What that means
A REACH ACO 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 an ACO means you will receive:
- Greater care within the extensive CareMount Value Partners IPA network
- More opportunity for specialty 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.
REACH ACO 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 ACO:
Name:
CareMount Value Partners IPA, LLC
Location:
90 South Bedford Road
Mount Kisco, NY 10549
ACO Primary Contact:
Carol Kisswany, Strategy & Development Associate, Phone: 914-302 8379, [email protected]
ACO Hours of Operation: 8 a.m. – 5 p.m. EST
Participants and preferred providers
Our ACO is made up of primary care providers and specialists. These providers have agreed to work together with us to coordinate care.
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 or among the CareMount ACO and any of its ACO preferred providers and participant providers.
Clinical leadership
Medical director: Scott Hines, MD, Optum
Administrative leadership
Executive Director of CareMount ACO: Spencer Solomon, Optum
Compliance officer: Kristina Stolzenberg, Optum
Finance: Avi Rafalson, Optum
Quality improvement: Jessica Klarl, Optum
Personnel: Spencer Solomon, Optum
Governing body
Our ACO has a Governance Committee to provide oversight and strategic direction.
REACH ACO Governance Committee
Name |
Title |
|
| Jill Brodsky, MD | Committee Member; Participant Provider; Voting Member – Optum Medical Care, P.C. | |
| Carolyn Chiarieri | Committee Member; Beneficiary Representative; Voting Member – Retired | |
| Caroline DeFilippo, MD | Committee Member; Participant Provider; Voting Member – Optum Medical Care, P.C. | |
| Scott Hines, MD | Committee Member; Participant Provider Representative; Voting Member – Optum | |
| Susan Lee | Committee Member; Consumer Advocate; Voting Member | |
| Alyssa Pepper | Committee Member; Voting Member – Optum | |
| Lawrence Shulman, DO | Committee Member; Participant Provider; Voting Member – Optum Medical Care, P.C. | |
| Gregory Spencer, MD | Committee Member, Participant Provider; Voting Member – Crystal Run Health Care Physicians LLP | |
| Spencer Solomon | Committee Member; Voting Member – Optum | |
| Andrew Gianella | Committee Member; Voting Member – Optum |
Quality performance results
- Performance Year 2022 Overall Quality Score: 100%
- Risk-Standardized, All-Condition Readmission Rate (ACR): 15.31
- Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 33.56
- Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 74.64
Shared savings and shared losses
Shared savings/losses
- Performance Year 2022: Gross Savings of $11,191,739.03
Shared savings distribution
- Proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 80%
- Proportion of Shared Savings distributed to Participant Providers and Preferred Providers: 20%