ACO Name and Location

Alliance for Integrated Care of New York, LLC
Trade Name/DBA: Alliance for Integrated Care of New York, LLC
8 Southwoods Boulevard, Suite 110
Albany, NY 12211-2514, U.S.A.

ACO Primary Contact

Pam Matuszewski
845-985-1083×6217
pmatuszewski@aiconys.com

Organizational Information

ACO Particpants ACO Participant
in Joint Venture
Advantage Care Diagnostic and Treatment Center, Inc. No
Arc Healthresources of Rockland, Inc. No
Center for Disability Services, Inc. No
Charles Evans Center, Inc. No
Chautauqua County Chapter of Nysarc, Inc. No
Community Inclusion, Inc. No
Dbm Medical, Pllc No
Hasc Diagnostic & Treatment Center, Inc. No
Hudson Valley Regional Community Health Centers, Inc. No
Long Island Select Healthcare, Inc. No
Metro Community Health Centers, Inc. No
Premier Healthcare, Inc. No
The Center for Discovery, Inc. No
United Cerebral Palsy Association of Nassau County, Inc. No

ACO Governing Body

Member First Name Member Last Name Member Title/Position Member’s Voting Power (Expressed as a vote count) Membership Type ACO Participant
Legal Business Name/DBA
Aaron Clark CEO 12.5% ACO Participant Representative Long Island Select
Healthcare, Inc.
Anne Carlson Medicare Beneficiary Rep. 12.5% Medicare Beneficiary Representative N/A
Anne Marie Phillips Director of
Quality		 12.5% ACO Participant Representative Charles Evans Center, Inc.
Heather Brown Chairperson 12.5% ACO Participant Representative Community Inclusion, Inc.
Heshy Kahn Executive 12.5% ACO Participant Representative Hasc Diagnostic & Treatment Center, Inc.
Kerry Delaney PS CEO 12.5% Other N/A
Mary Ellen Diver CEO 12.5% ACO Participant Representative Advantage Care Diagnostic and Treatment Center, Inc.
Michele Quigley CEO 12.5% ACO Participant Representative Metro Community Health Centers, Inc.

Member’s voting power may have been rounded to reflect a total voting power of 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive: Wei-Jia Shen
Medical Director: Maulik Trivedi
Compliance Officer: Lisa John
Quality Assurance/Improvement Officer: Pamela Matuszewski

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
AICNY Leadership Committee Joe Shen, Executive Director

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

Fourth Agreement Period

  • Performance Year 2026 – N/A
  • Performance Year 2025 – N/A

Third Agreement Period

  • Performance Year 2024 – N/A
  • Performance Year 2023 – $0.00
  • Performance Year 2022 – $0.00
  • Performance Year 2021 – $1,278,554.91
  • Performance Year 2020 – $1,623,670.92

Second Agreement Period

  • Performance Year 2019 – $1,365,669.72
  • Performance Year 2018 – $1,127,885.55
  • Performance Year 2017 – $993,934.65

First Agreement Period

  • Performance Year 2016 – N/A
  • Performance Year 2015 – N/A
  • Performance Year 2014 – N/A

Shared Savings Distribution:

Fourth Agreement Period:

  • Performance Year 2026
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A
  • Performance Year 2025
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A

Third Agreement Period:

  • Performance Year 2024
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A
  • Performance Year 2023
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A
  • Performance Year 2022
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A
  • Performance Year 2021
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A
  • Performance Year 2020
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A

Second Agreement Period

  • Performance Year 2019
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A
  • Performance Year 2018
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A
  • Performance Year 2017
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A

First Agreement Period

  • Performance Year 2016
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A
  • Performance Year 2015
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A
  • Performance Year 2014
    Proportion invested in infrastructure: N/A
    Proportion invested in redesigned care processes/resources: N/A
    Proportion of distribution to ACO participants: N/A

Quality Performance Results – 2024

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

Measure # Measure Title Collection Type Performace Rate Current Year Mean Performance Rate
(SSP ACOs)
321 CAHPS for MIPS CAHPS for
MIPS Survey		 – –
479* Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative
Claims		 – 0.1517
484* Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) Administrative
Claims		 56.43 37
318 Falls: Screening for Future Fall Risk CMS Web Interface 63.27 88.99
110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 62.33 68.6
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 93.33 79.98
113 Colorectal Cancer Screening CMS Web Interface 75.64 77.81
112 Breast Cancer Screening CMS Web Interface 76.85 80.93
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 86.51 86.5
370 Depression Remission at Twelve Months CMS Web Interface 0 17.35
001* Diabetes: Hemoglobin A1c (HbA1c) Poor
Control		 CMS Web Interface 15.28 9.44
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 83.88 81.46
236 Controlling High Blood Pressure CMS Web Interface 86.49 79.49
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey – –
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey – –
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey – –
CAHPS-4 Access to Specialists CAHPS for MIPS Survey – –
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey – –
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey – –
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey – –
CAHPS-8 Care Coordination CAHPS for MIPS Survey – –
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey – –
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey – –

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

*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.