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

Denise B. Prince, Chief Operating Officer

Primary Contact Phone Number

(877) 234-6667

Primary Contact Email Address

denise.prince@mountsinai.org

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)

ARTHUR L AUTZ MD PC

N

DOWNTOWN FAMILY MEDICINE, PC

N

ELIZABETH BEAUTYMAN

N

EMANUEL L. KOUROUPOS, M.D., P.C.

N

GEORGE CASTRO

N

GRAND MEDICAL GROUP PC

N

H.Q.C. MEDICAL P.C.

N

Harvard Street Medical Associates, PC

N

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

N

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (d/b/a Family Practice Associates II)

N

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (d/b/a Mt. Sinai Associates in Internal Medicine)

N

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (d/b/a Mt. Sinai Doctors BK Multispecialty)

N

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (d/b/a Mount Sinai Doctors Staten Island Primary Care)

N

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (d/b/a Mount Sinai Doctors Staten Island Victory Internal Medicine)

N

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (d/b/a Mount Sinai Doctors Cardiovascular Consultants of Staten Island)

N

JULIE NISSIM DO PC

N

KEITH HOERNING

N

LI-QUEENS MEDICAL ASSOCIATES, PC

N

MARGARET KEARNS STANLEY

N

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

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

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

RENEE LEFLAND , MD,PC

N

RICHARD NEUFELD

N

ROBERT M ROMANOFF MD PC

N

RYAN-CHELSEA CLINTON COMMUNITY HEALTH CENTER

N

ST LUKES-ROOSEVELT HOSPITAL CENTER

N

STAT MEDICAL CARE PC

N

Sumathy Reddy

N

SUSAN KLEIN

N

WILLIAM F RYAN COMMUNITY HEALTH CENTER INC

N


ACO Governing Body:

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

LoPachin, Vicki MD

Chair and Participant Rep.

1 Vote - 9.09%

ACO Participant Representative

Icahn School of Medicine at Mount Sinai

Adler, Alan MD

Participant Rep.

1 Vote - 9.09%

ACO Participant Representative

Icahn School of Medicine at Mount Sinai

Cohen, Roy MD

Participant Rep.

1 Vote - 9.09%

ACO Participant Representative

Icahn School of Medicine at Mount Sinai

Fields, Robert MD

Participant Rep. 

1 Vote - 9.09%

ACO Participant Representative

Mount Sinai School of Medicine

Gresham, Alicia

Participant Rep.

1 Vote - 9.09%

ACO Participant Representative

Icahn School of Medicine at Mount Sinai

Ingber, Scott MD

Participant Rep. 

1 Vote - 9.09%

ACO Participant Representative

Mount Sinai Doctors Long Island

Lynch, Rashanna, MD

Participant Rep.

1 Vote - 9.09%

ACO Participant Representative

William F. Ryan Community Health Center, Inc.

Sckolnick, Neal MD

Participant Rep. 

1 Vote - 9.09%

ACO Participant Representative

Neal Sckolnick

Sharma, Adhi MD

Participant Rep.

1 Vote - 9.09%

ACO Participant Representative

Mount Sinai School of Medicine

Soskel, Neil DO

Participant Rep.

1 Vote - 9.09%

ACO Participant Representative

Mount Sinai School of Medicine

West, Susan

Community Member

1 Vote - 9.09%

Medicare Beneficiary

N/A

 

Key ACO Clinical and Administrative Leadership:

Denise B. Prince

ACO Executive

Dr. Arshad Rahim

Medical Director 

Vivian Dillon

Compliance Officer

Dr. Nikita Barai

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

  • Second Agreement Period
    • 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

Shared Savings Distribution

  • Second Agreement Period
    • 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

Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure #

Measure Name

Rate

ACO Mean

Quality ID #: 001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control2

12.93

12.46

Quality ID #: 134

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

60.15

74.38

Quality ID #: 236

Controlling High Blood Pressure

72.24

74.87

Quality ID #: 318

Falls: Screening for Future Fall Risk

85.37

87.03

Quality ID #: 110

Preventative Care and Screening: Influenza Immunization

81.51

80.52

Quality ID #: 226

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

92.86

80.97

Quality ID #: 113

Colorectal Cancer Screening

71.91

73.63

Quality ID #: 112

Breast Cancer Screening

74.44

75.11

Quality ID #: 438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86.64

84.24

Quality ID #: 479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

00.16

00.15

Quality ID #: MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2

39.25

33.99

CAHPS-1

Getting Timely Care, Appointments, and Information

81.74

84.67

CAHPS-2

How Well Providers Communicate

91.65

93.56

CAHPS-3

Patient’s Rating of Provider

90.53

92.19

CAHPS-4

Access to Specialists

77.79

78.80

CAHPS-5

Health Promotion and Education

55.06

61.61

CAHPS-6

Shared Decision Making

57.82

60.89

CAHPS-7

Health Status and Functional Status

66.69

71.78

CAHPS-8

Care Coordination

82.29

85.66

CAHPS-9

Courteous and Helpful Office Staff

89.93

91.88

CAHPS-11

Stewardship of Patient Resources

18.93

24.71

[1] For PY 2021, measures #134, #438, and #370 do not have CMS Web Interface benchmarks and are not scored as a result. 
[2] A lower performance rate corresponds to higher quality.

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

For previous years’ Financial and Quality Performance Results, please visit data.cms.gov.