Public Reporting
Leadership and governance
ACO Name and Location
ProHEALTH Accountable Care Medical Group, PLLC
1 Dakota Drive, Suite 320
Lake Success, N.Y. 11042
Composition of ACO
Our ACO is composed solely of medical providers in a group practice arrangement, all of whom are either partners or employees of ProHEALTH Care Associates, LLP.
ACO Primary Contact
Carole Romano
cromano@prohealthcare.com
516-608-6849
ACO Participants
ProHEALTH Care Associates, LLP: All providers in all ProHEALTH locations throughout Long Island and the New York boroughs. Individual providers can be located by visiting our website at http://lookup.prohealthcare.com/find-doctors.
No Participants are involved in a joint venture between ACO professionals and hospitals.
ACO Governing Body: Board of Managers
David Cooper, MD, CEO, Chair, Voting Member
Gary Weissman, MD, Medical Director and Voting Member
Anthony Ardito, MD, Associate Medical Director, Chief Primary Care, Voting Member
Mark W. Dobriner, MD, Voting Member
Mark Weinstein, MD, Voting Member
Dana Lustbader, MD, Voting Member
Key Clinical and Administrative Leadership
ACO Executive: David Cooper, MD
Medical Director: Gary Weissman, MD
Compliance Official: Walter LeStrange, CCO
Quality Assurance/Improvement Officer: Gary Weissman, MD
ACO Committees, Workgroups and Committee Leaderships
Executive Board: David Cooper, MD, CEO, Chair
Quality Assurance & Improvement Committee: Gary Weissman, MD, Medical Director, Chair
Finance Committee: David Cooper, MD, CEO, Chair
Advisory Panel: Anthony Ardito, MD, Chair
ACO Core Workgroup: Gary Weissman, MD, Clinical Lead
Care Coordination Workgroup: Ronald Richman, MD & Dana Lustbader, MD, Clinical Lead
Types of ACO Participants Forming the ACO
ACO professionals in a group medical practice arrangement
Shared savings
Aggregate Amount of Shared Savings/Losses – Agreement Period Beginning 2012:
Performance Year 1: July 2012 to December 2013: $10,737,854
Performance Year 2: January 2014 to December 2014: $8,183,196
Performance Year 3: January 2015 to December 2015: $6,289,913
How Shared Savings are Distributed:
PY 3
Investment in Infrastructure: 65%
Investment in Care Processes & Resources: 5%
Distribution to ACO Participants (Providers): 30%
Designation | Percentage |
---|---|
Primary Care | 94.67% |
Specialists | 5.33% |
Grand Total | 100% |
Payment rule Waivers:
Our ACO does not utilize the SNF 3-Day Rule Waiver
PY 2
Repayment of capital and infrastructure investments, including
operational and administrative costs: 34.5%
Reinvested in Infrastructure and Care Processes: 34.5%
Distribution to ACO Participants (Providers): 31.0%
Designation | Percentage |
---|---|
Primary Care | 77.22% |
Medical Subspecialty | 11.46% |
Surgical Subspecialty | 5.58% |
Pediatrics | 3.40% |
Radiology | 1.11% |
Urgent | 0.68% |
Pathology | 0.30% |
Surgical Pediatrics | 0.24% |
Grand Total | 100% |
PY 1
Repayment of capital and infrastructure investments, including
operational and administrative costs: 33%
Reinvested in Infrastructure and Care Processes: 33%
Distribution to ACO Participants (Providers): 33%
Designation | Percentage |
---|---|
Internal Medicine Providers | 75.80% |
Specialists, Medical | 13.80% |
Specialists, Pediatrics | 3.00% |
Surgical Sub-Specialist | 7.40% |
Grand Total | 100% |
View 2015 quality performance results
View quality performance 2014-2012