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
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ACO Primary Contact |
|
|
Primary Contact Name |
Denise B. Prince, Chief Operating Officer |
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Primary Contact Phone Number |
(212) 659-1479 |
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Primary Contact Email Address |
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Organizational Information
ACO participants:
| ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
|
Aijaz Khan |
N |
|
ARTHUR L AUTZ MD PC |
N |
|
BIMC FACULTY PRACTICE |
N |
|
DOWNTOWN FAMILY MEDICINE, PC |
N |
|
ELIZABETH BEAUTYMAN |
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 |
|
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 |
|
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 MS NYEE Otolaryngology) |
N |
|
JEFFREY DELSON |
N |
|
JULIE NISSIM DO PC |
N |
|
LEON SCRIMMAGER |
N |
|
LI-QUEENS MEDICAL ASSOCIATES, PC |
N |
|
MARGARET KEARNS STANLEY |
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 |
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MOUNT SINAI SCHOOL OF MEDICINE OF NEW YORK UNIVERSITY (d/b/a Mount Sinai LFL Group) |
N |
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MOUNT SINAI SCHOOL OF MEDICINE OF NEW YORK UNIVERSITY (d/b/a Mount Sinai Riverside Medical Group) |
N |
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MT SINAI SCHOOL OF MEDICINE OF NEW YORK UNIVERSITY (d/b/a Mount Sinai Multispecialty Physicians) |
N |
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NATHANIEL BROWNLOW |
N |
|
Neal Sckolnick |
N |
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NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE (d/b/a Mount Sinai Doctors Long Island) |
N |
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PARK AVENUE MEDICAL PROFESSIONALS |
N |
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PRIDE MEDICAL, PLLC |
N |
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RADIOLOGICAL ASSOCIATES OF LONG ISLAND PC |
N |
|
Raul Mendoza |
N |
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RAVINDRA GOYAL |
N |
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RENEE LEFLAND , MD,PC |
N |
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RICHARD NEUFELD |
N |
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ROBERT M ROMANOFF MD PC |
N |
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RYAN-CHELSEA CLINTON COMMUNITY HEALTH CENTER |
N |
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SLRHC FACULTY PRACTICE |
N |
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SN RADIOLOGICAL PRACTICE PC |
N |
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South Nassau Communities Hospital |
N |
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South Nassau Family Medicine, PC |
N |
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South Nassau Medical Group, PC |
N |
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South Nassau Obstetrics & Gynecology, Pc |
N |
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South Nassau Oncology Practice, PC |
N |
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South Nassau Oncology, PC |
N |
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South Nassau Physician Practice, PC |
N |
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South Nassau Physicians, PC |
N |
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South Nassau Primary Medical Care, PC |
N |
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South Nassau Urology, PC |
N |
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ST LUKES-ROOSEVELT HOSPITAL CENTER |
N |
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STAT MEDICAL CARE PC |
N |
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Sumathy Reddy |
N |
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SUSAN KLEIN |
N |
|
THOMAS TUPPER |
N |
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UPPER EAST SIDE MEDICAL PC |
N |
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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 |
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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 |
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Ingber, Scott |
Participant Rep. |
1 Vote |
ACO Participant Representative |
North Shore Medical Group of the Mount Sinai School of Medicine |
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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 |
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Sharma, Adhi |
Participant Rep. |
1 Vote |
ACO Participant Representative |
South Nassau Communities Hospital |
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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 |
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Dr. Robert Fields |
Medical Director |
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Vivian Dillon |
Compliance Officer |
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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:
- Federally Qualified Health Center (FQHC)
- ACO professionals in a group practice arrangement
- Hospital employing ACO professionals
- Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
- First Agreement Period
- Performance Year 2018, $0
- Performance Year 2017, $0
Shared Savings Distribution
- First Agreement Period
- Performance Year 2018
- 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 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
2018 Quality Performance Results:
|
ACO# |
Measure Name |
Rate |
ACO Mean |
|
ACO-1 |
CAHPS: Getting Timely Care, Appointments, and Information |
88.45 |
86.14 |
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ACO-2 |
CAHPS: How Well Your Providers Communicate |
94.10 |
93.93 |
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ACO-3 |
CAHPS: Patients’ Rating of Provider |
92.47 |
92.45 |
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ACO-4 |
CAHPS: Access to Specialists |
82.51 |
81.50 |
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ACO-5 |
CAHPS: Health Promotion and Education |
55.70 |
59.26 |
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ACO-6 |
CAHPS: Shared Decision Making |
60.18 |
61.94 |
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ACO-7 |
CAHPS: Health Status/Functional Status |
72.46 |
73.35 |
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ACO-34 |
CAHPS: Stewardship of Patient Resources |
16.69 |
26.26 |
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ACO-8 |
Risk Standardized, All Condition Readmission |
15.58 |
14.98 |
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ACO-35 |
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) |
19.53 |
18.59 |
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ACO-36 |
All-Cause Unplanned Admissions for Patients with Diabetes |
38.34 |
37.01 |
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ACO-37 |
All-Cause Unplanned Admissions for Patients with Heart Failure |
80.53 |
76.75 |
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ACO-38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
65.55 |
59.00 |
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ACO-43 |
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) |
1.59 |
1.98 |
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ACO-11 |
Use of Certified EHR Technology |
88.18 |
98.20 |
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ACO-12 |
Medication Reconciliation |
58.91 |
85.91 |
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ACO-13 |
Falls: Screening for Future Fall Risk |
71.31 |
79.73 |
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ACO-44 |
Imaging Studies for Low Back Pain |
75.00 |
64.36 |
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ACO-14 |
Preventive Care and Screening: Influenza Immunization |
63.07 |
72.71 |
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ACO-15 |
Pneumonia Vaccination Status for Older Adults |
55.38 |
75.97 |
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ACO-16 |
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up |
73.41 |
76.83 |
|
ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
44.44 |
72.81 |
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ACO-18 |
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan |
51.23 |
66.74 |
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ACO-19 |
Colorectal Cancer Screening |
59.27 |
68.27 |
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ACO-20 |
Breast Cancer Screening |
64.98 |
71.96 |
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ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
85.12 |
81.47 |
|
ACO-27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
17.42 |
15.51 |
|
ACO-41 |
Diabetes: Eye Exam |
34.09 |
52.42 |
|
ACO-28 |
Hypertension (HTN): Controlling High Blood Pressure |
78.20 |
73.10 |
|
ACO-30 |
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic |
92.77 |
88.92 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples size.
- For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data
- For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
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
- Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
- Waiver for Payment for Telehealth Services:
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.
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.