Northern Territories MSSP Enhanced

ACO Participants	ACO Participant in Joint Venture
AUBURN FAMILY HEALTH CENTER PC	N
BMH INC	N
CODY CLINIC	N
COLUMBUS FAMILY PRACTICE ASSOCIATES, P.C.	N
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC	N
DAVID WISE	N
KAYLOR FAMILY MEDICINE PLLC	N
MALHEUR MEMORIAL HEALTH CENTER	N
MERCURY STREET MEDICAL GROUP PLLC	N
RIDGEVIEW FAMILY HEALTH INC	N
ROCKY MOUNTAIN FAMILY MEDICINE, LLC	N
SANDPOINT FAMILY MEDICINE PA	N
SOUTHERN HILLS FAMILY MEDICINE PROF LLC	N
THE CENTER FOR HEALTH LLC	N
TONY C ROISUM MD PA	N
YANKTON MEDICAL CLINIC PC	N

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
THOMAS	CLEARY	Medicare Beneficiary Representative/Board Member	10	Medicare Beneficiary Representative	N/A
HOLLY	DAVIS	Board Member	10	ACO Participant Representative	BMH Inc
SUSAN	FANTA	Board Member	10	ACO Participant Representative	Yankton Medical Clinic PC
RYAN	HARMON	Board Member	10	ACO Participant Representative	Community Health Center Of Central Wyoming Inc
HOLLY	HARPER	Board Member	10	ACO Participant Representative	Mercury Street Medical Group PLLC
JENNIFER	JARECKI	Board Member	10	ACO Participant Representative	Columbus Family Practice Associates, P.C.
CATHI	LEWIS	Chair/Board Member	10	Other	N/A
MATTHEW	MERZLOCK	Board Member	10	ACO Participant Representative	Tony C Roisum MD PA
ERIK	RICHARDSON	Board Member	10	ACO Participant Representative	Ridgeview Family Health Inc
MICHAEL	ZARUBA	ACO Medical Director/Board Member	10	ACO Participant Representative	Auburn Family Health Center PC
Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

Key Clinical and Administrative Leadership
- Executive Director: Cathi Lewis
- Medical Director: Michael Zaruba
- Compliance Officer: Margaret Martuszewski
- Quality Assurance / Improvement Officer: Joshua Israel
ACO Committees and Committee Leaderships
Composition of ACO
Amount of Shared Savings/Losses
First Agreement Period
- N/A
How Shared Savings are Distributed
First Agreement Period
- N/A

ACO Pre-Participation Waiver: N/A

ACO Participation Waiver:

- Parties to the arrangement: Aledade Accountable Care 151, LLC: ACO Participants

- Date of arrangement: 3/20/2024

- 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.

Committee Name	Committee Leader Name and Position
Compliance Committee	Jillyan Bacallao / Compliance Committee

ALEDADE 151 NORTHERN TERRITORIES MSSP ENHANCED