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Montefiore Accountable Care Organization
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For Professionals

Montefiore Accountable Care Organization

The Montefiore Pioneer Model Accountable Care Organization (ACO) is a program that provides certain beneficiaries of the original Medicare program access to enhanced care coordination programs and a focus on illness prevention and wellness.

Montefiore's experience coordinating care for patients across multiple care settings led to its designation by Medicare in 2011 as a Pioneer ACO—one of only 32 organizations in the nation and the only one in New York State. The Pioneer ACO program is designed to test new models of healthcare delivery and payment and provide Medicare beneficiaries with higher quality care, while reducing expenditures through enhanced care coordination.

In addition to Montefiore's three adult hospitals, its extensive primary care and specialty sites and its employed and affiliated community-based physicians, the Montefiore ACO includes providers from other healthcare organizations in the Bronx, Brooklyn and Staten Island.

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.

Name and Location

Montefiore Accountable Care Organization
111 East 210th Street
Bronx, New York 10467

Primary Contact

Stephen Rosenthal, MS, MBA
srosenth@montefiore.org
914-377-4661

Organization Information

ACO Participants

The Montefiore ACO is a partnership between hospitals and ACO professionals. Click here for a list of participants.

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

Montefiore ACO Governing Body

Key ACO Clinical and Administrative Leadership

Associated Committees and Committee Leadership

Click here for a list of the members of the ACO's governing body Click here for a list of the ACO's Key Leaders Click here for a list of the ACO's Committees

Types of ACO Participants

Click here for a list of types of ACO participants.

Amount of Shared Savings / Losses

Shared Savings Distribution

Agreement period beginning 2012

Performance Year 1
Amount of Shared Savings:  $14,001,887.11

Performance Year 2013
Amount of Shared Savings: $13,145,185

Performance Year 2014
Amount of Shared Savings: $8,428,113

Performance Year 2015
Amount of Shared Savings: $0

Agreement period beginning 2012

Performance Year 1
Proportion invested in Infrastructure: 47%             Proportion of distribution to ACO Participants: 53%

Performance Year 2013
Proportion invested in Infrastructure: 59%           Proportion of distribution to ACO Participants: 41%

Performance Year 2014
Proportion invested in Infrastructure: 82%            Proportion of distribution to ACO Participants: 18%

 

 

Payment Rule Waivers

 See Payment Rule Waivers here

Quality Performance Results

See 2015 Quality Performance Results Table here

See 2012 - 2014 Quality Performance Results Table here

Additional ACO Information

Montefiore ACO Code of Conduct

Montefiore ACO Corporate Compliance Plan

Montefiore ACO Required Public Disclosure for the ACO Participation Waiver

Montefiore has contracted with an independent company to operate a Compliance Hotline that is available 24 hours a day, seven days a week. The toll-free Compliance Hotline number is 1-800-662-8595. All calls are treated confidentially.