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 Participants | ACO 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 Corporation | Y |
| Physician Affiliate Group of New York, P.C. | Y |
ACO governing body:
| Member | |||||
| Last name | First Name | Title/Position | Member’s Voting Power – Expressed as a percentage or number | Membership Type | ACO Participant Legal Business Name/DBA, if Applicable |
| Katz | Mitchell | Chair | 9.09% | ACO Participant Representative | New York City Health and Hospitals Corporation |
| Siegler | Matthew | CEO | 9.09% | ACO Participant Representative | New York City Health and Hospitals Corporation |
| Kalkut | Gary | Vice President | 9.09% | ACO Participant Representative | New York City Health and Hospitals Corporation |
| Ulberg, Jr. | John E. | Treasurer | 9.09% | ACO Participant Representative | New York City Health and Hospitals Corporation |
| Cohen | Andrea | Secretary | 9.09% | ACO Participant Representative | New York City Health and Hospitals Corporation |
| Jordan-Martin | Nicole | Voting Member | 9.09% | ACO Participant Representative | New York City Health and Hospitals Corporation |
| Napolitano | Daniel | Voting Member | 9.09% | ACO Participant Representative | Community Healthcare Network, Inc. |
| Chew | Edward | Voting Member | 9.09% | ACO Participant Representative | Physician Affiliate Group of New York, P.C. |
| Curcio | Joan | Voting Member | 9.09% | ACO Participant Representative | Icahn School of Medicine at Mount Sinai (DBA: Mount Sinai Elmhurst Faculty Practice Group) |
| Peart | Hyacinth | Voting Member | 9.09% | Medicare Beneficiary Representative | |
| Seigel | Warren | Voting Member | 9.09% | ACO Participant Representative | Physician 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 Name | Committee Leader Name and Position |
| Governance Committee | Mitchell Katz, MD, Board Chair |
| Clinical Leadership & Quality Assurance Committee | Anthony Okolo, MD, Medical Director |
| Audit Committee | John 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 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 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%
- Performance Year 2023
- 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%
- Performance Year 2019
- 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%
- Performance Year 2015
Quality Performance Results
2023 Quality Performance Results:
| Measure # | Measure Name | Collection Type | Rate | ACO Mean |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 86.35 | 89.42 |
| 110 | Preventive Care and Screening: Influenza Immunization | CMS Web Interface | 67.92 | 70.76 |
| 226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 83.33 | 79.29 |
| 134 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | CMS Web Interface | 92.18 | 80.97 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 77.20 | 77.14 |
| 112 | Breast Cancer Screening | CMS Web Interface | 78.26 | 80.36 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 95.20 | 87.05 |
| 370 | Depression remission at Twelve Months | CMS Web Interface | 31.82 | 16.58 |
| 001 | Diabetes Mellitus: Hemoglobin A1c Poor Control (< 9%) | CMS Web Interface | 11.02 | 9.84 |
| 236 | Controlling High Blood Pressure | CMS Web Interface | 70.29 | 77.80 |
| 321 | CAHPS for MIPS | CAHPS for MIPS Survey | 3.61 | 6.25 |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.1605 | 0.1533 |
| 484 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs | Administrative Claims | — | 35.39 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 77.56 | 83.68 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 87.37 | 93.69 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 90.93 | 92.14 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 73.12 | 75.97 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 73.24 | 63.93 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 59.41 | 61.60 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 72.38 | 74.12 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 82.81 | 85.77 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 87.70 | 92.31 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 23.14 | 26.69 |
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.