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HHC ACO Inc., an Accountable Care Organization

ACO Name and Location

HHC ACO Inc.
50 Water Street, 3rd Floor
New York, NY 10004

ACO Primary Contact

Matthew Siegler
212-788-3479
SieglerM@nychhc.org

Organizational Information

ACO participants:

ACO ParticipantsACO Participant in Joint Venture
Community Healthcare Network, Inc.Y
Icahn School of Medicine at Mount Sinai (DBA: Mount Sinai Elmhurst Faculty Practice Group)Y
New York City Health and Hospitals CorporationY
Physician Affiliate Group of New York, P.C.Y
Union Community Health Center, Inc.Y
Urban Health Plan, Inc.Y

ACO governing body:

Member
First NameLast nameTitle/PositionMember’s Voting Power – Expressed as a percentage or numberMembership TypeACO Participant Legal Business Name, if ApplicableACO Participant DBA, if Applicable
MitchellKatzChair9.09%ACO Participant RepresentativeNew York City Health and Hospitals Corporation
MatthewSieglerCEO9.09%ACO Participant RepresentativeNew York City Health and Hospitals Corporation
GaryKalkutVice President9.09%ACO Participant RepresentativeNew York City Health and Hospitals Corporation
John E.Ulberg, Jr.Treasurer9.09%ACO Participant RepresentativeNew York City Health and Hospitals Corporation
AndreaCohenSecretary9.09%ACO Participant RepresentativeNew York City Health and Hospitals Corporation
NicoleJordan-MartinVoting Member9.09%ACO Participant RepresentativeNew York City Health and Hospitals Corporation
DanielNapolitanoVoting Member9.09%ACO Participant RepresentativeCommunity Healthcare Network, Inc.
EdwardChewVoting Member9.09%ACO Participant RepresentativePhysician Affiliate Group of New York, P.C.
JoanCurcioVoting Member9.09%ACO Participant RepresentativeIcahn School of Medicine at Mount SinaiMount Sinai Elmhurst Faculty Practice Group
HyacinthPeartVoting Member9.09%Medicare Beneficiary Representative
WarrenSeigelVoting Member9.09%ACO Participant RepresentativePhysician Affiliate Group of New York, P.C.

Key ACO clinical and administrative leadership:

ACO Executive: Matthew Siegler
Medical Director: Anthony Okolo, MD
Compliance Officer: Catherine Patsos, Esq.
Quality Assurance/Improvement Officer: Michael Levitin

Associated committees and committee leadership:

Committee NameCommittee Leader Name and Position
Governance CommitteeMitchell Katz, MD, Board Chair
Clinical Leadership & Quality Assurance CommitteeAnthony Okolo, MD, Medical Director
Audit CommitteeJohn Ulberg, MPH, Treasurer

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance Year 2024, $7,210,142
    • Performance Year 2023, $6,111,407
    • Performance Year 2022, $8,017,376
    • Performance Year 2021, $4,007,011
    • Performance Year 2020, $11,415,299
    • Performance Year 2019, $4,621,337
  • Second Agreement Period
    • Performance Year 2019, $4,621,337
    • Performance Year 2018, $2,967,275
    • Performance Year 2017, $2,182,360
    • Performance Year 2016, $1,586,859
  • First Agreement Period
    • Performance Year 2015, $6,052,364
    • Performance Year 2014, $2,644,605
    • Performance Year 2013, $3,639,766

Shared Savings Distribution

  • Third Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 42%
      • Proportion of distribution to ACO participants: 58%
    • Performance Year 2023
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 42%
      • Proportion of distribution to ACO participants: 58%
    • Performance Year 2022
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 42%
      • Proportion of distribution to ACO participants: 58%
    • Performance Year 2021
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 42%
      • Proportion of distribution to ACO participants: 58%
    • Performance Year 2020
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 42%
      • Proportion of distribution to ACO participants: 58%
    • Performance Year 2019
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 42%
      • Proportion of distribution to ACO participants: 58%
  • Second Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 42%
      • Proportion of distribution to ACO participants: 58%
    • Performance Year 2018
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 48%
      • Proportion of distribution to ACO participants: 52%
    • Performance Year 2017
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 57%
      • Proportion of distribution to ACO participants: 43%
    • Performance Year 2016
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 85%
      • Proportion of distribution to ACO participants: 15%
  • First Agreement Period
    • Performance Year 2015
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 80%
    • Performance Year 2014
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 28%
      • Proportion of distribution to ACO participants: 72%
    • Performance Year 2013
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 36%
      • Proportion of distribution to ACO participants: 64%

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the CMS Web Interface collection type.

Measure #Measure TitleCollection TypePerformance Rate*ACO Mean
318Falls: Screening for Future Fall RiskCMS Web Interface79.689.42
110Preventive Care and Screening: Influenza ImmunizationCMS Web Interface67.1170.76
226Preventive Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface81.8279.29
134Preventive Care and Screening: Screening for Clinical Depression and Follow-up PlanCMS Web Interface85.7780.97
113Colorectal Cancer ScreeningCMS Web Interface75.0877.14
112Breast Cancer ScreeningCMS Web Interface80.0080.36
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface94.3487.05
370Depression remission at Twelve MonthsCMS Web Interface12.2016.58
001Diabetes Mellitus: Hemoglobin A1c Poor Control (< 9%)CMS Web Interface11.649.84
236Controlling High Blood PressureCMS Web Interface79.8477.80
321CAHPS for MIPSCAHPS for MIPS Survey3.606.25
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsAdministrative Claims0.1630.155
484All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOsAdministrative Claims
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey82.3083.70
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey91.0793.96
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey86.7292.43
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey75.9875.76
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey64.5265.48
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey53.9162.31
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey73.2074.14
CAHPS-8Care CoordinationCAHPS for MIPS Survey80.8485.89
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey88.3292.89
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey26.3126.98

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs’ providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

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

Payment Rule Waivers

  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.