Shared Savings Program Public Reporting
ACO Name and Location
Trade Name/DBA: MPMG Aledade FL MSSP Enhanced
1732 South Congress Avenue, Suite 346, Palm Springs, FL 33461
ACO Primary Contact
Organizational Information
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture |
|---|---|
| ATHENS FAMILY MEDICINE LLC | No |
| DAVID B HEVERT MD PA | No |
| HOLY CROSS FAMILY PRACTICE ASSOCIATION | No |
| MADISON MEDICAL ASSOCIATES, PC | No |
| MARTIN SPENCER STONE MD PA | No |
| MIL-LAKE HEALTHCARE CENTER INC | No |
| PCC MEDICAL HOLDINGS LLC | No |
| PIEDMONT FAMILY PRACTICE LLC | No |
| SUSAN LEIGH JONES MD LLC | No |
| THE KAUFMANN CLINIC INC | No |
| VINCENT C CHIN M.D., P.A. | No |
| W DANIEL ZANT, JR MD PC | No |
| WEST KIRK MEDICAL PRACTICE PA | No |
| YANELY PINEIRO PUEBLA MD. PA | No |
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 |
|---|---|---|---|---|---|
| Ahmed | Alikhan | Member | 10% | ACO Participant Representative | PCC MEDICAL HOLDINGS LLC |
| Jordan | Hall | Compliance | 10% | ACO Participant Representative | PCC MEDICAL HOLDINGS LLC |
| Joy | Lakerem | Member | 5% | Community Stakeholder Representative | N/A |
| Michael | Platek | Member | 10% | ACO Participant Representative | THE KAUFMANN CLINIC INC |
| Quazi | Bari | Member | 10% | ACO Participant Representative | PCC MEDICAL HOLDINGS LLC |
| Romeo | Reyes Legaspi | Member | 10% | ACO Participant Representative | PCC MEDICAL HOLDINGS LLC |
| Saleem | Abdul Haq | Member | 10% | ACO Participant Representative | PCC MEDICAL HOLDINGS LLC |
| Susan | Jones | Member | 10% | ACO Participant Representative | SUSAN LEIGH JONES MD LLC |
| T B D | T B D | Member | 5% | Medicare Beneficiary Representative | N/A |
| William | Steele | Chair | 10% | ACO Participant Representative | PCC MEDICAL HOLDINGS LLC |
| William | DeMarchi | Member | 10% | ACO Participant Representative | PCC MEDICAL HOLDINGS LLC |
Member’s voting power may have been rounded to reflect a total voting power of 100 percent.
Key ACO Clinical and Administrative Leadership:
Medical Director: Jimmy Fernandez
Compliance Officer: Jordan Hall
Quality Assurance/Improvement Officer: Logan Steele
Associated Committees and Committee Leadership:
| Committee Name | Committee Leader Name and Position |
|---|---|
| Executive | William Steele |
| Finance | Logan Steele |
| Network Management | Bret Jennings |
| Quality | Jordan Hall |
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
- Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses:
- Second Agreement Period
- Performance Year 2026, N/A
- Performance Year 2025, N/A
- First Agreement Period
- Performance Year 2024, $1,354,246.00
Shared Savings Distribution:
- Second Agreement Period
- Performance Year 2026
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2025
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2026
- First Agreement Period
- Performance Year 2024
- Proportion invested in infrastructure: 25%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 50%
- Performance Year 2024
Quality Performance Results
2024 Quality Performance Results:
Quality performance results are based on the CMS Web Interface collection type.
| Measure # | Measure Title | Collection Type | Performance Rate | Current Year Mean Performance Rate (Shared Savings Program ACOs) |
|---|---|---|---|---|
| 321 | CAHPS for MIPS | CAHPS for MIPS Survey | 6.07 | 6.67 |
| 479* | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.1539 | 0.1517 |
| 484* | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) | Administrative Claims | – | 37 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 78.23 | 88.99 |
| 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 47.83 | 68.6 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 54.55 | 79.98 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 57.85 | 77.81 |
| 112 | Breast Cancer Screening | CMS Web Interface | 60.24 | 80.93 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 83.57 | 86.5 |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | 20 | 17.35 |
| 001* | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | CMS Web Interface | 9.12 | 9.44 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 76.8 | 81.46 |
| 236 | Controlling High Blood Pressure | CMS Web Interface | 83.57 | 79.49 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 85.62 | 83.7 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 92.44 | 93.96 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 90.88 | 92.43 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 75.4 | 75.76 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 65.86 | 65.48 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 66.23 | 62.31 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 73.26 | 74.14 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 86.03 | 85.89 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 89.34 | 92.89 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 28.63 | 26.98 |
For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov
*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.
*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs’ providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.
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.
