ALEDADE A2918 LA MSSP ENHANCED
Nadine Robin
ACO Primary Contact
202-803-7979
Location
Aledade Louisiana ACO, LLC
4550 Montgomery Ave, Ste 1050N
Bethesda, MD 20814
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ACO Participants
ACO Participants ACO Participant in Joint Venture ACADIANA FAMILY MEDICAL ASSOCIATES, LLC N ACADIANA PEDIATRICS, L.L.C. N ALEDADE CARE SOLUTIONS OF VIRGINIA N ANDREW T DAVIES MD LLC N BARNUM INTERNAL MEDICINE N BRAUD FAMILY PRACTICE LLC N BRIAN N. HEINEN MD, APMC N BRYAN A. LEBEAN, SR., M.D.APMC N CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT N CROWLEY PRIMARY CARE LLC N DARRIN MENARD N ERIC FONTENOT MD INTERNAL MEDICINE GROUP LLC N FAMILY MEDICINE CLINIC N FAMILY MEDICINE OF ACADIANA LLC N FAMILY PRACTICE CENTER OF SULPHUR, LLC N FUSELIER HEALTHCARE SERVICES LLC N GEOFFREY A. MIRE, MD INC N HEINEN MEDICAL CLINICS LLC N KATHLEEN E KAUTZ MD MEDICAL CORPORATION N KEN THOMAS MD LLC N LAFAYETTE INTERNAL MEDICINE CLINIC, LLC N LAHASKY MEDICAL CLINIC, APMC N LANNAN FAMILY PRACTICE, LLC N MAPLEWOOD FAMILY MEDICINE CLINIC N NATCHITOCHES MEDICAL SPECIALISTS N STEPHEN SALOPEK MD LLC N SW LOUISIANA INTERNAL MEDICINE LLC N THE FAMILY CARE CENTER OF SOUTHWEST LOUISIANA, LLC N THE FAMILY CLINIC OF CROWLEY, INC N WARREN J. DEGATUR, JR. MD INC 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 STEPHEN CANNON Board Member 4 ACO Participant Representative Crowley Primary Care LLC EDWARD COREIL Board Member 4 ACO Participant Representative SW Louisiana Internal Medicine LLC ANDREW DAVIES Board Member 4 ACO Participant Representative Andrew T Davies MD LLC MARK DAWSON Board Member 4 ACO Participant Representative Acadiana Pediatrics, L.L.C. BENJAMIN DEGATUR Board Member 4 ACO Participant Representative Warren J. Degatur, Jr. MD Inc MARNE DEVILLIER Board Member 4 ACO Participant Representative Maplewood Family Medicine Clinic DANIELLE DUHON Board Member 4 ACO Participant Representative Family Medicine of Acadiana LLC ERIC FONTENOT Board Member 4 ACO Participant Representative Eric Fontenot Md Internal Medical Group Llc KELLY FUQUA Board Member 4 ACO Participant Representative Calcasieu Cameron Hospital Service District WENDY FUSELIER Board Member 4 ACO Participant Representative Fuselier Healthcare Services LLC JODY GEORGE Board Member 4 ACO Participant Representative The Family Care Center of Southwest Louisiana, LLC JOSE GONZALES Board Member 4 ACO Participant Representative Family Practice Center of Sulphur, LLC JADE HEINEN Board Member 4 ACO Participant Representative Brian N. Heinen MD, APMC KATHLEEN KAUTZ Board Member 4 ACO Participant Representative Kathleen E. Kautz MD Medical Corporation KARRIE KILGORE Board Member 4 ACO Participant Representative The Family Clinic of Crowley, Inc RONALD LAHASKY Board Member 4 ACO Participant Representative Lahasky Medical Clinic, APMC BRYAN LEBEAN Board Member 4 ACO Participant Representative Bryan A. LeBean Sr., M.D. APMC JOSE MATA Board Member 4 ACO Participant Representative Family Medicine Clinic DARRIN MENARD ACO Medical Director/Board Member 4 ACO Participant Representative Darrin Menard BRYAN PICOU Board Member 4 ACO Participant Representative Natchitoches Medical Specialists THOMAS POWERS Medicare Beneficiary Representative/Board Member 4 Medicare Beneficiary Representative N/A GREGORY RIGGS Board Member 4 ACO Participant Representative Lafayette Internal Medicine Clinic, LLC NADINE ROBIN Chair/Board Member 4 Other N/A STEPHEN SALOPEK Board Member 4 ACO Participant Representative Stephen Salopek MD LLC KEN THOMAS Board Member 4 ACO Participant Representative Ken Thomas MD LLC Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent. -
Key Clinical and Administrative Leadership
- Executive Director: Nadine Robin
- Medical Director: Darrin Menard
- 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, $22,567,001
- Performance Year 2022, $19,281,070
- Performance Year 2021, $15,518,571
- Performance Year 2020, $14,352,134
- Performance Year 2019-A, $6,711,689
First Agreement Period
- Performance Year 2019, $2,901,231
- Performance Year 2018, $3,327,294
- Performance Year 2017, N/A
- Performance Year 2016, N/A
- Performance Year 2023, $22,567,001
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How Shared Savings are Distributed
Second Agreement Period
- Performance Year 2023
- Proportion invested in infrastructure: 9%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 51%
- Performance Year 2022
- Proportion invested in infrastructure: 9%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 51%
- Performance Year 2021
- Proportion invested in infrastructure: 9%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 51%
- Performance Year 2020
- Proportion invested in infrastructure: 9%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 51%
- Performance Year 2019-A
- Proportion invested in infrastructure: 9%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 51%
First Agreement Period
- Performance Year 2019
Proportion invested in infrastructure: 9%
Proportion invested in redesigned care processes/resources: 40%
Proportion of distribution to ACO participants: 51% - Performance Year 2018
Proportion invested in infrastructure: 9%
Proportion invested in redesigned care processes/resources: 40%
Proportion of distribution to ACO participants: 51% - Performance Year 2017
- N/A
- Performance Year 2016
- 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: Aledade Louisiana ACO, LLC: ACO Participants
- Date of arrangement: 12/11/2024
- 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.