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:

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

Arthur L Autz MD PC

N

GEORGE CASTRO

N

GRAND MEDICAL GROUP PC

N

KEITH HOERNING

N

LI-QUEENS MEDICAL ASSOCIATES, PC

N

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

N

Neal Sckolnick

N

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

N

RYAN-CHELSEA CLINTON COMMUNITY HEALTH CENTER

N

Sumathy Reddy

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 - 11.1%

ACO Participant Representative

 Mount Sinai School of Medicine

Ingber, Scott MD

Participant Rep. 

1 Vote - 11.1%

ACO Participant Representative

Mount Sinai Doctors Long Island

Long, Ken

Participant Rep.

1 Vote - 11.1%

ACO Participant Representative

North Shore Medical Group of the Mount Sinai School of Medicine

Lynch, Rashanna, MD

Participant Rep.

1 Vote - 11.1%

ACO Participant Representative

William F. Ryan Community Health Center, Inc.

Rahim, Arshad MD

Participant Rep. 

1 Vote - 11.1%

ACO Participant Representative

Mount Sinai School of Medicine

Sckolnick, Neal MD

Participant Rep. 

1 Vote - 11.1%

ACO Participant Representative

Neal Sckolnick

Sharma, Adhi MD

Participant Rep.

1 Vote - 11.1%

ACO Participant Representative

Mount Sinai School of Medicine

Soskel, Neil DO

Participant Rep.

1 Vote - 11.1%

ACO Participant Representative

 Mount Sinai School of Medicine

Walton, Terry

Community Member

1 Vote - 11.1%

Medicare Beneficiary

N/A

 

Key ACO Clinical and Administrative Leadership:

Dr. Arshad Rahim

ACO Executive / 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 2023, $0
    • 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

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2023: N/A
    • 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

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure #

Measure Name

 Collection Type

Rate

ACO Mean

Quality ID #: 001

Diabetes: Hemoglobin A1c (HbA1c)Poor Control1

 CMS Web Interface

9.38

10.71

Quality ID #: 134

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

 CMS Web Interface 66.04 76.97

Quality ID #: 236

Controlling High Blood Pressure

 CMS Web Interface 75.63 76.16

Quality ID #: 318

Falls: Screening for Future Fall Risk

 CMS Web Interface 91.29 87.83

Quality ID #: 110

Preventative Care and Screening: Influenza Immunization

 CMS Web Interface 87.18 77.34

Quality ID #: 226

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

 CMS Web Interface 100.00 79.27

Quality ID #: 113

Colorectal Cancer Screening

 CMS Web Interface 75.59 75.32

Quality ID #: 112

Breast Cancer Screening

 CMS Web Interface 84.27 78.07

Quality ID #: 438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

 CMS Web Interface 91.10 86.37

Quality ID #: 370

 Depression Remission at Twelve Months CMS Web Interface 36.84 16.03

Measure ID #: 479

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

 CMS Web Interface

00.16

00.15

Measure ID #: 484

 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions1   32.08 30.97

CAHPS-1

Getting Timely Care, Appointments, and Information

 CAHPS for MIPS 83.73 83.96

CAHPS-2

How Well Providers Communicate

 CAHPS for MIPS 94.58 93.47

CAHPS-3

Patient’s Rating of Provider

 CAHPS for MIPS 93.63 92.06

CAHPS-4

Access to Specialists

 CAHPS for MIPS 77.38 77.00

CAHPS-5

Health Promotion and Education

 CAHPS for MIPS 60.02 62.68

CAHPS-6

Shared Decision Making

 CAHPS for MIPS 58.52 60.97

CAHPS-7

Health Status and Functional Status

 CAHPS for MIPS 71.35 73.06

CAHPS-8

Care Coordination

 CAHPS for MIPS 87.63 85.46

CAHPS-9

Courteous and Helpful Office Staff

 CAHPS for MIPS 85.90 91.97

CAHPS-11

Stewardship of Patient Resources

 CAHPS for MIPS 22.11 25.62


[1] A lower performance rate corresponds to higher quality.

[2] For PY 2022, the CMS Web Interface measures Quality ID #438 and Quality ID #370 do not have benchmarks, and therefore, were not scored.

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.