Aledade A2809 Tri-State MSSP Enhanced

Jeff Mandel

ACO Primary Contact

AmpliPHY of Kentucky ACO, LLC

4550 Montgomery Ave, Ste 950N

Bethesda, MD 20814


Measure # Measure Name Collection Type Reported Performance Rate
Current Year Mean Performance Rate (SSP ACOs)
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 8.97 10.71
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 90.76 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 88.33 76.16
Quality ID# 318 Falls: Screening for Future Fall Risk CMS Web Interface 94.41 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 94.78 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 100 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 91.19 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 90.13 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 90.58 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 20 16.03
Quality ID# 321 CAHPS for MIPS [3] CAHPS for MIPS Survey N/A N/A
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] Administrative Claims 0.1373 0.151
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] Administrative Claims 27.57 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 91.84 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 95.83 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 94.39 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 79.07 77
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 65.58 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 69.31 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 72.26 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 89.03 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 94.25 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 32.39 25.62

For Previous Years’ Financial and Quality Performance Results, Please Visit


Skilled Nursing Facility (SNF) 3-Day Rule Waiver:

  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

ACO Pre-Participation Waiver:  N/A

ACO Participation Waiver: N/A