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 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 |
|
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 or number | Membership Type |
ACO Participant Legal Business Name / DBA, if Applicable |
|
LoPachin, Vicki MD |
Chair and Participant Rep. |
1 Vote |
ACO Participant Representative |
Icahn School of Medicine at Mount Sinai |
|
Adler, Alan MD |
Participant Rep. |
1 Vote |
ACO Participant Representative |
Icahn School of Medicine at Mount Sinai |
|
Cohen, Roy MD |
Participant Rep. |
1 Vote |
ACO Participant Representative |
Icahn School of Medicine at Mount Sinai |
|
Fields, Robert MD |
Participant Rep. |
1 Vote |
ACO Participant Representative |
Mount Sinai School of Medicine |
|
Gresham, Alicia |
Participant Rep. |
1 Vote |
ACO Participant Representative |
Icahn School of Medicine at Mount Sinai |
|
Ingber, Scott MD |
Participant Rep. |
1 Vote |
ACO Participant Representative |
Mount Sinai Doctors Long Island |
|
McIndoe, Brian |
Participant Rep. |
1 Vote |
ACO Participant Representative |
William F. Ryan Community Health Center, Inc. |
|
Sckolnick, Neal MD |
Participant Rep. |
1 Vote |
ACO Participant Representative |
Neal Sckolnick |
|
Sharma, Adhi MD |
Participant Rep. |
1 Vote |
ACO Participant Representative |
Mount Sinai School of Medicine |
|
Soskel, Neil DO |
Participant Rep. |
1 Vote |
ACO Participant Representative |
Mount Sinai School of Medicine |
|
West, Susan |
Community Member |
1 Vote |
Medicare Beneficiary |
N/A |
| Key ACO Clinical and Administrative Leadership: | |
|
Denise B. Prince |
ACO Executive |
|
Dr. Robert Fields |
Medical Director / Chief Medical Officer |
|
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 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. 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
- Second Agreement Period
- Performance Year 2020
- 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
- Performance Year 2020
- 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. 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
2020 Quality Performance Results:
|
ACO# |
Measure Name |
Rate |
ACO Mean |
|
ACO-43 |
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) |
0.68 |
0.95 |
|
ACO-13 |
Falls: Screening for Future Fall Risk |
81.50 |
84.97 |
|
ACO-14 |
Preventive Care and Screening: Influenza Immunization
|
80.67 |
76.03 |
|
ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
95.24 |
81.67 |
|
ACO-18 |
Preventive Care and Screening: Screening for Depression and Follow-up Plan |
59.40 |
71.46 |
|
ACO-19 |
Colorectal Cancer Screening |
64.26 |
72.59 |
|
ACO-20 |
Breast Cancer Screening |
69.48 |
74.05 |
|
ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
85.19 |
83.37 |
|
ACO-27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
13.39 |
14.70 |
|
ACO-28 |
Hypertension (HTN): Controlling High Blood Pressure |
72.31 |
72.87 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
For previous years’ Financial and Quality Performance Results, please visit data.cms.gov.