Health IT, Startups, Patient Engagement

Mostashari’s Aledade to form new ACOs in 7 states

Aledade, a Bethesda, Md.-based startup that supports physician-led Accountable Care Organizations, has formally applied to establish new ACOs in seven states beginning in 2016.

Aledade, a Bethesda, Md.-based startup that supports physician-led Accountable Care Organizations, has formally applied to establish new ACOs in seven states beginning in 2016.

If the Centers for Medicare and Medicaid Services approves the applications, Aledade, which is headed by former national health IT coordinator Dr. Farzad Mostashari, will have ACO operations in 11 states by Jan. 1. The company would work with more than 100 physician practices and serve upwards of 80,000 Medicare enrollees, ahead of earlier projections.

CMS will name its 2016 ACO participants under the Medicare Shared Savings Program late in 2015. Mat Kendall, Aledade’s vice president of provider networks, told MedCity News that last year’s announcement came down in December.

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In June, Aledade announced that it had raised $30 million in a series B venture round. The money was going to help the company set up operations in nine to 10 states by 2016 and cover 75,000 Medicare beneficiaries, but demand is outstripping that forecast.

“There’s huge interest in this program,” Kendall said. “The stars are really aligning in terms of value-based pay.”

Aledade identifies potential ACO participants, provides ACO management services and offers analytics and software for population health management. “We try to make it as easy as possible for providers to take advantage of these new programs,” Kendall said.

The new states Aledade wants to move into, in partnership with physician practices and associations, are: West Virginia, Virginia, Florida, Kansas, Louisiana, Mississippi, and Tennessee. Aledade has been working with ACOs in Arkansas, Delaware, New York and Maryland since the beginning of 2015.

So far, Aledade has only worked with ACOs under MSSP. There are plans to expand into commercial markets, but Kendall said there is plenty of demand in Medicare ACOs.

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