Aledade 94 VA MSSP Enhanced

Kevin Van Dyke

ACO Primary Contact
202-803-7979
Location

Aledade Accountable Care 94, LLC

4550 Montgomery Ave, Ste 950N

Bethesda, MD 20814

2022 CMS WEB INTERFACE QUALITY PERFORMANCE RESULTS
Quality Measures table { width: 100%; border-collapse: collapse; } th, td { border: 1px solid black; padding: 8px; text-align: left; } th { background-color: #f2f2f2; }
Measure # Quality Measure Name Collection Type Rate Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 10.10 10.71
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 88.18 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 73.58 76.16
Quality ID# 318 Falls: Screening for Future Fall Risk CMS Web Interface 87.30 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 84.73 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 76.92 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 80.78 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 76.57 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 92.34 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 26.67 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 0.1526 0.1510
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] Administrative Claims 31.66 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 89.88 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 93.93 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 92.15 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 74.72 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 62.67 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 62.01 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 76.09 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 89.33 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 93.44 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 23.96 25.62

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

FRAUD AND ABUSE WAIVERS

ACO Pre-Participation Waiver:  N/A

ACO Participation Waiver:

– Parties to the arrangement: AAC 94, LLC
– Date of arrangement: 12/13/2023
– 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).

The ACO will make payments as necessary to Participants in the ACO to reimburse the staffing costs required to complete certain value based care activities, which includes: 

a) Conduct outreach to patients.

b) Contact patients recently discharged from a hospital emergency department or inpatient/outpatient status to assess if needs were met and schedule a follow up visit with their primary care physician if needed.

c) Contact patients who have not been seen by their primary care physician in 6-12 months (depending on chronic conditions) and schedule annual wellness or other diagnostically appropriate appointments.

d) Contact patients who are new to the Medicare program and schedule a “Welcome to Medicare” visit.

e) Implement and routinize use of the Aledade application to provide insights into patient health, diagnosis coding opportunities, and visibility into the total cost of patient care.

f) Reviewing the “care gap worklist” in the Aledade App to apprise patients of test results, conducting outreach to patients to schedule preventive screenings, and follow up with patients concerning medication adherence concerns.

g) Support accurate and complete diagnosis documentation and coding.