Aledade A2198 MI MSSP Enhanced
Dawn Johnson
ACO Primary Contact
202-803-7979
Location
Aledade Michigan ACO, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
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ACO Participants
ACO Participants
ACO Participants ACO Participant in Joint Venture Agha Internal Medicine Associates PC N Ahmad Abdel-Halim MD PLLC N Airport Family Physicians LLC N Alan Feldman DO PC N Alan P Goldberg MD PC N Alzohaili Medical Consultants MD PC N Angela Bully MD PC N Asadulla Mohammed MD PC N Ahmad Zeibo MD PLLC N B N Nandish MD PC INC N B.P. Rajesh, MD, PLLC N Barry S. Meyer, D.O., P.C. N Bloomfield Medical Center PLC N Blueberry Healthcare PC N Charles G Godoshian MD PC N Commerce Internal Medicine, P.C. N Cedar Bay Medicine PC N Damayanthi Pandrangi MD PC N Davison Medical Practice PLC N Detroit Community Health Connection, Inc N Detroit Medical Group PLLC N Dr Abdelbasit and Dr Saeed PLLC N Edwin L DeLange, DO PC N Emily D Smith MD PLLC N Eastside Internal Medicine PC N Franklin Medical Consultants, P.C. N George Nassif MD PLLC N Goodrich Medical Center PC N H Daneshvar M D P C N Healthways Michigan Group PLC N Hindi Ahmed MD PLC N Hartland Family Physicians PC N Indira Alluru MD PC N Internal Medicine Health Center PC N Jane K. Syriac MD P.C. N Jay H Sandberg DO PC N Jitendra Katneni MD PC N Joram O Mogaka MD PC N Josephine Iskander, MD PLLC N John Haapaniemi & Barry Lesser PTR, Haapaniemi Lesser Associated N Jowher Khaleel M.D. P.C. N Kamran Sheikh MD PC N Karma Internists, P.C. N Lamis, Inc. N Macomb Physicians Group PLLC N Maria E Smith MD PLC N Medical Associates PC N Michael E. Stachecki M.D., P.L.L.C. N Michael Taylor N Michigan Internal Medicine PC N Michigan Neurology Associates PC N Michigan Specialty Clinic PLLC N Muksi, LLC N Maan Askar MD, PC N Naila Ahmad MD PLC N North Valley Internal Medicine PC N Nova Medica PLLC N Norman Kakos M.D. P.C. N Park Plaza MD PC N Praveen Modi, MD, PC N Premier Medical Clinics PC N Premier Medicine PC N Priti Bhardwaj MD PC N Pulmonary and Medicine Associates N Pulsar Medical Associates PC N Pulsar Medical Group MD PC N Quarry Physicians, PC N Raghad Lepley MD PC N Rajakumari L Swamy MD PC N Reddy & Kunadi MD PLC N Rosemary M Aquiler Angeles MD PC N Saed J. Sahouri MD PLLC N Saginaw Valley Medical Center PLLC N Samasandrapalya Kiran MD PC N Satinder Kumar Aggarwal MD PC N Simed PC N Siva Sankaran MD PC N Southfield Family Practice PLLC N Southgate Medical Clinic PC N Surinder Mediratta PLLC N Sylmara E. Chatman M.D. P.C. N Sherwood Medical Center, Inc N Steven J. Serra, D.O. P.C. N T N Kakish MD PC N Tanvir I Qureshi MD PC N Universal Clinic and Urgent Care PC N Vinod Kohli MD PC N VPS of MI PLLC N Wecare Global Health Network N Yeva Soskina N -
ACO Governing Body
Member First Name
Member Last Name
Member Title/Position
Member's Voting Power
Membership Type
ACO Participant Legal Business Name and DBA
Dawn
Johnson
Chair/Board Member
8.33%
Other
N/A
Paul
MacLellan
Vice Chair/Board Member
8.33%
Other
N/A
Gordhan
Diora
Board Member
8.33%
ACO Participant Representative
Macomb Physician Group PLLC
Neil
Belgiano
Board Member
8.33%
ACO Participant Representative
North Valley Internal Medicine PC
Mark
Kopel
Board Member
8.33%
ACO Participant Representative
Hartland Family Physicians PC
Edwin
DeLange
Board Member
8.33%
ACO Participant Representative
Edwin L DeLange, DO PC
Mallory
Hilts
Medicare Beneficiary Representative/Board Member
8.33%
Medicare Beneficiary Representative
N/A
Conrad
Maitland
Board Member
8.33%
ACO Participant Representative
Sherwood Medical Center, Inc.
Praveen
Modi
Board Member
8.33%
ACO Participant Representative
Praveen Modi, MD, PC
Saed
Sahouri
Board Member
8.33%
ACO Participant Representative
Saed J Sahouri MD PLLC
Munzer
Samad
Board Member
8.33%
ACO Participant Representative
Muksi, LLC
Nabil
Suliman
Board Member
8.33%
ACO Participant Representative
Edwin L DeLange, DO PC
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Key Clinical and Administrative Leadership
Name
Title/Position
Dawn Johnson
President (ACO Executive)
Paul MacLellan
Vice President
Dr. Saed Sahouri, MD
Medical Director
Margaret Martuszewski
Compliance Officer
Jeffrey Whitten
Quality Assurance/Improvement Officer
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ACO Committees and Committee Leaderships
Committee Name Committee Leader Name and Position Quality Assurance and Improvement Lead Jeffrey Whitten, Director, Provider Relations and Analytics Medical Management Lead Dr. Saed Sahouri MD, Physician -
Composition of ACO
Networks of individual practices of ACO professionals
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Amount of Shared Savings/Losses
Fourth Agreement Period
- Performance Year 2023, $5,687,760
- Performance Year 2022, $3,637,207
Third Agreement Period
- Performance Year 2021, $0
- Performance Year 2020, $2,306,990
Second Agreement Period
- Performance Year 2019, $ 3,195,465
- Performance Year 2018, $0
- Performance Year 2017, $0
First Agreement Period
- Performance Year 2016, $ 7,303,914
- Performance Year 2015, $0
- Performance Year 2014, $5,963,625
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How Shared Savings are Distributed
Fourth Agreement Period
- Performance Year 2023
- Proportion invested in infrastructure: 35%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 55%
- Performance Year 2022
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 35%
- Proportion of distribution to ACO participants: 50%
Third Agreement Period
- Performance Year 2021
- Proportion invested in infrastructure: NA
- Proportion invested in redesigned care processes/resources: NA
- Proportion of distribution to ACO participants: NA
- Performance Year 2020
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: 52%
- Second Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 12%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: 47%
- Performance Year 2018
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2017
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
First Agreement Period
- Performance Year 2016
- Proportion invested in infrastructure: 20%
- Proportion invested in redesigned care processes/resources: 19%
- Proportion of distribution to ACO participants: 41%
- Performance Year 2015
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2014
- Proportion invested in infrastructure: 17%
- Proportion invested in redesigned care processes/resources: 7%
- Proportion of distribution to ACO participants: 46%
- Performance Year 2023
2023 CMS WEB
INTERFACE
QUALITY
PERFORMANCE
RESULTS
| Measure # | Measure Name | Reported Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
|---|---|---|---|
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] | 8.80 | 9.84 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | 86.21 | 80.97 |
| 236 | Controlling High Blood Pressure | 84.12 | 77.80 |
| 318 | Falls: Screening for Future Fall Risk | 95.64 | 89.42 |
| 110 | Preventative Care and Screening: Influenza Immunization | 68.94 | 70.76 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100.00 | 79.29 |
| 113 | Colorectal Cancer Screening | 74.74 | 77.14 |
| 112 | Breast Cancer Screening | 75.69 | 80.36 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 91.20 | 87.05 |
| 370 | Depression Remission at Twelve Months | 5.56 | 16.58 |
| 321 | CAHPS for MIPS | 5.89 | 6.25 |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | 0.1702 | 0.1553 |
| 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions | 35.39 | |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | 87.51 | 83.68 |
| CAHPS-2 | How Well Providers Communicate | 93.13 | 93.69 |
| CAHPS-3 | Patient’s Rating of Provider | 91.50 | 92.14 |
| CAHPS-4 | Access to Specialists | 75.23 | 75.97 |
| CAHPS-5 | Health Promotion and Education | 66.84 | 63.93 |
| CAHPS-6 | Shared Decision Making | 59.84 | 61.60 |
| CAHPS-7 | Health Status and Functional Status | 71.25 | 74.12 |
| CAHPS-8 | Care Coordination | 84.07 | 85.77 |
| CAHPS-9 | Courteous and Helpful Office Staff | 92.02 | 92.31 |
| CAHPS-11 | Stewardship of Patient Resources | 26.85 | 26.69 |
Fraud and Abuse Waivers
Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
• Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
ACO Pre-Participation Waiver: N/A
ACO Participation Waiver:
Parties to the arrangements: The ACO has entered into agreements with the following parties (hereafter referred to as the "Providers"):
• Ideal Home Health Services, LLC; and
• Odyssey HealthCare of Flint, LLC (d/b/a Gentiva), Odyssey HealthCare Operating B, LP (d/b/a Gentiva I), and SouthernCare, Inc. (d/b/a Gentiva Il).
Date of the arrangements: February 1, 2024
The type of item, service, good, or facility provided under the arrangements: The Providers will make payments to the ACO that will be used to defray costs incurred by the ACO to acquire and/ or develop care management software, data access and analytic tools, and other infrastructure investments and marketing expenses that support the delivery of quality care to the ACO's assigned beneficiaries.
The ACO's Board of Managers has duly authorized the arrangements and made a bona fide determination that the arrangements are reasonably related to the purposes of the Medicare Shared Savings Program because they will promote investment in infrastructure and redesigned care processes for high quality and efficient service delivery for ACO beneficiarios.