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

denise.prince@mountsinai.org

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
  • 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.