HHC ACO Inc., an Accountable Care Organization | NYC Health + Hospitals

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ACO Name and Location

HHC ACO Inc
Previous Names: N/A
50 Water Street, 7th 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
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 Corporation Y
University Physicians of Brooklyn, Inc 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
1 ACO Participant Representative New York City Health and Hospitals Corporation
Siegler Matthew CEO
1 ACO Participant Representative New York City Health and Hospitals Corporation
Kalkut Gary Vice President
1 ACO Participant Representative New York City Health and Hospitals Corporation
Ulberg, Jr. John E. Treasurer
1 ACO Participant Representative New York City Health and Hospitals Corporation
Cohen Andrea Secretary
1 ACO Participant Representative New York City Health and Hospitals Corporation
Jordan-Martin Nicole Voting Member
1 ACO Participant Representative New York City Health and Hospitals Corporation
Donnell Lori Voting Member
1 ACO Participant Representative University Physicians of Brooklyn, Inc.
Marcos Luis Voting Member
1 Other  
Moshirpur Jasmin Voting Member
1 ACO Participant Representative Icahn School of Medicine at Mount Sinai (DBA: Mount Sinai Elmhurst Faculty Practice Group)
Peart Hyacinth Voting Member
1 Medicare Beneficiary Representative  
Seigel Warren Voting Member
1 ACO Participant Representative Coney 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 Name Committee Leader Name and Position
Governance Committee Mitchell Katz, MD, Board Chair
Clinical Leadership & Quality Assurance Committee David Stevens, 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 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

“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

  • Third 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%
  • 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%

“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

2019 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 75.37 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 89.63 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 89.95 92.69
ACO-4 CAHPS: Access to Specialists 78.87 81.54
ACO-5 CAHPS: Health Promotion and Education 64.74 60.44
ACO-6 CAHPS: Shared Decision Making 59.62 62.78
ACO-7 CAHPS: Health Status/Functional Status 71.14 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 17.69 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 81.51 92.84
ACO-46 CAHPS: Care Coordination 81.45 86.89
ACO-8 Risk Standardized, All Condition Readmission 14.58 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 77.61 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.65 1.87
ACO-13 Falls: Screening for Future Fall Risk 77.73 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 73.41 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92.59 78.04
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 88.26 70.40
ACO-19 Colorectal Cancer Screening 72.81 70.76
ACO-20 Breast Cancer Screening 76.21 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 89.29 82.17
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 18.98 13.88
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 74.32 75.04

“Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size”

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.

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