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	5.882	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