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

(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

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

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

PARK AVENUE MEDICAL PROFESSIONALS

N

PRIDE MEDICAL, PLLC

N

RADIOLOGICAL ASSOCIATES OF LONG ISLAND PC

N

Raul Mendoza

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

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

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

Adler, Alan

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 

McIndoe, Brian

Participant Rep.

1 Vote

ACO Participant Representative

William F. Ryan Community Health Center, Inc.

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

Community Member

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:

  • 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

  • Second Agreement Period
    • 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 2019: N/A
  • First Agreement Period
    • Performance Year 2019: N/A
    • Performance Year 2018: N/A
    • Performance Year 2017: N/A

Quality Performance Results

2019 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

82.82

85.86

ACO-2

CAHPS: How Well Your Providers Communicate

93.89

94.11

ACO-3

CAHPS: Patients’ Rating of Provider

92.08

92.69

ACO-4

CAHPS: Access to Specialists

82.58

81.54

ACO-5

CAHPS: Health Promotion and Education

54.88

60.44

ACO-6

CAHPS: Shared Decision Making

59.98

62.78

ACO-7

CAHPS: Health Status/Functional Status

72.25

73.79

ACO-34

CAHPS: Stewardship of Patient Resources

17.43

26.17

ACO-45 CAHPS: Courteous and Helpful Office Staff

90.30

92.84

ACO-46

CAHPS: Care Coordination

86.25

86.89

ACO-8

Risk Standardized, All Condition Readmission

13.75

14.86

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

66.29

58.15

ACO-43

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

1.46

1.87

ACO-13

Falls: Screening for Future Fall Risk

85.94

84.04

ACO-41

Preventive Care and Screening: Influenza Immunization

 

85.16

74.77

ACO-17

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

62.50

78.04

ACO-18

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

61.92

70.40

ACO-19

Colorectal Cancer Screening

64.37

70.76

ACO-20

Breast Cancer Screening

70.82

72.71

ACO-24

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

88.76

82.17

ACO-27

Diabetes: Hemoglobin A1c Poor Control (>9%)

15.63

13.88

ACO-28

Controlling High Blood Pressure

74.07

75.04

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples size.

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

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.