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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

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.
ChewEdwardVoting Member1ACO Participant RepresentativePhysician Affiliate Group of New York, P.C.
CurcioJoanVoting Member1ACO Participant RepresentativeIcahn School of Medicine at Mount Sinai (DBA: Mount Sinai Elmhurst Faculty Practice Group)
PeartHyacinthVoting Member1Medicare Beneficiary Representative
SeigelWarrenVoting Member1ACO 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 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%
  • 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

2023 Quality Performance Results:

Measure #Measure NameCollection TypeRateACO Mean
318Falls: Screening for Future Fall RiskCMS Web Interface86.3589.42
110Preventive Care and Screening: Influenza ImmunizationCMS Web Interface67.9270.76
226Preventive Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface83.3379.29
134Preventive Care and Screening: Screening for Clinical Depression and Follow-up PlanCMS Web Interface92.1880.97
113Colorectal Cancer ScreeningCMS Web Interface77.2077.14
112Breast Cancer ScreeningCMS Web Interface78.2680.36
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface95.2087.05
370Depression remission at Twelve MonthsCMS Web Interface31.8216.58
001Diabetes Mellitus: Hemoglobin A1c Poor Control (< 9%)CMS Web Interface11.029.84
236Controlling High Blood PressureCMS Web Interface70.2977.80
321CAHPS for MIPSCAHPS for MIPS Survey3.616.25
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsAdministrative Claims0.16050.1533
484All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOsAdministrative Claims35.39

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.