New York Medical Partners ACO, LLC

New York Medical Partners ACO, LLC 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
Previous Names: N/A
One Healthy Way
Oceanside, NY 11572

ACO Primary Contact

Primary Contact Name

Denise B. Prince, Chief Operating Officer

Primary Contact Phone Number

(212) 659-1479

Primary Contact Email Address

denise.prince@mountsinai.org

Organizational Information

ACO participants:

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

Aijaz Khan

N

Alexander P Hatsis Physician Pc

N

ARTHUR L AUTZ MD PC

N

BIMC FACULTY PRACTICE

N

Daniel Anghel

N

David Klein

N

DOWNTOWN FAMILY MEDICINE, PC

N

DR. ADAM KLEIN D.P.M. P.C.

N

ELIZABETH BEAUTYMAN

N

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

N

Endocrinology & Diabetes Associates Of Li, Pc

N

FPA HOSPITAL BASED

N

GEORGE CASTRO

N

GRAND MEDICAL GROUP PC

N

H.Q.C. MEDICAL P.C.

N

Harvard Street Medical Associates, PC

N

Hewlett Medical Office, 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 Mount Sinai Doctors South Nassau)

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 Orthopedic Dept of Mount Sinai)

N

ISRAEL S. ECKMAN, M.D., P.L.L.C.

N

J ALEXANDER JARBATH D.P.M P.C.

N

Jay Arthur Kerner

N

JEFFREY DELSON

N

Joan Haselkorn

N

Joel B Loewenstein, Md, Pc

N

Jonathan D. Altus, M.D., FCCP, LLC

N

JULIE NISSIM DO PC

N

LAWRENCE P. HORL, D.P.M., P.C.

N

LEON SCRIMMAGER

N

Leonard Ingber

N

LI-QUEENS MEDICAL ASSOCIATES, PC

N

LONG ISLAND PSYCHIATRIC ASSOCIATES, P.C.

N

LONG ISLAND PULMONARY AND SLEEP MEDICINE ASSOCIATES, PLLC

N

LOUIS SWARTZ MD PC

N

LUBA V. GRINGUT MEDICAL P.C.

N

MAGDY SHAABAN, PHYSICIAN, P.C.

N

MANHATTAN INTERNAL MEDICINE ASSOCIATES PC

N

MARGARET KEARNS STANLEY

N

Mark Brandon

N

Mark S Flugman

N

MEDICAL ASSOCIATES, P.C.

N

MOUNT SINAI HOSPITAL

N

MOUNT SINAI SCHOOL OF MEDICINE

N

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

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

MT SINAI SCHOOL OF MEDICINE OF NEW YORK UNIVERSITY (d/b/a Mount Sinai Multispecialty Physicians)

N

NATHANIEL BROWNLOW

N

Neal Sckolnick

N

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

N

Pain And Rehabilitation Medical Specialists Pc

N

PARK AVENUE MEDICAL PROFESSIONALS

N

Paul Schulster Md Pc

N

Polina Kagan

N

PRIDE MEDICAL, PLLC

N

PULMONARY & CRITCAL CARE CONSULTANTS, P.C.

N

RADIOLOGICAL ASSOCIATES OF LONG ISLAND PC

N

Raul Mendoza

N

RAVINDRA GOYAL

N

RENEE LEFLAND , MD,PC

N

RENEE MESSINA, D.O., P.C.

N

RICARDO ISSA PHYSICIAN PC

N

RICHARD NEUFELD

N

ROBERT M ROMANOFF MD PC

N

RYAN-CHELSEA CLINTON COMMUNITY HEALTH CENTER

N

SLRHC FACULTY PRACTICE

N

SN RADIOLOGICAL PRACTICE PC

N

South Nassau Communities Hospital

N

South Nassau Family Medicine, PC

N

South Nassau Medical Group, PC

N

South Nassau Obstetrics & Gynecology, Pc

N

South Nassau Oncology Practice, PC

N

South Nassau Oncology, PC

N

South Nassau Physician Practice, PC

N

South Nassau Physicians, PC

N

South Nassau Primary Medical Care, PC

N

South Nassau Urology, PC

N

ST LUKES-ROOSEVELT HOSPITAL CENTER

N

STAT MEDICAL CARE PC

N

STEVEN FRIEDMAN

N

STEVEN FRIEDMAN

N

Sumathy Reddy

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

Chair and Participant Rep.

1 Vote

ACO Participant Representative

Icahn School of Medicine at Mount Sinai

Cohen, Roy

Participant Rep.

1 Vote

ACO Participant Representative

Icahn School of Medicine at Mount Sinai

Gandhi, Niyum

Participant Rep. 

1 Vote

ACO Participant Representative

Mount Sinai School of Medicine

Ingber, Scott

Participant Rep. 

1 Vote

ACO Participant Representative

North Shore Medical Group of the Mount Sinai School of Medicine 

Klein, Arthur

Participant Rep. 

1 Vote

ACO Participant Representative

North Shore Medical Group of the Mount Sinai School of Medicine 

Sckolnick, Neal

Participant Rep. 

1 Vote

ACO Participant Representative

Neal Sckolnick

Sharma, Adhi

Participant Rep.

1 Vote

ACO Participant Representative

South Nassau Communities Hospital

Soskel, Neil

Participant Rep.

1 Vote

ACO Participant Representative

South Nassau Communities Hospital

West, Susan

Participant Rep.

1 Vote

Medicare Beneficiary

N/A

 

Key ACO Clinical and Administrative Leadership:

Denise B. Prince

ACO Executive

Dr. Robert Fields

Medical Director

Vivian Dillon

Compliance Officer

Dr. Meena Bansal

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:

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2017, $0

Shared Savings Distribution

  • First 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

Quality Performance Results

2017 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

83.91

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

94.16

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

93.02

92.31

ACO-4

CAHPS: Access to Specialists

85.56

83.32

ACO-5

CAHPS: Health Promotion and Education

61.53

62.30

ACO-6

CAHPS: Shared Decision Making

75.83

75.85

ACO-7

CAHPS: Health Status/Functional Status

70.56

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

16.59

25.68

ACO-8

Risk Standardized, All Condition Readmission

15.12

15.01

ACO-35

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

18.61

18.46

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

85.35

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

61.92

61.74

ACO-43

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

1.53

1.93

ACO-11

Use of Certified EHR Technology

92.05

98.48

ACO-12

Medication Reconciliation

10.27

75.32

ACO-13

Falls: Screening for Future Fall Risk

65.76

74.38

ACO-44

Imaging Studies for Low Back Pain

61.11

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

68.46

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

44.41

72.92

ACO-16

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

70.69

70.69

ACO-17

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

53.24

90.48

ACO-18

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

43.11

61.98

ACO-19

Colorectal Cancer Screening

50.55

64.58

ACO-20

Breast Cancer Screening

54.81

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

80.24

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

18.96

16.74

ACO-41

Diabetes: Eye Exam

30.11

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

70.57

71.47

ACO-30

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

75.79

86.86

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

Note: In the Quality Performance Results file(s) above, search for “New York Medical Partners ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3327 in the public use files on data.cms.gov.

Payment Rule Waivers

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

Public Disclosure of Arrangements under the ACO Pre-Participation and ACO Participation Waivers

The Centers for Medicare & Medicaid Services and the Office of the Inspector General have issued waivers of the application of certain federal fraud and abuse laws to specified arrangements involving ACOs participating in the Medicare Shared Savings Program. New York Medical Partners ACO, LLC (“NYMP”) seeks protection under the Medicare Shared Savings Program ACO Participation Waiver for the following arrangement:

  • Effective July 1, 2019, NYMP and CVS Pharmacy, Inc. (“CVS”), have entered into an arrangement under which CVS will provide medication management services to NYMP ACO attributed patients. Services include the provision of medication adherence information to the ACO and direct messaging to patients regarding gaps in preventive care measures such as vaccines and diagnostic tests. The intent of the arrangement is better enable NYMP to manage and coordinate the care of its attributed patients in furtherance of the goals of the Medicare Shared Savings Program.