ALEDADE 2809 COMMONWEALTH MSSP ENHANCED
Jeff Mandel
ACO Primary Contact
202-803-7979
Location
AmpliPHY of Kentucky ACO, LLC
4550 Montgomery Ave, Ste 1050N
Bethesda, MD 20814
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ACO Participants
ACO Participants ACO Participant in Joint Venture ARIBBE A. MARTIN, MD, PSC N BLUEGRASS INTERNAL MEDICINE PLLC N CENTRAL MEDICAL ASSOCIATES PLLC N CUMBERLAND FAMILY MEDICAL CENTER, INC. N DR. WILLIAM D. FELTNER PSC N GS PETER GROSS DO, PC N HAMPDEN PHYSICIAN ASSOCIATES, LLC N HEATON FAMILY PRACTICE, LLC N KURZROK FAMILY MEDICINE LLC N LACKAWANNA MEDICAL GROUP PC N MANOS FAMILY PRACTICE PC N PATEL MEDICAL CENTER PLLC N PHILADELPHIA FAMILY MEDICNE ASSOC PC N QUAKERTOWN FAMILY MEDICAL CENTER N REINHARDT FAMILY PRACTICE PC N ROBERT M. WEINSTOCK MDPC N SCALIA PRIMARY CARE PC 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 EMILY CHANSLER Medicare Beneficiary Representative/Board Member 7.69 Medicare Beneficiary Representative N/A WILLIAM FELTNER Board Member 7.69 ACO Participant Representative Dr. William D. Feltner PSC CHARLES GRAD Board Member 7.69 ACO Participant Representative Lackawanna Medical Group PC G S PETER GROSS Board Member 7.69 ACO Participant Representative GS Peter Gross DO, PC NAMRATA HALDIPUR Board Member 7.69 ACO Participant Representative Hampden Physician Associates, LLC SCOTT KURZROK Board Member 7.69 ACO Participant Representative Kurzrok Family Medicine LLC ERIC LOY Board Member 7.69 ACO Participant Representative Cumberland Family Medical Center, Inc.JEFF MANDEL Chair/Board Member 7.69 Other N/A ANTONINUS MANOS Board Member 7.69 ACO Participant Representative Manos Family Practice PC STEVEN ROBY Board Member 7.69 ACO Participant Representative Bluegrass Internal Medicine PLLC SYED RAZI P QUADRI Board Member 7.69 ACO Participant Representative Central Medical Associates PLLC JOHN FRANCIS REINHARDT ACO Medical Director/Board Member 7.69 ACO Participant Representative Reinhardt Family Practice PC GLEN ROSEN Board Member 7.69 ACO Participant Representative Robert M. Weinstock MDPC Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent. -
Key Clinical and Administrative Leadership
- Executive Director: Jeff Mandel
- Medical Director: John Reinhardt
- 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
Second Agreement Period
- Performance Year 2023, $15,139,154
- Performance Year 2022, $4,223,479
- Performance Year 2021, $4,091,797
- Performance Year 2020, $5,023,158
- Performance Year 2019-A, $1,665,855
First Agreement Period
- Performance Year 2019, N/A
- Performance Year 2018, N/A
- Performance Year 2017, N/A
- Performance Year 2016, $1,110,552
- Performance Year 2023, $15,139,154
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How Shared Savings are Distributed
Second 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%
- Performance Year 2019-A
- Proportion invested in infrastructure: 9%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 51%
First Agreement Period
- Performance Year 2019
- N/A
- Performance Year 2018
- N/A
- Performance Year 2017
- N/A
- Performance Year 2016
- Proportion invested in infrastructure: 9%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 51%
- 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: AmpliPHY of Kentucky ACO: ACO Participants
- Date of arrangement: 6/27/2024
- 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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