ALEDADE 59 AR MSSP ENHANCED
Nadine Robin
ACO Primary Contact
202-803-7979
Location
Aledade Accountable Care 59, LLC
4550 Montgomery Ave, Ste 1050N
Bethesda, MD 20814
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ACO Participants
ACO Participants ACO Participant in Joint Venture CARDIOLOGY ASSOCIATES OF JONESBORO, INC N CORNERSTONE MEDICAL GROUP, PLLC N DOCTORS HEALTH GROUP, INC N FAMILY PRACTICE CLINIC OF PARAGOULD N LAWRENCE COUNTY FAMILY CLINIC, PA N MAIN STREET MEDICAL CLINIC, P.A. N MONFEE MEDICAL CLINIC N NOYDEEN SISTERS MEDICAL GROUP & CLINICS INC N S A HALL M D PA N ST BERNARDS PHYSICIAN CLINICS INC N ST. BERNARDS CLINICS INC N THE KIRKLAND FAMILY MEDICAL CENTER PA N TOTEM HEALTH PLLC N WESTSIDE FAMILY CLINIC LLC N WHITE RIVER HEALTH SYSTEM INC N WILLIAM H. FREEMAN, M.D., P.A. N WYNNE PHYSICIANS CLINIC LLC N -
ACO Governing Body
Member First Name Member Last Name Member Title/Position Member's Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, If Applicable AHMED ALI Board Member 7.69 ACO Participant Representative Noydeen Sisters Medical Group & Clinics Inc JEFF BOSOLD Board Member 7.69 ACO Participant Representative Westside Family Clinic LLC DONNA BURROUGH Board Member 7.69 ACO Participant Representative The Kirkland Family Medical Center PA WILLIAM FREEMAN ACO Medical Director/Board Member 7.69 ACO Participant Representative William H. Freeman, M.D., P.A. SCOTT HALL Board Member 7.69 ACO Participant Representative S A Hall M D PA GINGER HYDE Board Member 7.69 ACO Participant Representative Family Practice Clinic Of Paragould JOSH JENKINS Board Member 7.69 ACO Participant Representative St. Bernards Clinics Inc MITCHELL KEEL Board Member 7.69 ACO Participant Representative White River Health System Inc KAYE MAHAR Board Member 7.69 ACO Participant Representative Cornerstone Medical Group, PLLC ADAM MCCALL Board Member 7.69 ACO Participant Representative Totem Health PLLC JACQUELINE ROBERTS Medicare Beneficiary Representative/Board Member 7.69 Medicare Beneficiary Representative N/A NADINE ROBIN Chair/Board Member 7.69 Other N/A SHERYL WILCHMAN Board Member 7.69 ACO Participant Representative Main Street Medical Clinic, P.A. Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent. -
Key Clinical and Administrative Leadership
- Executive Director: Nadine Robin
- Medical Director: William Freeman
- Compliance Officer: Margaret Martuszewski
- Quality Assurance / Improvement Officer: Joshua Israel
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ACO Committees and Committee Leaderships
Committee Name Committee Leader Name and Position Compliance Committee Jillyan Bacallao / Compliance Committee -
Composition of ACO
Networks of individual practices of ACO professionals
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Amount of Shared Savings/Losses
Second Agreement Period
- Performance Year 2023, $7,263,678
- Performance Year 2022, $3,566,449
First Agreement Period
- Performance Year 2021, $766,787
- Performance Year 2020, N/A
- Performance Year 2023, $7,263,678
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How Shared Savings are Distributed
Second Agreement Period
- Performance Year 2023
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2022
- 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 2021
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2020
- N/A
- Performance Year 2023
2023 CMS WEB
INTERFACE
QUALITY
PERFORMANCE
RESULTS
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:
- Parties to the arrangement: AAC 59: ACO Participants
- Date of arrangement: 11/20/2024
- Items, services, goods, or facility provided:
· To subsidize the cost of Recipients’ transition to an electronic health records system and to otherwise support other investments in technological infrastructure and redesigned care processes that will enable Recipients to provide better care coordination for patients, including MSSP Beneficiaries.
· To assist Recipients in operating their clinical practices and providing coordinated care for the ACO Medicare population, which includes without limitation, subsidizing staffing and overtime expenses.
· To enable Recipients’ improvement in accurate and complete record-keeping, submission, and validation (including diagnosis documentation and coding).
· To better align Recipients with the overarching purpose of the MSSP, called the “Triple Aim”— better health for populations, better care for individuals, and lower growth in healthcare expenditures.
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To meet the quality performance standards of the MSSP.