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

partners@cayugamed.org

 

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

Josephine C. Mcallister, M.D., Llc (Dermatology Associates of Ithaca)

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

CAYUGA PHYSICIAN PRACTICE PLLC (CMA Occupational Medicine)

N

FINGER LAKES DERMATOLOGY, PLLC

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

Collett

John

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:

 



Shared Savings Distribution:

 

 

 

 

 

 

 

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

9.92

12.46

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

56.85

74.38

236

Controlling High Blood Pressure

70.16

74.87

318

Falls: Screening for Future Fall Risk

90.00

87.03

110

Preventative Care and Screening: Influenza Immunization

83.67

80.52

226

Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

92.59

80.97

113

Colorectal Cancer Screening

80.32

73.63

112

Breast Cancer Screening

79.18

75.11

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

77.69

84.24

370

Depression Remission at Twelve Months

11.59

15.50

321

CAHPS for MIPS3

N/A

N/A

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

0.1467

0.1540

MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2

33.56

33.99

 

For Previous Years Financial and Quality Performance Results, Please Visit data.cms.gov

 

Payment Rule Waivers

   Skilled Nursing Facility (SNF) 3-Day Rule Waiver:

o    N/A

 

         Waiver for Payment for Telehealth Services:

o    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