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: : Lorie Liptak
Primary Contact Phone Number: (718) 286-6616
Primary Contact Email: LLiptak@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
Nancy Bragg 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

Lorie Liptak: Program Lead

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 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 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 – 2022

Measure Measure Name AICNY Reported Performance Rate Current Year Mean Performance Rate
(SSP ACOs)
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 16.37 10.71
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 78.70 76.97
236 Controlling High Blood Pressure 79.04 76.16
318 Falls: Screening for Future Fall Risk 52.81 87.83
110 Preventative Care and Screening: Influenza Immunization 75.88 77.34
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 66.67 79.27
113 Colorectal Cancer Screening 71.83 75.32
112 Breast Cancer Screening 76.94 78.07
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease1 83.11 86.37
370 Depression Remission at Twelve Months1 8.33 16.03
321 CAHPS for MIPS³ N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups²
484 ll-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)² 35.72 30.97

[1] For PY 2022, measures 438 and 370 do not have benchmarks, and therefore, were not scored.

[2] A lower performance rate corresponds to higher quality.

[3] CAHPS for MIPS is a composite measure calculated as the average number of points across scored Summary Survey Measures (SSM) (86 FR 65256).

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

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.