Important Alerts
Other

Attention former CareMount Medical patients: A new and improved Patient Portal is here.

Now Open: Women’s Health clinical space in Poughkeepsie. Learn more

  • Monkeypox update
  • Polio Update
  • Recording/Photography Not Permitted on Premises

 

View all
What that means

A direct care entity (DCE) is a group of doctors, hospitals and other health care providers who agree to work together to provide you with high-quality care in a way that lowers overall health care costs. For all our members who are Medicare patients, this will not impact your benefits. In fact, it will only add to the care you receive.

Why that’s good for you

Being part of a DCE means you will receive:

  • Greater care within the extensive Optum network
  • More opportunity for speciality care
  • Coordination with services if you go out-of-network
  • Cost savings with value-based care
Value Based Care:
A comprehensive approach to care

Value-based care is a holistic and long-term approach to your wellbeing. This means rather than just treating the illness, we look at your care in a more preventive way. That means more attention to chronic conditions and overall wellness, which leads to healthier outcomes for you, and fewer bills for emergency or acute intervention.

DCE Public Reporting Information

Contact Us

To learn more about your medical benefits or Medicare coverage, contact the number on the back of your insurance ID card or visit medicare.gov.

To learn more about CareMount DCE:

Mailing address:
CareMount DCE
90 South Bedford Road
Mount Kisco, NY 10549

DCE Contact:
Norma Jean Potter, Administrative Assistant, Population Health, Phone: (914) 302-8543, [email protected]

DCE Hours of Operation: 8 a.m. – 5 p.m. EST

Participants and Preferred Providers

Our DCE is made up of primary care providers and specialists. These providers have agreed to work together with us to coordinate care.

Participating Providers

Preferred Providers and Facilities

Includes home health agencies and skilled nursing facilities/centers

Note: Medicare fee for service beneficiaries have the freedom to seek the services and providers of their choice and are not limited to the providers listed above.

There are no joint ventures between CareMount DCE and any of its Participating Providers or Preferred Providers and Facilities.

Clinical and Administrative Leaders

Governing Body

Our DCE has a Management Committee to provide oversight and strategic direction.

DCE Governance Committee

Name

Title

Scott D. Hayworth, MD Committee Chairperson; Participating Provider Representative; Voting Member CareMount Medical & CareMount Health Solutions
Kevin J. Conroy, MS Committee Member; Voting Member CareMount Health Solutions
Peter Bittner Committee Member; Medicare Beneficiary & Consumer Advocate; Voting Member Bilotta Kitchens
Peter J. Kelly, MBA Committee Member; Voting Member CareMount Health Solutions
Richard P. Morel, MD, MMMA, FACP Committee Member; Participating Provider Representative; Voting Member CareMount Medical & CareMount Health Solutions
Irene Borgen Committee Member; Voting Member CareMount Medical
Lisa Bardack, MD, FACP Committee Member; Participating Provider Representative; Voting Member CareMount Medical & CareMount Health Solutions

 

CareMount DCE Officers:

1) Executive Director of CareMount Value Partners IPA, LLC: Peter J. Kelly, MBA, Chief Value Officer, CareMount Medical
2) Medical Director: Richard P. Morel, MD, MMM, FACP, Chief Physician Executive, CareMount Medical
3) Compliance Official: Kristina Stolzenberg, Compliance and Privacy Director, CareMount Health Solutions

CareMount DCE Operations Sub-Committee Members:

1) Chris Sclafani, PE, MBA, Committee Chair
2) Peter J. Kelly, MBA, Chief Value Officer & Executive Director of CareMount ACO, LLC, Committee Vice-Chair
3) Richard P. Morel, MD, MMM, FACP, Medical Director
4) Alicia K. Beardsley, PA-C, CareMount ACO LLC Compliance Officer, Chief Clinical Officer , CareMount Medical
5) Lewis Kohl, DO, CMIO, Chief Safety Officer CareMount Medical
6) Nicholas Korchinski, CIO CareMount Health Solutions
7) Susan Monaco, Chief Revenue Officer, CareMount Health Solutions
8) Matthew Kamen, Chief Strategy & Analytics Officer, Population Health CareMount Health Solutions
9) Jessica Klarl, MBA, VP, Quality and Physician Enablement, CareMount Health Solutions
10) Kate Casaday, MPH, Director of Market Operations, CareMount Health Solutions
11) Alexis Adusei, MPH, Manager of Market Operations, CareMount Health Solutions
12) Lisa Bardack, MD Chief Medical Officer CareMount Medical
13) Alyssa Pepper, MPH Senior Vice President of Payor Relations, CareMount Health Solutions

Quality Performance Results

Quality Performance Scoring Data. On a quarterly basis, CMS will provide data regarding the DCE’s performance for a prior quarter of the Agreement Performance Period on quality measures.

Please email the Direct Contracting Model help desk with any questions or comments at  [email protected].