ACO Participants

  • PMA Medical Specialists, LLC

No participants are involved in a joint venture between ACO professionals and hospitals

ACO Governing Body

  • Rimmer, Timothy, Voting Member, 1, PMA Medical Specialists, LLC
  • Fiorillo, Timothy, Voting Member, 1, PMA Medical Specialists, LLC
  • Slater, Karen, Voting Member, 1, PMA Medical Specialists, LLC
  • Schwabe, Karl, Voting Member, 1, PMA Medical Specialists, LLC
  • Eisner, Joel, Voting Member, 1, PMA Medical Specialists, LLC
  • Fleischer, Leroy, Voting Member, 1, PMA Medical Specialists, LLC
  • Kovalski, Raymond, Voting Member, 1, PMA Medical Specialists, LLC
  • Sickler, John, Voting Member, 1, Medicare Beneficiary Representative, N/A
  • Mandel, Jeff, 1, Voting Member and Chair, Aledade, Inc.

Key Clinical and Administrative Leadership

  • Executive Director: Jeff Mandel, MD
  • Medical Directors: Timothy Fiorillo, DO
  • Compliance Officer: Ms. Sarah Chasson
  • Quality Assurance/Improvement Officer: Emily Maxson, MD

ACO Committees and Committee Leaderships

  • Beneficiary Engagement Committee: Dr. Joel Eisner
  • Evidence-Based Medicine Committee: Dr. Robert Shusman, Dr. Alan Keiser
  • Transitions of Care Committee: Dr. Leroy Flesicher
  • Compliance Committee: Dr. Karl Schwabe
  • Performance Improvement Committee: Dr. Karl Schwabe

Composition of ACO

  • Networks of individual practices of ACO professionals

Amount of Shared Savings/Losses

First Agreement Period

  • Performance Year 2017: $4,350,686

How Shared Savings Are Distributed

First Agreement Period

Performance Year 2017

25%

Reinvest in infrastructure

10%

Invested in redesigned care processes/resources

$2,885,659.19

Distribution to ACO Participants

100%

Primary Care Professionals

N/A

Specialists

N/A

Hospital

Quality Reporting

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 Information81.2280.6
ACO-2CAHPS: How Well Your Providers Communicate92.9593.13
ACO-3CAHPS: Patients’ Rating of Provider93.0192.31
ACO-4CAHPS: Access to Specialists86.0283.32
ACO-5CAHPS: Health Promotion and Education59.5662.3
ACO-6CAHPS: Shared Decision Making72.3975.85
ACO-7CAHPS: Health Status/Functional Status73.7973.05
ACO-34CAHPS: Stewardship of Patient Resources29.1325.68
ACO-8Risk Standardized, All Condition Readmission14.815.01
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)17.5418.46
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure85.179.16
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions67.4961.74
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))2.011.93
ACO-11Use of Certified EHR Technology10098.48
ACO-12Medication Reconciliation82.5975.32
ACO-13Falls: Screening for Future Fall Risk84.9874.38
ACO-44Imaging Studies for Low Back Pain68.9767.32
ACO-14Preventive Care and Screening: Influenza Immunization74.5972.52
ACO-15Pneumonia Vaccination Status for Older Adults76.5172.92
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up58.8670.69
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention90.5790.48
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan76.2561.98
ACO-19Colorectal Cancer Screening68.4464.58
ACO-20Breast Cancer Screening65.370.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease80.5279.89
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control21.6416.74
ACO-41Diabetes: Eye Exam39.3450.37
ACO-28Hypertension (HTN): Controlling High Blood Pressure67.4371.47
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic92.0486.86

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 16, LLC” or “Pennsylvania PMA 2017 ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A16978 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not utilize the SNF 3-Day Rule Waiver
  • Our ACO operates a “High Priority AWV Completion Challenge” view the Waiver