Cayuga Health Partners

2024 ACO Reporting

ACO Name and Location

Cayuga Area Preferred, Inc.

d/b/a Cayuga Health Partners

101 Dates Drive
Ithaca, NY 14850

ACO Primary Contact

Amy Carver

 607-252-3690

partners@cayugamed.org

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Mary Smoolca N
John Bezirganian N
OB/GYN ASSOCIATES OF ITHACA, LLP N
Gastroenterology Associates of Ithaca PC N
Radiology Associates of Ithaca, P.C. N
Drs. Ferrer & Monaghan, Physicians, LLP N
Asthma & Allergy Associates P.C. N
Physiatry & Rehabilitation Medicine, PC N
Cayuga Family Medicine Pc N
Ithaca Urology, PLLC N
Peter Schwartz, M.D., PLLC N
CAYUGA MEDICAL ASSOCIATES, PC N
Medical Pain Consultant, Osteopathy Of Tompkins County, P.C. N
TRUMANSBURG MEDICINE PLLC N
CAYUGA MEDICAL CENTER AT ITHACA N
Jeffrey Kadlecik N
Cayuga Ear, Nose, Throat-Head & Neck Surgery, PLLC N
INTERNAL MEDICINE OF ITHACA, PC N
SMITH ALLERGY AND ASTHMA OF CENTRAL NEW YORK PLLC N
Primary Care Internal Medicine of Ithaca, PLLC N
Cayuga Dermatology, Pllc N
ROBERT J. ARLEO, MD,PC N
CMA MEDICAL PRACTICE PLLC N
SCHUYLER HOSPITAL INC N
PINE POINT MEDICAL PLLC N
CAYUGA PATHOLOGY PLLC N

 

ACO Governing Body:

Member
First Name
Member
Last Name
Member Title/Position Member’s Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, if applicable
Lloyd Darlow, MD Board Chairman 10% ACO Participant Cayuga Medical Associates. PC
Martin Stallone, MD Vice Chair 10% ACO Participant Cayuga Medical Center at Ithaca
Timothy Bael, MD Secretary 10% ACO Participant Cayuga Medical Center at Ithaca
Tracy Gates Treasurer 10% ACO Participant Cayuga Medical Center at Ithaca
Andreia deLima, MD Board Member 10% ACO Participant Cayuga Medical Center at Ithaca
James Loehr, MD Board Member 10% ACO Participant Cayuga Family Medicine, PC
Beth Plocharczyk, MD Board Member 10% ACO Participant Cayuga Pathology PLLC (Excelsior Pathology)
Herb Alexander Board Member 10% ACO Participant Cayuga Medical Center at Ithaca
Audrey DeSilva, MD Board Member 10% Community Stakeholder
Jean McPheeters Board Member 10% Medicare Beneficiary Representative

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Robert Lawlis

Medical Director: John-Paul Mead, MD

Compliance Officer: Amy Carver

Quality Assurance/Improvement Officer: John-Paul Mead, MD

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Clinical Integration Committee Lloyd Darlow, MD; Chair
Contracts and Finance Committee Elliot Rubinstein, MD; Chair
IT and Data Governance Committee Elizabeth Plocharzyk, MD; Chair
Performance Improvement Committee Audrey DeSilva, MD; Chair
Primary Care Operations and Care Management Committee James Loehr, MD; Chair

 

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Second Agreement Period
    • Performance Year 2024, $0
    • Performance Year 2023, $0
    • Performance Year 2022, $0
    • Performance Year 2021, $0
    • Performance Year 2020, $0
    • Performance Year 2019-A, $0
  • First Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
    • Performance Year 2017, $0
    • Performance Year 2016, $0

Shared Savings Distribution:

  • Second Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distributed 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 distributed 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 distributed 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
    • Performance Year 2019-A
      • 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 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
      • 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

Quality Performance Results

2024 Quality Performance Results:

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

Measure # Measure Name Collection Type Reported Performance Rate  Current Year Mean Performance Rate (SSP ACOs)
Quality ID#: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) CMS Web Interface 7.66 9.44
Quality ID#: 134 Preventive Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 79.27 81.46
Quality ID#: 236 Controlling High Blood Pressure CMS Web Interface 70.16 79.49
Quality ID#: 318 Falls: Screening for Future Fall Risk CMS Web Interface 91.53 88.99
Quality ID#: 110 Preventive Care and Screening: Influenza Immunization CMS Web Interface 76.95 68.60
Quality ID#: 226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 58.82 79.98
Quality ID#: 113 Colorectal Cancer Screening CMS Web Interface 86.29 77.81
Quality ID#: 112 Breast Cancer Screening CMS Web Interface 83.47 80.93
Quality ID#: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 82.48 86.50
Quality ID#: 370 Depression Remission at Twelve Months CMS Web Interface 16.88 17.35
Quality ID#: 321 CAHPS for MIPS CAHPS for MIPS Survey 5.59 6.67
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups Administrative Claims 0.1472 0.1517
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions Administrative Claims 33.97 37.00

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

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • N/A
  • Payment for Telehealth Services:
    • N/A

Fraud and Abuse Waivers

  • ACO Pre-Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement.

For each arrangement, provide the following information:

  • Parties to the arrangement: N/A
  • Date of arrangement: N/A
  • Items, services, goods, or facility provided: N/A
  • Date and nature of any amendments to the arrangement, if applicable: N/A
  • ACO Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

For each arrangement, provide the following information:

  • Parties to the arrangement: N/A
  • Date of arrangement: N/A
  • Items, services, goods, or facility provided: N/A
  • Date and nature of any amendments to the arrangement, if applicable: N/A

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what our patients are saying

“I have to say the last couple visits that I’ve had here have been wonderful. About a month ago I had an EGD and the staff were amazing! Explained everything in detail and made me feel at ease. I was very nervous and the nurse I had was very comforting. Tonight we had to take my son to the emergency room and they were awesome with him! We got right in. “

“I have been a Hemo dialysis patient for almost Five years. Prior to dialysis and during dialysis I have had several trips to the ER, due to other health issues & was admitted to CMC more than a few times. Each and every time I’ve been there, whether in patient or out, I have been treated with respect, professionalism, and efficiency. I give this hospital 2 thumbs up!! Thank you CMC for taking care of me all these years!!”

“The staff and accommodations at Cayuga Birthplace are amazing!!! This is what it I imagine it would feel like to be a celebrity getting VIP treatment. I wish I could stay longer – even the food options are 5 Star! The amenities are great. Everything is clean and designed beautifully. Not a single complaint, only praises!”

“I have had many occasions visiting CMC for myself and family. We have never had a bad experience there at all. Last October I had surgery and the nurses were amazing especially my night nurse. Thank you to all CMC staff for doing what you do every day with a smile.”