ALEDADE A2643 MO IA MSSP ENHANCED
Karen Duncan
ACO Primary Contact
202-803-7979
Location
Aledade Primary Care ACO, LLC
4550 Montgomery Ave, Ste 1050N
Bethesda, MD 20814
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ACO Participants
ACO Participants ACO Participant in Joint Venture ALAN STRUTH N AMANA FAMILY PRACTICE CLINIC, PC N ATLANTA ROPHEKA MEDICAL CENTER PC N BLUE SPRINGS FAMILY CARE PC N CAPE FAMILY CARE LLC N CITIZENS MEMORIAL HEALTHCARE N CONWAY FAMILY CLINIC, INC. N CYNTHIA CHAMBLESS M.D. LLC N DAVE JAIN D.O.P.C. N DUBUQUE INTERNAL MEDICINE PC N ISIDRO G DELEON DO PA N JACKSON MEDICAL CENTER PC N JAMES DELINE N JOSEPH HAZAN, INC N MARTIN MCCLINTOCK N MCPHERSON MEDICAL & DIAGNOSTIC LLC N MEDSTOP ONE INC N MIDWEST MEDICAL CLINIC LLC N NEWTON CLINIC PC N OM SAKTHI P.A. N PEDIATRICS AND ADULT MEDICINE INC. N PROBST BEHM CLANCY OBGYN SERV PC N ROBERT D TAGUE MD PC N SACRY FAMILY MEDICINE PC N SAMUEL K TURNER DO PC N SCOTT CITY MEDICAL CLINIC LLC N SIOUXLAND ADULT MEDICINE, PLLC N SKB LLC N SOUTHERN PRIMARY CARE, LLC N ST LOUIS MEDICAL CLINIC, P.C. N TABLE ROCK FAMILY CARE CLINIC LLC N WATERFORD FAMILY MEDICINE PC N WILLIAM SCHULTE 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 PHILLIP BRICK Board Member 11.11 Other St Louis Medical Clinic, P.C. KAREN DUNCAN Chair/Board Member 11.11 ACO Participant Representative N/A LOUIS HARRIS Board Member 11.11 ACO Participant Representative Citizens Memorial Healthcare HELEN HEADRICK Medical Beneficiary Representative/Board Member 11.11 ACO Participant Representative N/A ELIZABETH MOMANY Board Member 11.11 ACO Participant Representative Amana Family Practice Clinic, PC BRIAN NELSON ACO Medical Director/Board Member 11.11 Medicare Beneficiary Representative Dubuque Internal Medicine PC JAYESH PATEL Board Member 11.11 ACO Participant Representative Southern Primary Care, LLC MARK THAYER Board Member 11.11 ACO Participant Representative Newton Clinic PC TAMMY WELLS Board Member 11.11 ACO Participant Representative Waterford Family Medicine PC Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent. -
Key Clinical and Administrative Leadership
- Executive Director: Karen Duncan
- Medical Director: Brian Nelson
- 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, $5,728,705
- Performance Year 2022, $7,690,009
- Performance Year 2021, $9,245,805
- Performance Year 2020, $7,731,028
Second Agreement Period
- Performance Year 2019, $0
- Performance Year 2018, $0
First Agreement Period
- Performance Year 2017, N/A
- Performance Year 2016, N/A
- Performance Year 2015, N/A
- Performance Year 2023, $5,728,705
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How Shared Savings are Distributed
Third 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%
Second Agreement Period
- Performance Year 2019
- N/A
- Performance Year 2018
- N/A
First Agreement Period
- Performance Year 2017
- N/A
- Performance Year 2016
- N/A
- Performance Year 2015
- 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
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 Primary Care ACO, LLC: ACO Participants
- Date of arrangement: 6/18/2024
- 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.
- To meet the quality performance standards of the MSSP.
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