ACO Public Reporting

Empire State Health Partners ACO, a Limited Liability Corporation

ACO Primary Contact
Debra Karnasiewicz, MD, MPH
[email protected]

Public Reporting
Networks of individual practices of ACO professionals

ACO Participants that Formed the ACO

Click on the links below to see our network of individual practices of ACO professionals.

Legal Business Name

Legal Business Name

No participants are involved in a joint venture between ACO professionals and hospitals.

Legal Business Name

No participants are involved in a joint venture between ACO professionals and hospitals.

Legal Business Name

No participants are involved in a joint venture between ACO professionals and hospitals.

Legal Business Name

No participants are involved in a joint venture between ACO professionals and hospitals.

Legal Business Name

No participants are involved in a joint venture between ACO professionals and hospitals.

ACO Governing Body

Debra Karnasiewicz, MD, MPH
CEO, Chair, Management Board, Voting 1
ACO Provider/Supplier Medical Associates of the Hudson Valley

Craig Moss, MD, MBA
CMO, Chair, Finance Committee, Voting 1
ACO Provider/Supplier Medical Associates of the Hudson Valley
Treasurer, General Voting Member

Asghar Anwar, MD
Chair, Quality Assurance, Voting 1
ACO/Provider/Supplier Mid-Hudson Primary Medical Care, PLLC

George Joseph, MD
Chair, Patient Engagement, Voting 0
Medicare Beneficiary

ACO Governance Structure

Key Clinical and Administrative Leadership
Chief Executive Officer (CEO) Debra Karnasiewicz, MD, MPH
Chief Medical Officer (CMO) Craig Moss, MD, MBA
Chief Compliance Officer Lori Hack, MBA
Quality Assurance Officer Asghar Anwar, MD
Treasurer

Executive Committee
Debra Karnasiewicz, MD, MPH, Chair, Voting Power 1
George Joseph, MD, Member (Medicare Beneficiary)*, Voting Power 0
Asghar Anwar, MD, Member, Voting Power 1
Craig Moss, MD, MBA, Member, Voting Power 1

Finance Committee
Craig Moss, MD, MBA, Chair

Compliance Committee
Lori Hack, MBA, Chair
Debra Karnasiewicz, MD, MPH, Member

Quality Assurance Committee
Anwar Ashgar, MD, Chair
Debra Karnasiewicz, MD, MPH, Member

Utilization Committee
Debra Karnasiewicz, MD, MPH, Member
Craig Moss, MD, MBA, Member

Data Analytics Sub-Committee
Stephen R Weinman, MD, Member

Patient Advisory Sub-Committee
George Joseph, MD, Member (Medicare Beneficiary)*
Chester Burton, DO, Member

*George Joseph, MD is a retired psychiatrist. He is a Medicare patient at Medical Associates of the Hudson Valley, a participant in Empire State Health Partners ACO. He has never been a physician enrolled in the ACO and he does not have a conflict of interest with any ACO participants. Dr. Joseph is a non-voting member as he provides input and represents his constituents as a Member of the Patient Advisory Sub-Committee.

Empire State Health Partner ACO Organizational Chart 2019-2020

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Board of Directors
Executive Committee
Debra Karnasiewicz, MD, Chair
George Joseph, MD, Member
Asghar Anwar, MD, Member
Craig Moss, MD, Member

Chief Executive Officer (CEO)
Debra Karnasiewicz, MD, MPH

Chief Medical Officer (CMO)
Craig Moss, MD, MBA

Chief Compliance Officer (CCO)
Lori Hack, MBA

Treasurer
Craig Moss, MD, MBA

Quality Assurance Officer
Asghar Anwar, MD

Finance Committee
Craig Moss, MD, MBA, Chair

Compliance Committee
Lori Hack, MBA, Chair
Debra Karnasiewicz, MD, MPH, Member

Quality Assurance Committee
Asghar Anwar, MD, Chair
Debra Karnasiewicz, MD, MPH, Member

Utilization Committee
Sunil Khurana, MD, Chair
Craig Moss, MD, Member
Debra Karnasiewicz, MD, MPH, Member

Patient Advisory Sub-Committee
George Joseph, MD, Member
Chester Burton, DO, Member

Data Analytics Sub-Committee
Stephen R. Weinman, MD, Member

Shared Savings and Losses

Performance Year   Savings Losses
2021 N/A $0
2020 $   986,536   $0
2019 $   635,304 $0
2018 $ 1,538,229 $0
2017 $0 $0

How Shared Savings Were Distributed

Performance Year   Infrastructure   Redesigned Care Processes   ACO Participants
2021 40% 20% 40%
2020 40% 20% 40%
2019 40% 20% 40%
2018 40% 20% 40%
2017 40% 20% 40%

Quality Performance Results Table

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Measure Number Performance Measure 2020 Reporting Period  2020 Reporting Period 2019 Reporting Period  2019 Reporting Period 2018 Reporting Period 2017 Reporting Period 2016 Reporting Period
ACO
Performance Rate
Mean Performance
Rate for all ACOs
ACO
Performance Rate
Mean Performance
Rate for all ACOs
ACO
Performance Rate
Mean Performance
Rate for all ACOs
ACO
Performance Rate
Mean
Performance
Rate for all ACOs
ACO
Performance Rate
Mean
Performance
Rate for all
ACOs
ACO #1 Getting Timely Care, Appointments, and Information N/A N/A 87.61 86.56 87.82 86.01 81.84 80.60 81.03 79.9
ACO #2 How Well Your Doctors Communicate N/A N/A 94.17 93.50 93.55 93.00 91.54 93.13  91.98 92.63
ACO #3 Patients’ Rating of Doctor N/A N/A 92.94 92.18 92.67 91.79 91.64 92.31  92.3 91.93
ACO #4 Access to Specialists N/A N/A 81.57 81.54 80.30 82.04 80.53 83.32 82.64 83.52
ACO #5 Health Promotion and Education N/A N/A 59.31 60.85 57.01 59.21 62.89 62.30 60.89 60.00
ACO #6 Shared Decision Making N/A N/A 63.28 65.50 63.97 63.53 76.79 75.85 76.4 75.28
ACO #7 Health Status/Functional Status N/A N/A 65.37 62.74 64.45 61.66 73.21 73.05 71.25 71.85
ACO #34 Stewardship of Patient Resources N/A N/A 20.17 27.23 21.94 27.67 24.98 25.68 26.00 27.52
ACO #8 Risk-Standardized, All Condition Readmission Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations 15.47 15.01 14.94 14.7
ACO #35 Skilled Nursing Facility 30-day All-Cause Readmission Measure (SNFRM) Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations 18.46 18.46 16.77 18.17
ACO #36 All-Cause Unplanned Admissions for Patients with Diabetes Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations 61.47 53.95 53.98 53.2
ACO #37 All-Cause Unplanned Admissions for Patients with Heart Failure Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations 93.68 79.16 77.14 75.23
ACO #38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations 63.85 61.74 61.46 59.81
ACO #9 Ambulatory Sensitive Conditions Admissions: Heart Failure(PQI #8) Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations Not in
operations
Not in
operations
8.92 9.27
ACO #10 Ambulatory Sensitive Conditions Admissions: Heart Failure(PQI #8) Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations Not in
operations
Not in
operations
15.37 14.53
ACO #11 Percent of PCPs who Successfully Meet Meaningful Use Requirements Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations 100.00 98.48 92.91 82.72
ACO #39 Documentation of Current Medications in the Medical Record Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations Not in
operations
Not in
operations
66.64 87.54
ACO #13 Falls: Screening for Future Fall Risk 91.53 pending 80.24   84.7   51.21 74.38 13.31 64.04
ACO #14 Preventive Care and Screening: Influenza Immunization 79.65 pending 80.09   84.5   77.37 72.52 37.14 68.32
ACO #15 Pneumonia Vaccination Status for Older Adults N/A N/A N/A N/A N/A N/A 70.56 72.92 46.37 69.21
ACO #16 Preventive care and Screening: Body Mass Index(BMI) Screening and Follow Up N/A N/A N/A N/A N/A N/A 48.58 70.69 38.31 74.45
ACO #17 Preventive Care and Screening: tobacco Use: Screening and Cessation Intervention 66.67 pending 37.84       71.37 90.48 77.02 90.98
ACO #18 Preventive Care and Screening: Screening for Clinical Depression and Follow up Plan 88.11 pending 79.84   67.6   34.68 61.98 18.62 53.63
ACO #19 Colorectal Cancer Screening 83.47 pending 77.42   76.7   57.66 64.58 43.55 61.52
ACO #20 Breast Cancer Screening 79.03 pending 83.87   83.4   77.02 70.05 56.05 67.61
ACO #21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented N/A N/A N/A N/A N/A N/A N/A N/A 67.74 76.84
ACO #42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease/td> 94.17 pending 72.54   50.0   92.99 79.89 89.66 77.72
ACO #27 Diabetes Mellitus: Hemoglobin A1c Poor Control 7.66 pending 22.98   28.3   48.39 16.74 55.65 18.24
ACO #41 Diabetes: Eye Exam N/A N/A N/A N/A 53.4   36.29 50.37 16.53 44.94
ACO #28 Hypertension (HTN): Controlling High Blood Pressure 78.23 pending 66.94   62.0   52.82 71.47 44.76 70.52
ACO #30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic N/A N/A N/A N/A 38.3   45.16 86.86 45.56 85.05
ACO #31 Heart Failure(HF): Beta-Blocker Therapy for LVSD N/A N/A N/A N/A N/A N/A N/A N/A 21.26 88.67
ACO #33 ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD N/A N/A N/A N/A N/A N/A N/A N/A 25.79 79.67

“Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS® for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.”

For 2017 Quality Performance Results please visit:
https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data

For 2016 Quality Performance Results please visit:
https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

Note: In the Quality Performance Results file(s) above, search for “Empire State Health Partners, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A82552 in the public use files on data.cms.gov.

Public Reporting of SNF 3-Day Rule Waiver

Waiver Used Reporting Waiver Use
No No, our ACO does not use the SNF 3-Day Rule Waiver