WV MSSP Community Health Center Enhanced
Colleen Wagner
ACO Primary Contact
202-802-6634
Locations
Locations

Aledade Accountable Care 12, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
 

ACO Participants ACO Participant in Joint Venture
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC. N
Belington Community Medical Services Association, Inc N
CAMDEN ON GAULEY MEDICAL CENTER INC N
Change, Incorporated N
Clay-Battelle Health Services Association N
LINCOLN COUNTY PRIMARY CARE CENTER INC N
Monongahela Valley Association of Health Centers, Inc. N
New River Health Association, Inc N
Rainelle Medical Center Inc N
SHENANDOAH VALLEY MEDICAL SYSTEM, INC. N
TUG RIVER HEALTH ASSOCIATION, INC. N
VALLEY HEALTH SYSTEMS, INC N
WESTERN MARYLAND HEALTH CARE CORPORATION N
WIRT COUNTY HEALTH SERVICES ASSOCIATION INC N

First Name Last Name Member Title/Position Member's Voting Power (Expressed as a percentage or number) Membership Type Practice Legal Business Name
KRISTI ATHA-RADER Board Member 1 ACO Participant Representative Rainelle Medical Center Inc
MELISSA BUDDENSEE Board Member 1 ACO Participant Representative Ammonoosuc Community Health Services Inc
VANESSA CHATTERTON Board Member/Medicare Beneficiary Representative 1 Medicare Beneficiary Representative Valley Health Systems Inc
ANDREA CLINE Board Member 1 ACO Participant Representative Tug River Health Association Inc- Gary
MICHELLE DIXON Board Member 1 ACO Participant Representative Mountain Laurel Medical Center
MARGARET HICKEY Board Member 1 ACO Participant Representative Camden Family Health
RHONDA KRUGMAN Board Member 1 ACO Participant Representative Coplin Health Systems
LISA LEACH Board Member 1 ACO Participant Representative

Southern West Virginia Health System - Lincoln County Primary Care Center Inc

LISA MOWRY Board Member 1 ACO Participant Representative Family Medical Care Community Health Center
MENA NIEMIEC Board Member/Vice Chair 1 Other Aledade
ERIC RUF Board Member 1 ACO Participant Representative Belington Medical Clinic
JOHN SCHULTZ Board Member 1 ACO Participant Representative New River Health Association
REBECCA THOMAS Board Member 1 ACO Participant Representative Clay-Battelle Health Center
MICHAEL TING LI Board Member 1 ACO Participant Representative Shenandoah Community Health
NANCY VANDERGRIFT Board Member 1 ACO Participant Representative Monongahela Valley Association of Health Centers
COLLEEN WAGNER Board Member/Chair 1 Other Aledade
MATHEW WEIMER Board Member/ACO Medical Director/Compliance Committee Lead 1 ACO Participant Representative Valley Health Systems Inc
  • ACO Executive: Ms. Colleen Wagner
  • Medical Director: Dr. Matthew Weimer
  • Compliance Officer: Ms. Amy Youtz
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson

Committee Name

Committee Leader Name and Position

Compliance Committee

Matthew Weimer / Compliance Committee Lead

Evidence-Based Medicine Committee

Matthew Weimer / Evidence-Based Medicine Committee Lead

  • Federally Qualified Health Center (FQHC)

Second Agreement Period 

  • Performance Year 2021, $4,503,556
  • Performance Year 2020, $6,184,525
  • Performance Year 2019, $4,259,380

First Agreement Period

  • Performance Year 2019, $4,259,380
  • Performance Year 2018, $0
  • Performance Year 2017, $0

Note: Our ACO participated in multiple performance years during Calendar Year 2019. 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 2021:
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2020:
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2019:
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%

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%

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
22.93
12.46
Measure #: 134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
85.67
74.38
Measure #: 236
Controlling High Blood Pressure
62.91
62.91
Measure #: 318
Falls: Screening for Future Fall Risk
66.88
87.03
Measure #: 110
Preventive Care and Screening: Influenza Immunization
61.97
80.52
Measure #: 226
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
73.33
80.97
Measure #: 113
Colorectal Cancer Screening
72.87
73.63
Measure #: 112
Breast Cancer Screening
64.67
75.11
Measure #: 438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83.79
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

Waiver for Payment for Telehealth Services:

  • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.
Fraud and Abuse Waivers