Mount Sinai Care ACO

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

Public Information

Shared Savings Program ACO Public Reporting

ACO Name and Location
New York Medical Partners ACO, LLC
d/b/a Mount Sinai Care
Previous Names: N/A
One Gustave L. Levy Place
Box 1475
New York, NY 10029

ACO Primary Contact

Primary Contact Name

 Arshad Rahim, Chief Operating Officer

Primary Contact Phone Number

(877) 234-6667

Primary Contact Email Address

 arshad.rahim@mountsinai.org

Organizational Information

ACO participants:

Arthur L Autz MD PC

N

Charles Saha MD PC

N

Emanuel L. Kouroupos, M.D., P.C.

N

FPA Hospital Based

N

GEORGE CASTRO

N

GRAND MEDICAL GROUP PC

N

H.Q.C. Medical P.C

N

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

N

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Y

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

N

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

N

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

N

MANHATTAN PRIMARY CARE PLLC

N

MOUNT SINAI SCHOOL OF MEDICINE (d/b/a Mount Sinai Marathon Medical)

N

MOUNT SINAI SCHOOL OF MEDICINE OF NEW YORK UNIVERSITY

N

Neal Sckolnick

N

NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE (d/b/a Mount Sinai Doctors Long Island)

N

PARK AVENUE MEDICAL PROFESSIONALS

N

RAVINDRA GOYAL

N

RICHARD NEUFELD

N

RYAN-CHELSEA CLINTON COMMUNITY HEALTH CENTER

N

Sumathy Reddy

N

WILLIAM F RYAN COMMUNITY HEALTH CENTER INC

N


ACO Governing Body:

Member First Name

Member Last Name

Member Title / Position

Member's
Voting
Power
(Expressed
as a %)
 

Member
ship
Type

ACO Participant
Legal Business Name / DBA, if Applicable

Aida

Vega

Voting Member

8.333%

ACO Participant Rep.

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Alan

Adler

Voting Member

8.333%

ACO Participant Rep.

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

 Vicki

LoPachin

Chair and Voting Member

8.334%

ACO Participant Rep.

Mount Sinai School of Medicine

 Scott

Ingber

Voting Member

 8.333%

ACO Participant Rep.

Mount Sinai Doctors Long Island

Kenneth

Long

 Voting Member

8.333%

ACO Participant Rep.

North Shore Medical Group of the Mount Sinai School of Medicine

Rashanna

Lynch

 Voting Member

8.334%

ACO Participant Rep.

William F. Ryan Community Health Center, Inc.

Roy

Cohen

Voting Member

8.333%

ACO Participant Rep.

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

 Arshad

Rahim

Voting Member

8.334%

ACO Participant Rep.

Mount Sinai School of Medicine

 Neal

Sckolnick

 Voting Member

8.333%

ACO Participant Rep.

Neal Sckolnick

 Adhi

Sharma

 Voting Member

 8.333%

ACO Participant Rep.

Mount Sinai School of Medicine

Neil

Soskel

 Voting Member

8.334%

ACO Participant Rep.

Mount Sinai School of Medicine

Terry

Walton

Voting Member

 8.333%

Medicare Beneficiary Rep.

N/A

Member's voting power may have been rounded to reflect a total voting power of 100 percent.

Key ACO Clinical and Administrative Leadership:

Dr. Arshad Rahim

ACO Executive / Medical Director 

Vivian Dillon

Compliance Officer

Edward Bailly

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:

  • Federally Qualified Health Center (FQHC)
  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance Year 2026
    • Performance Year 2025, N/A
    • Performance Year 2025, N/A
    • Performance Year 2024, $4,674,522
  • Second Agreement Period
    • Performance Year 2023, $10,848,049
    • Performance Year 2022, $0
    • Performance Year 2021, $0
    • Performance Year 2020, $11,041,383
    • Performance Year 2019, $0
  • First Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
    • Performance Year 2017, $0

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.

Shared Savings Distribution

  • Third Agreement Period
    • Performance Year 2026: N/A
    • Performance Year 2025: N/A
    • Performance Year 2024:
      • Proportion invested in infrastructure: 27%
      • Proportion invested in redesigned care processes/resources: 40%
      • Proportion of distribution to ACO participants: 33%
  • Second Agreement Period
    • Performance Year 2023:
      • Proportion invested in infrastructure: 38%
      • Proportion invested in redesigned care processes/resources: 38%
      • Proportion of distribution to ACO participants: 24%
    • Performance Year PY2022: N/A
    • Performance Year PY2021: N/A
    • Performance Year PY2020
      • Proportion invested in infrastructure: 35%
      • Proportion invested in redesigned care processes/resources: 35%
      • Proportion of distribution to ACO participants: 30%
    • Performance Year 2019: N/A
  • First Agreement Period
    • Performance Year 2019: N/A
    • Performance Year 2018: N/A
    • Performance Year 2017: N/A

Note: Our ACO participated in multiple performance years during Calendar Year 2019. The distribution of shared savings reported for Performance Year 2019, therefore, represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the CMS Web Interface collection type.

Measure #

Measure Name

Collection Type

Reported Performance Rate

Current Year Mean Performance Rate (SSP ACOs)

Quality ID #: 001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control

CMS Web Interface

7.39

9.44

Quality ID #: 134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

CMS Web Interface

 69.06

 81.46

Quality ID #: 236

Controlling High Blood Pressure

CMS Web Interface

 84.92

 79.49

Quality ID #: 318

Falls: Screening for Future Fall Risk

CMS Web Interface

 85.28

 88.99

Quality ID #: 110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

 76.42

 68.6

Quality ID #: 226

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

CMS Web Interface

 77.78

 79.98

Quality ID #: 113

Colorectal Cancer Screening

CMS Web Interface

 78.35

 77.81

Quality ID #: 112

Breast Cancer Screening

CMS Web Interface

 82.09

 80.93

Quality ID #: 438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

 91.54

 86.5

Quality ID #: 370

Depression Remission at Twelve Months

CMS Web Interface

 6.25

 17.35

Measure ID #: 479*

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups

 Administrative Claims

 0.1521

 0.1517

Measure ID #: 484*

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions

 Administrative Claims

---

 37

Measure ID #: 321

CAHPS for MIPS

CAHPS for MIPS Survey

6.62

6.67

CAHPS-1

Getting Timely Care, Appointments, and Information

CAHPS for MIPS Survey

 83.32

 83.7

CAHPS-2

How Well Providers Communicate

CAHPS for MIPS Survey

 95.04

 93.96

CAHPS-3

Patient’s Rating of Provider

CAHPS for MIPS Survey

 93.84

92. 43

CAHPS-4

Access to Specialists

CAHPS for MIPS Survey

 77.25

 75.76

CAHPS-5

Health Promotion and Education

CAHPS for MIPS Survey

 62.17

 65.48

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

 65

 62.31

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

 74.83

 74.14

CAHPS-8

Care Coordination

CAHPS for MIPS Survey

 86.93

85. 89

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

 90.32

 92.89

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

 22.54

 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.