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 2018, $7,504,771

    • Performance Year 2017, $4,350,686

First Agreement Period | 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

 

2018 Quality Performance Results:
ACO#
Measure Name
Rate
ACO Mean
ACO-1
CAHPS: Getting Timely Care, Appointments, and Information
87.18
86.14
ACO-2
CAHPS: How Well Your Providers Communicate
93.63
93.93
ACO-3
CAHPS: Patients’ Rating of Provider
93.01
92.45
ACO-4
CAHPS: Access to Specialists
81.55
81.50
ACO-5
CAHPS: Health Promotion and Education
65.55
59.26
ACO-6
CAHPS: Shared Decision Making
60.05
61.94
ACO-7
CAHPS: Health Status/Functional Status
73.17
73.35
ACO-34
CAHPS: Stewardship of Patient Resources
28.57
26.26
ACO-8
Risk Standardized, All Condition Readmission
14.82
14.98
ACO-35
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
18.13
18.59
ACO-36
All-Cause Unplanned Admissions for Patients with Diabetes
34.98
37.01
ACO-37
All-Cause Unplanned Admissions for Patients with Heart Failure
74.04
76.75
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
62.85
59.00
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
2.67
1.98
ACO-11
Use of Certified EHR Technology
100
98.20
ACO-12
Medication Reconciliation
96.52
85.91
ACO-13
Falls: Screening for Future Fall Risk
92.55
79.73
ACO-44
Imaging Studies for Low Back Pain
47.37
64.36
ACO-14
Preventive Care and Screening: Influenza Immunization
65.06
72.71
ACO-15
Pneumonia Vaccination Status for Older Adults
87.31
75.97
ACO-16
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
79.94
76.83
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
56.25
72.81
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
87.46
66.74
ACO-19
Colorectal Cancer Screening
68.11
68.27
ACO-20
Breast Cancer Screening
67.39
71.96
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80.12
81.47
ACO-27
Diabetes Mellitus: Hemoglobin A1c Poor Control
18.18
15.51
ACO-41
Diabetes: Eye Exam
57.58
52.42
ACO-28
Hypertension (HTN): Controlling High Blood Pressure
76.47
73.10
ACO-30
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
92.54
88.92

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”.