Tri-State KY MSSP Enhanced

Jeff Mandel

ACO Primary Contact

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	5.88235294	ACO Participant Representative	Jeremy Bradley
WADE	BROSIUS	Board Member	5.88235294	ACO Participant Representative	Pottstown Medical Specialists Inc
DANNY	BUTLER	Board Member/Compliance Committee Member	5.88235294	ACO Participant Representative	Dr. Butler & Associates, PLLC
LEIF	CHRISTIANSEN	Board Member	5.88235294	ACO Participant Representative	Integrated Medical Group P C
JAMES	EICKHOLZ	Board Member	5.88235294	ACO Participant Representative	James N Eickholz MD PSC
RYAN	FRAZINE	Board Member/ACO Medical Director	5.88235294	ACO Participant Representative	Advanced Internal Medicine PLLC
GEORGE	GALLENSTEIN	Board Member	5.88235294	ACO Participant Representative	Family Practice Associates Of Maysville, P.S.C.
CHARLES	GRAD	Board Member	5.88235294	ACO Participant Representative	Lackawanna Medical Group PC
PHYLLIDIA	KU-RUTH	Board Member	5.88235294	ACO Participant Representative	Intermed PA
JASON	LORCH	Board Member	5.88235294	ACO Participant Representative	Four Rivers Internal Medicine PLLC
JEFF	MANDEL	Board Member/Chair	5.88235294	Other	Aledade
JENNIFER	NELSON	Board Member	5.88235294	ACO Participant Representative	Total Life Care, PLLC
KYLE	PARISH	Board Member	5.88235294	ACO Participant Representative	Kyle D. Parish, MD, PSC
JEFFREY	RINEY	Board Member	5.88235294	ACO Participant Representative	Jeffrey L. Riney M.D. & Associates PLLC
SHABBIR	SHAIKH	Board Member	5.88235294	ACO Participant Representative	Goldenberg & Associates
PAT	STORM	Board Member/Medicare Beneficiary Representative	5.88235294	Medicare Beneficiary Representative	Jeremy Bradley
JAMES	TURNBO	Board Member	5.88235294	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

Measure #: 321

CAHPS for MIPS3

N/A

Measure #: 479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

0.1421

0.1540

Measure #: MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2

31.25

33.94

CAHPS-1

Getting Timely Care, Appointments, and Information

92.15

84.67

CAHPS-2

How Well Providers Communicate

96.72

93.56

CAHPS-3

Patient’s Rating of Provider

95.38

92.19

CAHPS-4

Access to Specialists

85.19

78.80

CAHPS-5

Health Promotion and Education

60.32

61.61

CAHPS-6

Shared Decision Making

67.70

60.89

CAHPS-7

Health Status and Functional Status

73.96

71.78

CAHPS-8

Care Coordination

90.55

85.66

CAHPS-9

Courteous and Helpful Office Staff

95.36

91.88

CAHPS-11

Stewardship of Patient Resources

31.86

24.71

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

Skilled Nursing Facility (SNF) 3-Day Rule Waiver: N/A

Waiver for Payment for Telehealth Services: N/A

Fraud and Abuse Waivers

ACO Pre-Participation Waiver:: N/A

ACO Participation Waiver: N/A