ACO: Patient Information
Download 2019 ACO Patient Information (PDF)
Download CMS “Accountable Care Organizations and You” Patient Information Guide (PDF)
ACO Name and Location
Westchester Medical Group, P.C.
Previous Names: Westmed Medical Group, P.C.
800 Westchester Avenue (Suite N-715)
Rye Brook, NY 10573
ACO Primary Contact
Calie Santana, MD
aco@westmedgroup.com
(914) 848-8599
Organizational Information
ACO participants
Westchester Medical Group, P.C.
(WESTMED Medical Group)
ACO participants in joint ventures between ACO professional and hospitals
No participants are involved in a joint venture between ACO professionals and hospitals
ACO governing body
- Michael Suzman, MD, Chairman/Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
- David Cziner, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
- Herbert Gretz, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
- Jonathan Finegold, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
- Cordelia Schwarz, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
- Randy Stein, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
- Ronald Dennett, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
- Monica Rieckhoff, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
- Joshua Waldman, MD, Voting Member, ACO Participant, Westchester Medical Group, P.C./WESTMED Medical Group
Key ACO clinical and administrative leadership
- Steven Meixler, MD (ACO Executive & Medical Director)
- Toni Mileo Drohan, Esq. (Compliance Officer)
- Calie Santana, MD (Quality Assurance/Improvement Officer)
Associated committees and committee leadership
- ACO Advisory Committee: Four (4)Westmed patients who are Medicare FFS Beneficiaries
Types of ACO participants, or combinations of participants, that formed the ACO
- ACO professionals in a group practice arrangement
Shared Savings and Losses
Amount of Shared Savings/Losses
- First Agreement Period (for contract starting 2019 with shared savings/losses Enhanced)
- Performance Year 2019, $ 2,631,915.20
- Second Agreement Period
- Performance Year 2018, $6,203,325
- Performance Year 2017, $5,384,460
- Performance Year 2016, $0
- First Agreement Period
- Performance Year 2015, $0
- Performance Year 2014, $3,266,226
- Performance Year 2013, $0
Shared Savings Distribution
- First Agreement Period (Enhanced Track)
- Performance Year 2019
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 50%
- Proportion of distribution to ACO participants: 20%
- Second Agreement Period
- Performance Year 2018
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 50%
- Proportion of distribution to ACO participants: 20%
- Performance Year 2017
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 50%
- Proportion of distribution to ACO participants: 20%
- 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 2018
- First Agreement Period
- 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: 30%
- Proportion invested in redesigned care processes/resources: 50%
- Proportion of distribution to ACO participants: 20%
- Performance Year 2013
- 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
Quality Performance Results
2019 Quality Performance Results TableACO Number Measure Name Rate ACO Mean ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 85.49 85.86 ACO-2 CAHPS: How Well Your Providers Communicate 93.03 94.11 ACO-3 CAHPS: Patients’ Rating of Provider 93.01 92.69 ACO-4 CAHPS: Access to Specialists 77.43 81.54 ACO-5 CAHPS: Health Promotion and Education 55.92 60.44 ACO-6 CAHPS: Shared Decision Making 55.62 62.78 ACO-7 CAHPS: Health Status/Functional Status 74.60 73.79 ACO-34 CAHPS: Stewardship of Patient Resources* 18.56 26.17 ACO-45 CAHPS: Courteous and Helpful Office Staff 93.20 92.84 ACO-46 CAHPS: Care Coordination 86.20 86.89 ACO-8 Risk Standardized, All Condition Readmission 14.45 14.86 ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 62.21 58.15 ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.77 1.87 ACO-13 Falls: Screening for Future Fall Risk 69.77 84.04 ACO-14 Preventive Care and Screening: Influenza Immunization 82.33 74.77 ACO-17 Preventive Care and Screening: Tobacco Use:Screening and Cessation Intervention 68.42 78.04 ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 66.29 70.40 ACO-19 Colorectal Cancer Screening 80.59 70.76 ACO-20 Breast Cancer Screening 85.62 73.84 ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 88.68 82.17 ACO-40 Depression Remission at Twelve Months 16.22 13.58 ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 9.15 13.88 ACO-28 Hypertension (HTN): Controlling High Blood Pressure 76.42 75.04 For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov. Payment Rule Waivers
-
- Skilled Nursing Facility (SNF) 3-day Rule Waiver: Applying for 1/1/2021
- Our ACO is applying to use the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.
- 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.
- Skilled Nursing Facility (SNF) 3-day Rule Waiver: Applying for 1/1/2021
Beneficiary Incentive Program
Our ACO does not use the Beneficiary Incentive Program (BIP) established under 42 CFR §425.304(c) - Performance Year 2019