Mount Sinai Care, LLC

Mount Sinai Care, LLC has been selected to participate in the Medicare Shared Savings Program (Shared Savings Program) Accountable Care Organization, a health care delivery model sponsored by the Centers for Medicare and Medicaid Services (CMS).

Public Information

Shared Savings Program ACO Public Reporting

ACO Name and Location

Mount Sinai Care, LLC
Previous Names: N/A
One Gustave Levy Place
Box 1475
New York, New York 10029

ACO Primary Contact  

Primary Contact Name

Denise Prince

Primary Contact Phone Number

570-412-9609

Primary Contact Email Address

Denise.Prince@mountsinai.org

Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

APICHA Community Health Center

N

Arthur L Autz Md Pc

N

BIMC FACULTY PRACTICE

N

Bodhi Medical Care, LLC

N

Central Park West Medical Group, PC

N

Downtown Family Medicine PC

N

Elizabeth Beautyman

N

Emanuel L. Kouroupos, MD PC

N

FPA HOSPITAL BASED

N

George Castro

N

Grand Medical Group, PC

N

HQC Medical PC

N

Icahn School of Medicine at Mount Sinai d/b/a Associates in Internal Medicine

N

Icahn School of Medicine at Mount Sinai d/b/a Faculty Practice Associates

N

Icahn School of Medicine at Mount Sinai d/b/a Faculty Practice Associates II

N

Icahn School of Medicine at Mount Sinai d/b/a Mount Sinai Doctors South Nassau

N

Icahn School of Medicine at Mount Sinai d/b/a Orthopedic Dept of Mount Sinai

N

Jeffrey Delson

N

Jessica Allan MD PC

N

Julie Nissim, DO PC

N

Leon Scrimmager, MD

N

Luba V. Gringut Medical PC

N

Lucy Sourial

N

Manhattan Internal Medicine Associates

N

Margaret Kearns Stanley

N

Margaret Kearns-Stanley, MD

N

Medical Associates of Manhattan, PC

N

Medical Associates PC

N

Michael R. Zuckman MD P.C.

N

Mount Sinai Hospital

N

Mount Sinai School of Medicine

N

Mount Sinai School of Medicine d/b/a Mount Sinai Brooklyn Heights Medical Group

N

Mount Sinai School Of Medicine Of New York University d/b/a Mount Sinai LFL Group

N

Mount Sinai School Of Medicine Of New York University d/b/a Mount Sinai Riverside Medical Group

N

Mt Sinai School Of Medicine Of New York University

N

Nathaniel Brownlow, MD

N

Park Avenue Medical Professionals

N

Pride Medical PLLC

N

Ravindra Goyal

N

RENEE LEFLAND , MD,PC

N

Ricardo Issa Physician Pc

N

Richard Neufeld

N

Richard Neufeld, MD

N

Robert M Romanoff MD PC

N

Ryan-Chelsea Clinton Community Health Center

N

SLRHC FACULTY PRACTICE

N

St Lukes-Roosevelt Hospital Center

N

Stat Medical Care, P.C.

N

Susan Klein

N

Thomas Tupper

N

Upper East Side Medical PC

N

William F Ryan Community Health Center Inc

N

 

ACO Governing Body:

Member Title / Position Member's Voting Power – Expressed as a percentage or number Membership Type ACO Participant Legal Business Name / DBA, if Applicable

LoPachin, Vicki

Chairman and Voting Member

14.3%

ACO Participant Representative

Icahn School of Medicine at Mount Sinai

Cohen, Roy

Voting Member

14.3%

ACO Participant Representative

Icahn School of Medicine at Mount Sinai

Smith, Brian

Voting Member

14.3%

ACO Participant Representative

BIMC Faculty Practice

Ingber, Scott

Voting Member

14.3%

ACO Participant Representative

Icahn School of Medicine at Mount Sinai

Gandhi, Niyum

Voting Member

14.3%

ACO Participant Representative

Mount Sinai School of Medicine

Swartz, 
Jonathan

Voting Member

14.3%

ACO Participant Representative

William F Ryan Community. Health Center Inc

West, Susan

Voting Member

14.3%

Medicare Beneficiary Representative

N/A

 

Key ACO clinical and administrative leadership:

Denise Prince

ACO Executive

Robert Fields

Medical Director

Vivian Dillon

Compliance Officer

Daniel Weisberg

Quality Assurance/Improvement Officer

 

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Executive Compliance Committee Chair: Vivian Dillon

 

Types of ACO Participants, or Combinations of Participants, that Formed the ACO:

  • Networks of individual practices of ACO professionals
  • Hospital employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $0
  • First Agreement Period
    • Performance Year 2015, $0
    • Performance Year 2014, $0
    • Performance Year 2013, $0

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2017
        • 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 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2015
      • 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 2014
      • 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 2013
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2017 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

79.50

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

94.51

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

92.93

92.31

ACO-4

CAHPS: Access to Specialists

77.92

83.32

ACO-5

CAHPS: Health Promotion and Education

60.70

62.30

ACO-6

CAHPS: Shared Decision Making

74.23

75.85

ACO-7

CAHPS: Health Status/Functional Status

75.22

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

13.46

25.68

ACO-8

Risk Standardized, All Condition Readmission

15.58

15.01

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

17.64

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

56.82

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

84.60

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

60.74

61.74

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

1.36

1.93

ACO-11

Use of Certified EHR Technology

100.00

98.48

ACO-12

Medication Reconciliation

55.59

75.32

ACO-13

Falls: Screening for Future Fall Risk

75.00

74.38

ACO-44

Imaging Studies for Low Back Pain

79.59

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

58.24

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

66.67

72.92

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

63.64

70.69

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

92.28

90.48

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

51.92

61.98

ACO-19

Colorectal Cancer Screening

57.75

64.58

ACO-20

Breast Cancer Screening

51.61

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82.44

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

14.76

16.74

ACO-41

Diabetes: Eye Exam

31.37

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

73.85

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

91.70

86.86

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

Note: In the Quality Performance Results file(s) above, search for “Mount Sinai Care, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A52797 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.