Aledade A3047 MS MSSP Enhanced
Location
Aledade Mississippi ACO, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
2022 CMS WEB INTERFACE QUALITY PERFORMANCE RESULTS
Measure
#
Measure Name
Collection Type
Reported Performance Rate
Current Year Mean Performance Rate (SSP ACOs)
Quality ID# 001
Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]
CMS Web Interface
12.13
10.71
Quality ID# 134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
CMS Web Interface
91.90
76.97
Quality ID# 236
Controlling High Blood Pressure
CMS Web Interface
58.59
76.16
Quality ID# 318
Falls: Screening for Future Fall Risk
CMS Web Interface
81.39
87.83
Quality ID# 110
Preventative Care and Screening: Influenza Immunization
CMS Web Interface
53.92
77.34
Quality ID# 226
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
CMS Web Interface
78.85
79.27
Quality ID# 113
Colorectal Cancer Screening
CMS Web Interface
62.46
75.32
Quality ID# 112
Breast Cancer Screening
CMS Web Interface
63.23
78.07
Quality ID# 438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
CMS Web Interface
89.57
86.37
Quality ID# 370
Depression Remission at Twelve Months
CMS Web Interface
21.62
16.03
Quality ID# 321
CAHPS for MIPS [3]
CAHPS for MIPS Survey
N/A
N/A
Measure# 479
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]
Administrative Claims
---
---
Measure# 484
Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]
Administrative Claims
---
---
CAHPS-1
Getting Timely Care, Appointments, and Information
CAHPS for MIPS Survey
87.50
83.96
CAHPS-2
How Well Providers Communicate
CAHPS for MIPS Survey
93.35
93.47
CAHPS-3
Patient’s Rating of Provider
CAHPS for MIPS Survey
92.73
92.06
CAHPS-4
Access to Specialists
CAHPS for MIPS Survey
88.70
77.00
CAHPS-5
Health Promotion and Education
CAHPS for MIPS Survey
62.95
62.68
CAHPS-6
Shared Decision Making
CAHPS for MIPS Survey
60.87
60.97
CAHPS-7
Health Status and Functional Status
CAHPS for MIPS Survey
70.82
73.06
CAHPS-8
Care Coordination
CAHPS for MIPS Survey
87.21
85.46
CAHPS-9
Courteous and Helpful Office Staff
CAHPS for MIPS Survey
94.48
91.97
CAHPS-11
Stewardship of Patient Resources
CAHPS for MIPS Survey
46.48
25.62
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov
PAYMENT RULE WAIVERS
Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
FRAUD AND ABUSE WAIVERS
ACO Pre-Participation Waiver: N/A
ACO Participation Waiver:
- Parties to the arrangement: Aledade Mississippi ACO, LLC
- Date of arrangement: 5/14/2024
- 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.
- To meet the quality performance standards of the MSSP.