Functional Status
73.94
73.79
ACO-34
CAHPS: Stewardship of Patient Resources
29.95
26.17
ACO-45
CAHPS: Courteous and Helpful Office Staff
91.67
92.84
ACO-46
CAHPS: Care Coordination
86.86
86.89
ACO-8
Risk Standardized, All Condition Readmission
15.03
14.86
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
59.26
58.15
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
2.12
1.87
ACO-13
Falls: Screening for Future Fall Risk
91.98
84.04
ACO-14
Preventive Care and Screening: Influenza Immunization
78.27
74.77
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
46.34
78.04
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
89.25
70.40
ACO-19
Colorectal Cancer Screening
68.21
70.76
ACO-20
Breast Cancer Screening
74.61
73.84
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81.58
82.17
ACO-40
Depression Remission at Twelve Months
18.68
13.58
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
25.24
13.88
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
80.71
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 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 A3458 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”.