ALEDADE A3299 CA MSSP ENHANCED
Gavin White
ACO Primary Contact
202-803-7979
Location
Aledade Arkansas ACO, LLC
4550 Montgomery Ave, Ste 1050N
Bethesda, MD 20814
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ACO Participants
ACO Participants ACO Participant in Joint Venture ABDUL KHAN N ANDRES ARELLANO N ARUN VILLIVALAM MD INC N BAECHTEL CREEK MEDICAL CLINIC N BRYAN BENEFIEL N CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES INC N CHAITANYA N. MAHIDA M.D., INC N CHRISTI CHENG MD INC N DESERT PRIMARY CARE MEDICAL ASSOCIATES, INC. N ERIC G LEVY MEDICAL CORPORATION N ERIC R. HANSEN, D.O., PROFESSIONAL CORPORATION N FAMILY FIRST MEDICAL CARE A PROFESSIONAL CORPORATION N FCS MEDICAL CORPORATION N GILL & BISLA INTERNAL MED BISLA HARINDER GEN PTR N GOOD LIFE MEDICAL GROUP, INC. N INDROJ MEDICAL GROUP INC. N INTERNAL MEDICINE ASSOCIATES OF SANTA BARBARA A MEDICAL GROUP N INTERNAL MEDICINE SPECIALISTS INC N JAMES HORNSTEIN N JEFFREY R POLITO MD A PROFESSIONAL CORPORATION N JOHN KUNZ N KELADA PHYSICIANS GROUP INC N MARSHALL MEDICAL CENTER N MICHAEL C. BORDOFSKY MD N MIDTOWN INTERNAL MEDICINE GROUP N OKERBLOM VOEGELE AND HOLE MD A PROFESSIONAL CORPORATION N ORANGEBURG MEDICAL GROUP N PALLIATIVE CARE CONSULTANTS OF SANTA BARBARA N PETER ALAN KRAUSE MEDICAL CORPORATION N PRITHVI SHANKAR, M.D., INC N REEN MEDICAL GROUP, INC.. N RIPON FAMILY PHYSICIANS N RIVER OAKS MEDICAL GROUP INC N RIVIERA HEALTH GROUP N RONALD B BUSH MD A PROFESSIONAL CORPORATION N SANSUM CLINIC N SANTA BARBARA INTERNAL MEDICINE GROUP A MEDICAL CORPORATION N SENIORS CHOICE MEDICAL GROUP INC N SHERMAN OAKS FAMILY MEDICINE INC N SOPHIA N MIRVISS MD INC N SPRUCE MULTISPECIATLY GROUP N SUNMED HEALTH AND WEIGHT MANAGEMENT A PROFESSIONAL MED CORP N TERRY L. FRANKLIN, M.D. N THOMAS M. DAWES, JR. A MEDICAL CORPORATION N TIMOTHY LEIGH RODGERS MD A MEDICAL CORPORATION N TRAUTWEIN MEDICAL CORPORATION 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 JULIAN BECHER Board Member 2.78 ACO Participant Representative John Kunz MICHAEL BORDOFSKY Board Member 2.78 ACO Participant Representative Michael C. Bordofsky MD RONALD BUSH Board Member 2.78 ACO Participant Representative Ronald B Bush MD a Professional Corporation DONNA CASHDAN Board Member 2.78 ACO Participant Representative Sherman Oaks Family Medicine Inc EDWARD CASTRO Board Member 2.78 ACO Participant Representative FCS Medical Corporation SAMUEL CERIDON Board Member 2.78 ACO Participant Representative Marshall Medical Center CHRISTI CHENG Board Member 2.78 ACO Participant Representative Christi Cheng MD Inc THOMAS DAWES Board Member 2.78 ACO Participant Representative Thomas M. Dawes, Jr. a Medical Corporation SILVIA DIEGO Board Member 2.78 ACO Participant Representative Family First Medical Care a Professional Corporation BALJINDER GILL Board Member 2.78 ACO Participant Representative Gill & Bisla Internal Med Bisla Harinder Gen PTR ERIC HANSEN Board Member 2.78 ACO Participant Representative Eric R. Hansen, D.O., Professional Corporation HIADINA HERNANDEZ Board Member 2.78 ACO Participant Representative Sunmed Health and Weight Management a Professional Med Corp BRYCE HOLDERNESS Board Member 2.78 ACO Participant Representative Sansum Clinic DONALD HOLE Board Member 2.78 ACO Participant Representative Okerblom Voegele and Hole MD a Professional Corporation JAMES HORNSTEIN Board Member 2.78 ACO Participant Representative James Hornstein KENT HUFFORD Board Member 2.78 ACO Participant Representative Ripon Family Physicians JOHN KELADA Board Member 2.78 ACO Participant Representative Kelada Physicians Group Inc ABDUL KHAN Board Member 2.78 ACO Participant Representative Abdul Khan PETER KRAUSE Board Member 2.78 ACO Participant Representative Peter Alan Krause Medical Corporation ERIC LEVY Board Member 2.78 ACO Participant Representative Eric G Levy Medical Corporation CARLOS LOPEZ Board Member 2.78 ACO Participant Representative Internal Medicine Specialists Inc MICHAEL LYNCH Board Member 2.78 ACO Participant Representative Spruce Multispeciatly Group CHAITANYA MAHIDA Board Member 2.78 ACO Participant Representative Chaitanya N. Mahida M.D., Inc DONALD MATHESON Board Member 2.78 ACO Participant Representative Baechtel Creek Medical Clinic SOPHIA MIRVISS Board Member 2.78 ACO Participant Representative Sophia N Mirviss MD Inc JEFFREY POLITO Board Member 2.78 ACO Participant Representative Jeffrey R Polito MD a Professional Corporation RUSSELL PORTER Board Member 2.78 ACO Participant Representative Orangeburg Medical Group AMIKJIT REEN Board Member 2.78 ACO Participant Representative Reen Medical Group, Inc.. MARSHALL ROSE Medicare Beneficiary Representative/Board Member 2.78 Medicare Beneficiary Representative N/A PRITHVI SHANKAR Board Member 2.78 ACO Participant Representative Prithvi Shankar, M.D., Inc SUSAN SUEN Board Member 2.78 ACO Participant Representative Seniors Choice Medical Group Inc SAMAN TEYMOURI Board Member 2.78 ACO Participant Representative River Oaks Medical Group Inc LAURA THEIS Board Member 2.78 ACO Participant Representative Central Coast Family Care Medical Associates Inc JON UYESAKA Board Member 2.78 ACO Participant Representative Santa Barbara Internal Medicine Group a Medical Corporation ARUN VILLIVALAM Board Member 2.78 ACO Participant Representative Arun Villivalam MD Inc GAVIN WHITE Chair/Board Member 2.78 Other N/A Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent. -
Key Clinical and Administrative Leadership
- Executive Director: Gavin White
- Medical Director: Tanya Stewart
- 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 -
Amount of Shared Savings/Losses
Third Agreement Period
- Performance Year 2023, $ 26,878,901
Second Agreement Period
- Performance Year 2022, $ 5,036,310
- Performance Year 2021, $ 0
- Performance Year 2020, $4,650,038
- Performance Year 2019-A, $1,600,693
First Agreement Period
- Performance Year 2019, $1,600,693
- 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
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How Shared Savings are Distributed
Third 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%
Second Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure:10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2021
- N/A
- 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-A
- 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%
- Performance Year 2018
- N/A
- Performance Year 2017
- N/A
- N/A
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.
- Performance Year 2023
2023 CMS WEB
INTERFACE
QUALITY
PERFORMANCE
RESULTS
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 Arkansas ACO: ACO Participants
- Date of arrangement: 10/17/2024
- 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.