2023 ACO Reporting
ACO Name and Location
Cayuga Area Preferred, Inc.
d/b/a Cayuga Health Partners
Previous Names: N/A
101 Dates Drive
Ithaca, NY 14850
ACO Primary Contact
| Primary Contact Name | Robert Lawlis |
| Primary Contact Phone Number | 607-252-3694 |
| Primary Contact Email Address | [email protected] |
Organizational Information
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture |
| Mary Smoolca (Family Foot Care) | N |
| Jeffrey Kadlecik (Ithaca Podiatry Associates) | N |
| John Bezirganian | N |
| OB/GYN ASSOCIATES OF ITHACA, LLP | N |
| Gastroenterology Associates of Ithaca PC | N |
| FAMILY MEDICINE ASSOCIATES OF ITHACA LLP | N |
| Radiology Associates of Ithaca, P.C. | N |
| Dryden Family Medicine | N |
| Drs. Ferrer & Monaghan, Physicians, LLP (Ferrer & Monaghan Vein and Aesthetic Center) | N |
| Asthma & Allergy Associates P.C. | N |
| ROBERT J. ARLEO, MD, PC (Arleo Eye Associates) | N |
| Physiatry & Rehabilitation Medicine, PC | N |
| Cayuga Family Medicine Pc | N |
| Ithaca Urology, PLLC | N |
| Cayuga Anesthesia Associates, 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 (Trumansburg Family Medicine) | N |
| CAYUGA MEDICAL CENTER AT ITHACA | N |
| David Monacelli, M.D. | 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 |
| CMA MEDICAL PRACTICE PLLC (Emergency Medicine Associates of Cayuga PLLC) | N |
| Cayuga Dermatology, Pllc | N |
| SCHULYER HOSPITAL INC | N |
| CAYUGA PATHOLOGY PLLC (Excelsior Pathology) | N |
| PINE POINT MEDICAL PLLC | N |
ACO Governing Body:
| Member | Member’s Voting Power | Membership Type – | ACO Participant Legal Business Name/DBA, if Applicable | ||
| Last Name | First Name | Title/Position | |||
| Darlow, MD | Lloyd | Board Chairman | 1 | ACO Participant | Cayuga Medical Associates. PC |
| Stallone, MD | Martin | Vice Chair | 1 | ACO Participant | Cayuga Medical Center at Ithaca |
| Bael, MD | Timothy | Secretary | 1 | ACO Participant | Cayuga Medical Center at Ithaca |
| Gates | Tracy | Treasurer | 1 | ACO Participant | Cayuga Medical Center at Ithaca |
| deLima, MD | Andreia | 1 | ACO Participant | Cayuga Medical Center at Ithaca | |
| Gelber, MD | Steve | 1 | ACO Participant | OB/GYN Associates of Ithaca, LLP | |
| Loehr, MD | James | 1 | ACO Participant | Cayuga Family Medicine, PC | |
| Plocharczyk, MD | Beth | 1 | ACO Participant | Cayuga Pathology PLLC (Excelsior Pathology) | |
| Alexander | Herb | 1 | ACO Participant | Cayuga Medical Center at Ithaca | |
| McPheeters | Jean | 1 | Community Stakeholder, Medicare Beneficiary | ||
Key ACO Clinical and Administrative Leadership:
| Robert Lawlis | ACO Executive |
| John-Paul Mead, MD | Medical Director |
| Amy Carver | Compliance Officer |
| John-Paul Mead, MD | Quality Assurance/Improvement Officer |
Associated Committees and Committee Leadership:
| Committee Name | Committee Leader Name and Position |
| Clinical Integration Committee | Martin Stallone, 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 2022, $0
- Performance Year 2021, $2,194,249
- 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 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
- Performance Year 2022
-
-
- 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
2021 Quality Performance Results:
Quality performance results are based on CMS Web interface.
| ACO Quality Measure Number | Measure Name | Rate | ACO Mean |
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 | 6.85 | 10.71 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | 68.15 | 76.97 |
| 236 | Controlling High Blood Pressure | 66.53 | 76.16 |
| 318 | Falls: Screening for Future Fall Risk | 90.32 | 87.83 |
| 110 | Preventative Care and Screening: Influenza Immunization | 75.20 | 77.34 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | 80.00 | 79.27 |
| 113 | Colorectal Cancer Screening | 83.47 | 75.32 |
| 112 | Breast Cancer Screening | 83.47 | 78.07 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 80.00 | 86.37 |
| 370 | Depression Remission at Twelve Months | 9.41 | 16.03 |
| 321 | CAHPS for MIPS | N/A | N/A |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | 0.1505 | 0.1510 |
| MCC1 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) | 28.77 | 30.97 |
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
- Waiver for 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.
- 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.
- 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
“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 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 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.”
“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!!”
