ALEDADE 35 LAGNIAPPE MSSP ENHANCED
Nadine Robin
ACO Primary Contact
202-803-7979
Location
Aledade Accountable Care 35, LLC
4550 Montgomery Ave, Ste 1050N
Bethesda, MD 20814
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ACO Participants
ACO Participants ACO Participant in Joint Venture ACADIA TOTAL HEALTH LLC N BOSSIER FAMILY MEDICINE, LLC N BRIAN CLINIC, L.L.P. N CAPITAL CITY MEDICAL GROUP, L.L.C. N CENLA FAMILY MEDICINE ASSOCIATES, LLC N CHARLES E. RAY, M.D. APMC N CHESTER BOUDREAUX N CHESTER G BOUDREAUX MD INC N DR. GARY BIRDSALL MEDICAL CLINIC LLC N EDWARDS FAMILY MEDICINE A PROFESSIONAL MEDICAL CORPORATION N FAMILY DOCTOR CLINIC DRS HARRIS & MAGEE A MEDICAL CORPORATION N FREEDMAN CLINIC OF INTERNAL MEDICINE LLP N GRIFFIN FAMILY MEDICINE CLINIC N Haydel Family Practice, APMC N HEALTHPLEX FAMILY CLINIC, LLC N IMPERIAL HEALTH LLP N JAMES SOIGNET N JAMES T SOIGNET MD LLC N JENNINGS INTERNAL MEDICINE ASSOCIATES INC. N JIMMY R COUGHRAN A MEDICAL CORPORATION N LECHTENBERG AND FORET, LLC N MATTA MEDICAL CLINIC LLC N MYRIAM HUTCHINSON N SEGURA FAMILY MEDICINE N SOUTH LOUISIANA MEDICAL ASSOCIATES N THIBODAUX INTERNAL MEDICINE ASSOCIATES INC N THOMAS CHAISSON N VIDRINE COMMUNITY CLINIC, LLC N VIDRINE RURAL HEALTH 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 GARY BIRDSALL Board Member 4 ACO Participant Representative Dr. Gary Birdsall Medical Clinic CHESTER BOUDREAUX Board Member 4 ACO Participant Representative Regional Internal Medical Associates GREG BRIAN Board Member 4 ACO Participant Representative Brian Clinic LLP JIMMY COUGHRAN Board Member 4 ACO Participant Representative Jimmy R Coughran A Medical Corporation RICHARD EDWARDS Board Member 4 ACO Participant Representative Edwards Family Medicine A Professional Medical Corporation BEN FONTENOT Board Member 4 ACO Participant Representative Imperial Health, LLP RYAN FORET Board Member 4 ACO Participant Representative Lechtenberg and Foret, LLC MICHAEL GARCIA Board Member 4 ACO Participant Representative South Louisiana Medical Associates ROBERTO GARCIA Board Member 4 ACO Participant Representative Freedman Clinic of Internal Medicine LLP CHRISTOPHER GRIFFIN Board Member 4 ACO Participant Representative Griffin Family Medicine Clinic PATRICK GRIFFITH Board Member 4 ACO Participant Representative Jennings Internal Medicine Associates SUJATHA GUBBALA Board Member 4 ACO Participant Representative Matta Medical Clinic LLC MYRIAM HUTCHINSON Board Member 4 ACO Participant Representative Myriam Hutchinson JOSH HUVAL Board Member 4 ACO Participant Representative Family Doctor Clinic Drs Harris & Magee A Medical Corporation KEITH KENNEY Medicare Beneficiary Representative/Board Member 4 Medicare Beneficiary Representative N/A NICHOLAS LAHAYE Board Member 4 ACO Participant Representative Vidrine Community Clinic PATRICK LELEAUX Board Member 4 ACO Participant Representative Acadia Total Health LLC WILLIAM MARANTO Board Member 4 ACO Participant Representative Bossier Family Medicine LLC CHARLES RAY Board Member 4 ACO Participant Representative Charles E. Ray, M.D. APMC NADINE ROBIN Chair/Board Member 4 Other N/A JOHN SEGURA Board Member 4 ACO Participant Representative Segura Family Medicine JOHN SMITH Board Member 4 ACO Participant Representative Healthplex Family Clinic, LLC CYNTHIA TILLMAN Board Member 4 ACO Participant Representative Capital City Medical Group, LLC BILLY TINGLE Board Member 4 ACO Participant Representative Cenla Family Medicine Associates Llc MATTHEW WATKINS Board Member 4 ACO Participant Representative Haydel Family Practice, APMC Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent. -
Key Clinical and Administrative Leadership
- ACO Executive: Nadine Robin
- Medical Director: Kenneth Brown
- 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
Third Agreement Period
- Performance Year 2023, $12,116,803.39
- Performance Year 2022, $9,206,640
Second Agreement Period
- Performance Year 2021, $5,305,032
- Performance Year 2020, $6,527,819
First Agreement Period
- Performance Year 2019, N/A
- Performance Year 2018, N/A
- Performance Year 2023, $12,116,803.39
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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%
- Performance Year 2022
- 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 2021
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2020
- 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
- NA
- Performance Year 2018
- 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 35: ACO Participants
- Date of arrangement: 12/09/2024
- 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.