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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
Coney Island Medical Practice Plan, P.C.Y
Downtown Bronx Medical Associates, P.C.Y
Harlem Medical Associates, P.C.Y
Icahn School of Medicine at Mount Sinai (DBA: Mount Sinai Elmhurst Faculty Practice Group)Y
Metropolitan Medical Practice Plan, P.C.Y
New York City Health and Hospitals CorporationY
University Physicians of Brooklyn, IncY

ACO governing body:

Member
Last nameFirst NameTitle/PositionMember’s Voting Power – Expressed as a percentage or numberMembership TypeACO Participant Legal Business Name/DBA, if Applicable
KatzMitchellChair1ACO Participant RepresentativeNew York City Health and Hospitals Corporation
SieglerMatthewCEO1ACO Participant RepresentativeNew York City Health and Hospitals Corporation
KalkutGaryVice President1ACO Participant RepresentativeNew York City Health and Hospitals Corporation
Ulberg, Jr.John E.Treasurer1ACO Participant RepresentativeNew York City Health and Hospitals Corporation
CohenAndreaSecretary1ACO Participant RepresentativeNew York City Health and Hospitals Corporation
Jordan-MartinNicoleVoting Member1ACO Participant RepresentativeNew York City Health and Hospitals Corporation
NapolitanoDanielVoting Member1ACO Participant RepresentativeCommunity Healthcare Network, Inc.
BeckerRichardVoting Member1Other
MoshirpurJasminVoting Member1ACO Participant RepresentativeIcahn School of Medicine at Mount Sinai (DBA: Mount Sinai Elmhurst Faculty Practice Group)
PeartHyacinthVoting Member1Medicare Beneficiary Representative
SeigelWarrenVoting Member1ACO Participant RepresentativeConey Island Medical Practice Plan, P.C.

Key ACO clinical and administrative leadership:

ACO Executive: Matthew Siegler
Chief Medical Officer: David Stevens, MD
Compliance Officer: Catherine Patsos, Esq.
Quality Assurance/Improvement Officer: David Stevens, MD

Associated committees and committee leadership:

Committee NameCommittee Leader Name and Position
Governance CommitteeMitchell Katz, MD, Board Chair
Clinical Leadership & Quality Assurance CommitteeDavid Stevens, 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 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 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

2021 Quality Performance Results:

Measure #Measure NameRateACO Mean
318Falls: Screening for Future Fall Risk73.1287.03
110Preventive Care and Screening: Influenza Immunization71.3180.52
226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention76.4780.97
134Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan80.2274.38
113Colorectal Cancer Screening68.3273.63
112Breast Cancer Screening67.7975.11
438Statin Therapy for the Prevention and Treatment of Cardiovascular Disease89.6284.24
001Diabetes Mellitus: Hemoglobin A1c Poor Control (<9%)14.8812.46
236Controlling High Blood Pressure67.3174.87
321CAHPS for MIPSN/AN/A
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups0.17620.1540
MCC1All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs45.1533.99

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.