ALEDADE A2920 WV MSSP ENHANCED
Ashley Austin
ACO Primary Contact
202-803-7979
Location
Aledade West Virginia ACO, LLC
4550 Montgomery Ave, Ste 1050N
Bethesda, MD 20814
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ACO Participants
ACO Participants ACO Participant in Joint Venture ADVANCED FAMILY PRACTICE, PLLC N ALEDADE CARE SOLUTIONS OF GEORGIA, PC N CHESAPEAKE MEDICAL CENTER, PLLC N CROSS LANES INTERNAL MEDICINE GROUP INC N DUNBAR MEDICAL ASSOCIATES PLLC N FAMILY HEALTH ASSOCIATES OF THE KANAWHA VALLEY PLLC N FINBAR POWDERLY N HEALTHY HABITS WELLNESS CTR, INC N KANAWHA MEDICAL CENTER INC N MOUNTAIN STATE MEDICAL ASSOCIATES PLLC N MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC N PATEL INC N PRESTIGE PRIMARY CARE ASSOCIATES PLLC N ROBERT JONES N SATHISH & RADHA INTERNAL MEDICINE GROUP LTD N SPRING HILL PRIMARY CARE PHYSICIANS PLLC N WARD PAINE, MD, PLLC N WAYT HEALTH CARE, PLLC N WILLIAMS FAMILY PRACTICE PLLC N WV PRIMARY CARE INC 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 GHALI BACHA Board Member 4.76 ACO Participant Representative Chesapeake Medical Center, PLLC JULIE DETEMPLE Board Member 4.76 ACO Participant Representative Family Health Associates of The Kanawha Valley PLLC JOSEPH DONZELLA Board Member 4.76 ACO Participant Representative Advanced Family Practice, PLLC KELLI DUMM Board Member 4.76 ACO Participant Representative Mountain State Medical Associates PLLC THOPSIE JAGANNATH Board Member 4.76 ACO Participant Representative Kanawha Medical Center Inc ROBERT JONES Board Member 4.76 ACO Participant Representative Robert Jones JOHN LILLY Board Member 4.76 ACO Participant Representative Dunbar Medical Associates PLLC JON MILLER Board Member 4.76 ACO Participant Representative Healthy Habits Wellness Ctr, Inc F. SCOTT MOORE Board Member 4.76 ACO Participant Representative Prestige Primary Care Associates PLLC WARD PAINE Board Member 4.76 ACO Participant Representative Ward Paine, MD, PLLC ROHIT PATEL Board Member 4.76 ACO Participant Representative Patel Inc FINBAR POWDERLY Board Member 4.76 ACO Participant Representative Finbar Powderly KUKKILLAYA RADHAKRISHNA Board Member 4.76 ACO Participant Representative Sathish & Radha Internal Medicine Group LTD MEREDITH RICE Medicare Beneficiary Representative/Board Member 4.76 Medicare Beneficiary Representative N/A ASHISH SHETH Board Member 4.76 ACO Participant Representative WV Primary Care Inc CHRISTOPHER SKAGGS Board Member 4.76 ACO Participant Representative Spring Hill Primary Care Physicians PLLC PHILLIP TRIPLETT Board Member 4.76 ACO Participant Representative Mountain State Medicine and Rheumatology PLLC ARVIND VIRADIA Board Member 4.76 ACO Participant Representative Cross Lanes Internal Medicine Group Inc COLLEEN WAGNER Chair/Board Member 4.76 Other N/A MICHAEL WAYT Board Member 4.76 ACO Participant Representative Wayt Health Care, PLLC JEREMY WILLIAMS Board Member 4.76 ACO Participant Representative Williams Family Practice PLLC Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent. -
Key Clinical and Administrative Leadership
- Executive Director: Colleen Wagner
- Medical Director: Jonathan Lilly
- 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 Dr. Jonathan Lilly / Beneficiary Engagement Committee Lead Beneficiary Engagement Committee Dr. Jonathan Lilly / Beneficiary Engagement Committee Lead
Transitions of Care Committee
Dr. Franklin Moore /Transitions of Care Committee Lead
Evidence-Based Medicine Committee
Dr. Christopher Skaggs / Evidence-Based Medicine Committee Lead
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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, $8,237,518
- Performance Year 2022, $4,639,799
- Performance Year 2021, $5,374,760
- Performance Year 2020, $4,840,442
- Performance Year 2019, $2,195,556
First Agreement Period
- Performance Year 2019, $1,335,679
- Performance Year 2018, $1,187,169
- Performance Year 2017, $2,950,672
- Performance Year 2016, $1,566,654
Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
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How Shared Savings are Distributed
Second Agreement Period
- Performance Year 2023
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 50%
- Performance Year 2022
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 50%
- Performance Year 2021
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 50%
- Performance Year 2020
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 50%
- Performance Year 2019-A
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 50%
First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2018
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2017
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2016
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 60%
Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
- Performance Year 2023
2023 CMS WEB
INTERFACE
QUALITY
PERFORMANCE
RESULTS
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: Aledade West Virginia ACO, LLC: ACO Participants
- Date of arrangement: 10/17/2023
- 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).
- 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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