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ADVANTAGECARE ACO: ACPNY’s Participation in Medicare Shared Savings Program (MSSP) ACO

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ADVANTAGECARE ACO: ACPNY’s Participation in Medicare Shared Savings Program (MSSP) ACO

Direct Contracting Medicare Program to Improve Health Outcomes

Important Notice: Hudson Accountable Care, LLC (“AdvantageCare ACO”) participates in a Medicare program called Medicare Shared Savings Program (MSSP) ACO starting January 1, 2024.

Advantagecare Physicians participating in MSSP ACO Medicare program to improve health outcomes across local communities

Medicare Shared Savings Program (MSSP) ACO gives primary care providers an opportunity to improve care delivery and health outcomes for all patients enrolled in traditional Medicare. Under this program, primary care providers can join or form an ACO that can directly contract with the Centers for Medicare & Medicaid Services (CMS) just like a health plan to improve population health outcomes across local communities.

MSSP is Medicare’s largest value-based payment model. ACOs take accountability for all of their assigned patients’ medical spending over the course of a year. MSSP ACO allows participating ACO providers to share in savings with Medicare if the ACO achieves quality goals and controls spending, which helps with ongoing practice investments to improve access to care and population health across local communities.

AdvantageCare Physicians, P.C (ACPNY), participates in the ACO REACH model as AdvantageCare ACO. AdvantageCare ACO is located at 55 Water Street, New York, New York 10041. AdvantageCare ACO is a wholly owned subsidiary of ACPNY, a participant in the ACO. AdvantageCare ACO does not have any other joint ventures with any of its Participant Providers or Preferred Providers.

AdvantageCare ACO was a participant in MSSP from 2016-2021, and during that time generated over $28 million in total savings for our Medicare population. ACPNY is proud of its track record improving the health and well-being of diverse and often overlooked communities by providing access to affordable and culturally competent primary and specialty care outside hospital systems. ACPNY’s delivery of primary and specialty care in outpatient, community settings prevents unnecessary hospitalizations, improves population health outcomes, and reduces health care disparities.

AdvantageCare ACO hopes to continue its successful MSSP ACO experience in future program years as we continue to provide coordinated, high-quality care at lower costs to our Medicare beneficiaries. Please check back for forthcoming information about AdvantageCare ACO’s quality and financial performance as we rejoined the MSSP ACO program in 2024.

See a list of the ACPNY providers who are participating in AdvantageCare ACO here.

Providers who are part of an ACO find that they are able to give their patients better quality care. Medicare benefits for patients seeing an MSSP ACO provider will not be changed. However, as a patient of an MSSP ACO provider, some special features may be available to you at no extra cost. These special features are listed below:

  • Coordination of care between specialists, hospitals, nursing homes and care managers
  • Provider registry management to determine care opportunities
  • Outreach to patients including phone and email to ensure follow-up as allowed under applicable state regulation or state medical licensing requirements; self-management support and counseling; some behavior change management, case management and disease management
  • Medication management
  • Care plan follow-up
  • Outreach and care management for patients with chronic disease

For information about any of these features, please ask your doctor or healthcare provider. Additionally, the Medicare program tracks quality data about AdvantageCare ACO’s performance as a MSSP ACO participant. For example, CMS measures AdvantageCare ACO’s performance on measures of patient satisfaction and patient safety. Once available, AdvantageCare ACO will provide that information here. Please check back later.

ADVANTAGECARE ACO MANAGEMENT AND LEADERSHIP COMMITTEE

The following individuals are Hudson’s key clinical and administrative leaders and/or members of the Board of Directors of AdvantageCare ACO:

Navarra Rodriguez, MD

President & Chief Medical Officer, ACPNY

Management Committee Chair & Member of the Board of Directors, AdvantageCare ACO

Medicare Director, AdvantageCare ACO

Participant Provider

Paul Hebert

Chief Administrative Officer, ACPNY

President & Member of the Board of Directors, AdvantageCare ACO

Timothy Kelly

Chief Strategy Officer, ACPNY

Member of the Board of Directors,  AdvantageCare ACO

Seema Massand, MD

VP of Clinical Quality, ACPNY

Member of the Board of Directors,  AdvantageCare ACO

Participant Provider

Julie Pannullo, MD

VP of Clinical Innovation, ACPNY

Member of the Board of Directors,  AdvantageCare ACO

Participant Provider   

Bryan Kress

AVP of Finance, ACPNY

Treasurer,  AdvantageCare ACO

Jonathan Montgomery

VP of Legal, ACPNY

Corporate Secretary, AdvantageCare ACO

Peiman Saadat

VP of Compliance, ACPNY

Chief Compliance Officer,  AdvantageCare ACO

Lorraine Ng

Care Manager, EmblemHealth Services Company, LLC

Consumer Advocate

William Perkins

Member of the Board of Directors, AdvantageCare ACO

Retired

Medicare Beneficiary

 

Read our Code of Conduct (PDF)

Once available, AdvantageCare ACO will provide information here about any shared savings or shared losses it generates through the MSSP ACO program. The information will include: the amount of shared savings or shared losses generated; the proportion of any shared savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Medicare beneficiaries; and the proportion of any shared savings distributed to our Participant Providers and Preferred Providers. Please check back later.

Questions?

Contact Tim Kelly

AdvantageCareACO@acpny.com

ACPNY Compliance Hotline: 844-7-COMPLY

In observance of Memorial Day, most ACPNY offices will be operating on a holiday schedule. For your convenience, select offices will remain open. Learn more.