ACO Name and Location
Alliance for Integrated Care of New York, LLC
Previous Names: Accountable Care Coalition of Greater New York, LLC.
8 Southwoods Boulevard, Suite 110
Albany, NY 12211-2514
ACO Primary Contact
Primary Contact Name: : Marilyn Wolff
Primary Contact Phone Number: (718) 285-6616
Primary Contact Email: mwolff@aiconys.com
Organizational Information
2024 ACO Participants:
| ACO Particpants | ACO Participant in Joint Venture |
|---|---|
| Chautauqua County Chapter of NYSARC, Inc, | N |
| HASC Diagnostic & Treatment Center, Inc. | N |
| Hudson Valley Regional Community Health Centers, Inc. | N |
| Long Island Select Healthcare, Inc. | N |
| United Cerebral Palsy Association Of Nassau County Inc. D/B/A CP Nassau | N |
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 |
|---|---|---|---|---|---|
| Heather | Brown | Chairperson Member Representative |
1 | ACO Participant Representative | Chautauqua County Chapter of NYSARC, Inc. DBA The Resource Center |
| Allison | Bergmann | Secretary/Treasurer Member Representative |
1 | ACO Participant Representative | Long Island Select Healthcare, Inc. |
| Nechemia | Schorr | Member Representative | 1 | ACO Participant Representative | HASC Diagnostic & Treatment Center, Inc |
| Howard | Yager | Member Representative | 1 | ACO Participant Representative | Hudson Valley Regional Community Health Centers, Inc. |
| Karen | Geller-Hittleman | Member Representative | 1 | ACO Participant Representative | United Cerebral Palsy Association of Nassau County Inc. DBA CP Nassau |
| Anne | Carlson | Medicare Beneficiary Representative | 1 | Medicare Beneficiary | |
| Kerry | Delaney | Member Representative | 1 | Other | Partners for Quality Health, LLC |
| Joe | Shen | ACO Executive Director | 0 | Executive Director | |
| Steve | Merahn, MD | ACO Medical Director | 0 | Medical Director |
Key ACO Clinical and Administrative Leadership:
Joe Shen: ACO Executive Director
Steve Merahn, MD: Medical Director/Quality Improvement Officer
Lisa John: Chief Compliance Officer
Marilyn Wolff: Clinical & Quality Program Lead
| Committee Name | Committee Leader Name and Position |
|---|---|
| AICNY Management Committee | Joe Shen, Executive Director |
| AICNY Compliance Committee | Lisa John, Chief Compliance Officer |
| AICNY Quality Committee | Dr. Steve Merahn, Medical Director |
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
- Networks of individual practices of ACO professionals
- Federally Qualified Health Center (FQHC)
Shared Savings and Losses
Amount of Shared Savings/Losses:
Third Agreement Period
- Performance Year 2023 $0
- Performance Year 2022 $0
- 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 $1,127,886
- Performance Year 2017 $993,935
First Agreement Period
- Performance Year 2016 $0
- Performance Year 2015 $0
- Performance Year 2014 $0
Shared Savings Distribution:
- Third Agreement Period:
Performance Year 2023
Proportion invested in infrastructure: 0%
Proportion invested in redesigned care processes/resources: 0%
Proportion of distribution to ACO participants: 0%
Performance Year 2022
Proportion invested in infrastructure: 0%
Proportion invested in redesigned care processes/resources: 0%
Proportion of distribution to ACO participants: 0%
Performance Year 2021
Proportion invested in infrastructure: 12%
Proportion invested in redesigned care processes/resources: 10%
Proportion of distribution to ACO participants: 78%
Performance Year 2020
Proportion invested in infrastructure: 40%
Proportion invested in redesigned care processes/resources: 10%
Proportion of distribution to ACO participants: 50%
Performance Year 2019
Proportion invested in infrastructure: 90%
Proportion invested in redesigned care processes/resources: 10%
Proportion of distribution to ACO participants: 0%
- Second Agreement Period
Performance Year 2018
Proportion invested in infrastructure: 100%
Proportion invested in redesigned care processes/resources: 0%
Proportion of distribution to ACO participants: 0%
Performance Year 2017
Proportion invested in infrastructure: 100%
Proportion invested in redesigned care processes/resources: 0%
Proportion of distribution to ACO participants: 0%
- 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 – 2023
| Measure | Measure Name | AICNY Reported Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
|---|---|---|---|
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 | 37.65 | 9.84 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | 71.91 | 80.97 |
| 236 | Controlling High Blood Pressure | 78.10 | 77.80 |
| 318 | Falls: Screening for Future Fall Risk | 51.80 | 89.42 |
| 110 | Preventative Care and Screening: Influenza Immunization | 42.16 | 70.76 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | 95.24 | 79.29 |
| 113 | Colorectal Cancer Screening | 69.64 | 77.14 |
| 112 | Breast Cancer Screening | 72.37 | 80.36 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease1 | 84.01 | 87.05 |
| 370 | Depression Remission at Twelve Months1 | 15.38 | 16.58 |
| 321 | CAHPS for MIPS³ | 5.36 | 6.25 |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups² | — | 0.1553 |
| 484 | ll-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)² | 41.59 | 35.39 |
[1] A lower performance rate corresponds to higher quality.
[2] CAHPS for MIPS Survey is a composite measure, so numerator and denominator values are not applicable (N/A). The Reported Performance Rate column shows the CAHPS for MIPS Survey composite score. The CAHPS for MIPS Survey composite score is calculated as the average number of points across scored Summary Survey Measures (SSMs). Refer to Table 5 for details on CAHPS for MIPS Survey performance.
[3] For PY 2023, the CMS Web Interface measures Quality ID#: 438 and Quality ID#: 370 do not have benchmarks, and therefore, were not scored. They are, however, required to be reported in order to complete the Web Interface measure set. If they are not reported, the CMS Web Interface measure set denominator is increased by 10 points for each measure that is not reported, resulting in a lower health equity adjusted quality performance score. For more information, refer to the Performance Year 2023 APM Performance Pathway: CMS Web Interface Measure Benchmarks for ACOs:
For more information on the 2023 Quality Benchmarks and the future direction of quality benchmarks for 2024: https://qpp.cms.gov/benchmarks
[4] For PY 2023, ACOs that report quality data via the APP and do not meet the quality performance standard can meet the alternative quality performance standard. To meet the alternative quality performance standard, ACOs must achieve a quality performance score equivalent to or higher than the 10th percentile of the performance benchmark on at least 1 of the 4 outcome measures in the APP measure set.
[5] Equals Yes if the measure is an outcome measure for purposes of determining the alternative quality performance standard. Otherwise equals No.
Payment Rule Waivers
- Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.