Tri-State KY MSSP Enhanced
Jeff Mandel
ACO Primary Contact
202-803-7979
Location
Location

AmpliPHY of Kentucky ACO LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
 

ACO Participants ACO Participant in Joint Venture
Advanced Internal Medicine PLLC N
Dr. Butler & Associates, PLLC N
FAMILY PRACTICE ASSOCIATES OF MAYSVILLE, P.S.C. N
Four Rivers Internal Medicine PLLC N
GOLDENBERG & ASSOCIATES N
INTEGRATED MEDICAL GROUP P C N
INTERMED PA N
James Kyle Turnbo MD PSC N
JAMES N EICKHOLZ MD PSC N
Jeffrey L. Riney M.D. & Associates PLLC N
JEREMY BRADLEY N
Kyle D. Parish, MD, PSC N
LACKAWANNA MEDICAL GROUP PC N
POTTSTOWN MEDICAL SPECIALISTS INC N
Total Life Care, PLLC 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
JEREMY BRADLEY Board Member 5.882 ACO Participant Representative Jeremy Bradley
WADE BROSIUS Board Member 5.882 ACO Participant Representative

Pottstown Medical Specialists Inc

DANNY BUTLER Board Member/Compliance Committee Member 5.882 ACO Participant Representative

Dr. Butler & Associates, PLLC

LEIF CHRISTIANSEN Board Member 5.882 ACO Participant Representative

Integrated Medical Group P C

JAMES EICKHOLZ Board Member 5.882 ACO Participant Representative

James N Eickholz MD PSC

RYAN FRAZINE Board Member/ACO Medical Director 5.882 ACO Participant Representative

Advanced Internal Medicine PLLC

GEORGE GALLENSTEIN Board Member 5.882 ACO Participant Representative

Family Practice Associates Of Maysville, P.S.C.

CHARLES GRAD Board Member 5.882 ACO Participant Representative

Lackawanna Medical Group PC

PHYLLIDIA KU-RUTH Board Member 5.882 ACO Participant Representative Intermed PA
JASON LORCH Board Member 5.882 ACO Participant Representative

Four Rivers Internal Medicine PLLC

JEFF MANDEL Board Member/Chair 5.882 Other Aledade
JENNIFER NELSON Board Member 5.882 ACO Participant Representative

Total Life Care, PLLC

KYLE PARISH Board Member 5.882 ACO Participant Representative

Kyle D. Parish, MD, PSC

JEFFREY RINEY Board Member 5.882 ACO Participant Representative

Jeffrey L. Riney M.D. & Associates PLLC

SHABBIR SHAIKH Board Member 5.882 ACO Participant Representative

Goldenberg & Associates

PAT STORM Board Member/Medicare Beneficiary Representative 5.882 Medicare Beneficiary Representative N/A
JAMES TURNBO Board Member 5.882 ACO Participant Representative

James Kyle Turnbo MD PSC

 


Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

  • Executive Director: Jeff Mandel
  • Medical Director: Ryan Frazine
  • Compliance Officer: Amy Youtz
  • Quality Assurance/Improvement Officer: Emily Maxson

Committee Name Committee Leader Name and Position
Compliance Committee Danny Butler, MD / Compliance Committee Leader
  • Networks of individual practices of ACO professionals
  • Second Agreement Period 

    • Performance Year 2022, $4,223,479.50

    • Performance Year 2021, $4,091,797

    • Performance Year 2020, $5,023,158

    • Performance Year 2019, $1,665,855

  • First Agreement Period

    • Performance Year 2019, $1,665,855

    • Performance Year 2018, $0

    • Performance Year 2017, $0

    • Performance Year 2016, $1,110,552


Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Second Agreement Period

  • Performance Year 2022
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2021
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2020
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2019
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 50%

First Agreement Period 

  • Performance Year 2019
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2016
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%


Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

 

2022 Quality Performance Results
Measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 8.97 10.71
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 90.76 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 88.33 76.16
Quality ID# 318 Falls: Screening for Future Fall Risk  CMS Web Interface 94.41 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 94.78 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 100 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 91.19 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 90.13 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 90.58 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 20 16.03
Quality ID# 321 CAHPS for MIPS [3] CMS Web Interface N/A N/A
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] CMS Web Interface 0.1373 0.151
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] CMS Web Interface 27.57 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS 91.84 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS 95.83 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS 94.39 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS 79.07 77
CAHPS-5 Health Promotion and Education CAHPS for MIPS 65.58 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS 69.31 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS 72.26 73.06
CAHPS-8 Care Coordination CAHPS for MIPS 89.03 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS 94.25 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS 32.39 25.62

 

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

 

 

Fraud and Abuse Waivers

ACO Pre-Participation Waiver::  N/A

 

ACO Participation Waiver: N/A