ACO Participants

  • Apple Ridge Family Medicine
  • Tyrone Hospital
  • Waynesboro Family Medical Associates,
    LLP
  • Graham Medical Clinic, C.P.
  • Keystone Rural Health Consortia, Inc.
  • Hyndman Area Health Center Inc
  • Baxter Drew Wellmon II D.O., P.C.
  • Natale J Falanga MD FACP PC
  • Montgomery Family Practice, Inc.
  • Southern Ohio Medical Inc
  • Walnut Bottom Family Practice, LLC

ACO Governing Body

  • Gallo, Gary, Voting Member, 1, ACO Participant Representative, Waynesboro Family Medical Associates, LLP
  • Falanga, Natale, Voting Member, 1, ACO Participant Representative, Natale J Falanga MD FACP PC
  • Quraishi, Sabir, Voting Member, 1, ACO Participant Representative, Southern Ohio Medical Inc.
  • Wellmon, Baxter, Voting Member, 1, ACO Participant Representative, Baxter Drew Wellmon II D.O.,P.C.
  • Smith, Talbot, Voting Member, 1, ACO Participant Representative, Apple Ridge Family Medicine
  • Peluso, John, Voting Member, 1, ACO Participant Representative, Tyrone Regional Health Network
  • Myers, Lisa, Voting Member, 1, ACO Participant Representative, Walnut Bottom Family Practice, LLC
  • Adams, Lisa, Voting Member, 1, ACO Participant Representative, Hyndman Area Health Center Inc.
  • Pion, Joseph, Voting Member, 1, ACO Participant Representative, Graham Medical Clinic,P.C.
  • Bennardi, Kristie, Voting Member, 1, ACO Participant Representative, Keystone Rural Health Consortia, Inc.
  • Kubala, Ginger, Voting Member, 1, ACO Participant Representative, Montgomery Family Practice
  • Copenhaver, Richard, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Mandel, Jeff, Voting Member, Chair Person, 1, ACO Executive, Aledade, Inc.

Key Clinical and Administrative Leadership

  • ACO Executive: Jeff Mandel, MD
  • Medical Director: Joseph Pion, DO
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Emily Maxson, MD

ACO Committees and Committee Leaderships

  • Beneficiary Engagement Committee: Dr. Ginger Kubala, Chair, Dr. Stephen Rettig
  • Performance Improvement Committee: Dr. Baxter Wellmon, Chair, Dr. Natale Falanga
  • Transitions of Care Committee: Dr. Lisa Myers, Chair, Dr. Talbot Smith
  • Compliance Committee:Kristie Bennardi, Sarah Chasson
  • Evidence-Based Medicine Committee: Dr. Victor Lahnovych, Chair, Dr. Nora Olson

Composition of ACO

  • Federally Qualified Health Center (FQHC)
  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Rural Health Clinic (RHC)

Amount of Shared Savings/Losses

First Agreement Period

  • Performance Year 2017, $3,741,517

How Shared Savings Are Distributed

First Agreement Period

Performance Year 2017

N/A

Reinvest in infrastructure

N/A

Invested in redesigned care processes/resources

N/A

Distribution to ACO Participants

100%

Primary Care Professionals

N/A

Specialists

N/A

Hospital

Quality Reporting Results

2017 Quality Performance Results:

2017 Quality Performance Results:   
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.
ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information82.0480.6
ACO-2CAHPS: How Well Your Providers Communicate93.493.13
ACO-3CAHPS: Patients’ Rating of Provider93.1992.31
ACO-4CAHPS: Access to Specialists82.9283.32
ACO-5CAHPS: Health Promotion and Education72.1462.3
ACO-6CAHPS: Shared Decision Making76.8375.85
ACO-7CAHPS: Health Status/Functional Status76.5173.05
ACO-34CAHPS: Stewardship of Patient Resources26.4925.68
ACO-8Risk Standardized, All Condition Readmission14.8315.01
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)16.9618.46
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure61.1479.16
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions51.7961.74
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))1.581.93
ACO-11Use of Certified EHR Technology10098.48
ACO-12Medication Reconciliation76.9275.32
ACO-13Falls: Screening for Future Fall Risk97.8474.38
ACO-44Imaging Studies for Low Back Pain81.8267.32
ACO-14Preventive Care and Screening: Influenza Immunization94.672.52
ACO-15Pneumonia Vaccination Status for Older Adults95.3772.92
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up7570.69
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention99.3890.48
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan87.7761.98
ACO-19Colorectal Cancer Screening90.4364.58
ACO-20Breast Cancer Screening89.8170.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease85.2979.89
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control12.6216.74
ACO-41Diabetes: Eye Exam92.8850.37
ACO-28Hypertension (HTN): Controlling High Blood Pressure82.9471.47
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic94.786.86

For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data

Note: In the Quality Performance Results file(s) above, search for “Aledade Accountable Care 15, LLC” or “Pennsylvania 2018 ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A98866 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not utilize the SNF 3-Day Rule Waiver