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 Practice Legal Business Name
JEREMY BRADLEY Board Member 5 ACO Participant Representative Jeremy Bradley
WADE BROSIUS Board Member 5 ACO Participant Representative

Pottstown Medical Specialists Inc

DANNY BUTLER Board Member/Compliance Committee Member 5 ACO Participant Representative

Dr. Butler & Associates, PLLC

LEIF CHRISTIANSEN Board Member 5 ACO Participant Representative

Integrated Medical Group P C

JAMES EICKHOLZ Board Member 5 ACO Participant Representative

James N Eickholz MD PSC

RYAN FRAZINE Board Member/ACO Medical Director 5 ACO Participant Representative

Advanced Internal Medicine PLLC

GEORGE GALLENSTEIN Board Member 5 ACO Participant Representative

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

CHARLES GRAD Board Member 5 ACO Participant Representative

Lackawanna Medical Group PC

PHYLLIDIA KU-RUTH Board Member 5 ACO Participant Representative Intermed PA
JASON LORCH Board Member 5 ACO Participant Representative

Four Rivers Internal Medicine PLLC

JEFF MANDEL Board Member/Chair 12.5 Other Aledade
JENNIFER NELSON Board Member 5 ACO Participant Representative

Total Life Care, PLLC

KYLE PARISH Board Member 5 ACO Participant Representative

Kyle D. Parish, MD, PSC

JEFFREY RINEY Board Member 5 ACO Participant Representative

Jeffrey L. Riney M.D. & Associates PLLC

SHABBIR SHAIKH Board Member 5 ACO Participant Representative

Goldenberg & Associates

PAT STORM Board Member/Medicare Beneficiary Representative 12.5 Medicare Beneficiary Representative Jeremy Bradley
JAMES TURNBO Board Member 5 ACO Participant Representative

James Kyle Turnbo MD PSC

  • Executive Director: Jeff Mandel
  • Medical Director: Dr. Ryan Frazine
  • Compliance Officer: Amy Youtz
  • Quality Assurance/Improvement Officer: Dr. 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 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. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings 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 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. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019

 

2021 CMS WEB INTERFACE QUALITY PERFORMANCE RESULTS:
Measure #
Measure Name
Rate
ACO Mean
Measure #: 1
Diabetes: Hemoglobin A1c (HbA1c) Poor Control2
9.38
12.46
Measure #: 134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
95.54
74.38
Measure #: 236
Controlling High Blood Pressure
88.44
74.87
Measure #: 318
Falls: Screening for Future Fall Risk
97.22
87.03
Measure #: 110
Preventative Care and Screening: Influenza Immunization
85.38
80.52
Measure #: 226
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
100.00
80.97
Measure #: 113
Colorectal Cancer Screening
89.44
73.63
Measure #: 112
Breast Cancer Screening
90.62
75.11
Measure #: 438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81.55
84.24

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
Fraud and Abuse Waivers