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ProHEALTH Accountable Care Medical Group, PLLC

ACO Details

ACO Service Area(s):  NY 

ProHEALTH Accountable Care Medical Group, PLLC

2800 Marcus AvenueLake SuccessNew York 11042 

Executive Contact

David Cooper
Request Contact Details

Public Contact

Carole Romano
(516) 304-3947
prohealthaco@prohealthcare.com
Overview

ProHEALTH Accountable Care Medical Group, PLLC was started in July 2012. In its second year, this organization spent $8,970 on average for each of its 28,825 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $9,565 per beneficiary, a difference of $595. The ACO successfully reported, having earned its participants $8,019,532 of the $17,153,220 saved for Medicare.

This is a Track 1 Shared Savings ACO which means it has accepted only upside with no downside risk in exchange for a smaller maximum shared savings rate.

ACOs can request early payments to help finance the startup costs of the ACO. This ACO did not accept any advanced payments.

2014 Performance

Earned Savings

$8,019,532

Cost Reduction

6.2%

Quality Points

49.65 of 581

Medicare Shared Savings Program Quality Measures
All 33 measures must be reported to CMS but not all are used to calculate the performance.
More Information
DescriptionMeasuresPercentile
Patient/Caregiver Experience
 Getting Timely Care, Appointments, and Information ACO-1 
 
 
 
 
 
 
 

80-90th
 How Well Your Doctors Communicate ACO-2 
 
 
 
 
 
 
 

Above 90th
 Patients' Rating of Doctor ACO-3 
 
 
 
 
 
 
 

Above 90th
 Access to Specialists ACO-4 
 
 
 
 
 
 
 

80-90th
 Health Promotion and Education ACO-5 
 
 
 
 
 
 
 

Above 90th
 Shared Decision Making ACO-6 
 
 
 
 
 
 
 

Above 90th
 Health Status/Functional Status ACO-7 
 
 
 
 
 
 
 

Above 90th
Care Coordination/Patient Safety
 Risk Standardized, All Condition Readmissions ACO-8 
 
 
 
 
 
 
 

Above 90th
 ASC Admissions: COPD or Asthma in Older Adults ACO-9 
 
 
 
 
 
 
 

70-80th
 ASC Admission: Heart Failure ACO-10 
 
 
 
 
 
 
 

60-70th
 Percent of PCPs who Qualified for EHR Incentive Payment ACO-11 
 
 
 
 
 
 
 

Above 90th
 Medication Reconciliation ACO-12 
 
 
 
 
 
 
 

70-80th
 Falls: Screening for Fall Risk ACO-13 
 
 
 
 
 
 
 

Above 90th
Preventive Health
 Influenza Immunization ACO-14 
 
 
 
 
 
 
 

70-80th
 Pneumococcal Vaccination ACO-15 
 
 
 
 
 
 
 

60-70th
 Adult Weight Screening and Follow-up ACO-16 
 
 
 
 
 
 
 

70-80th
 Tobacco Use Assessment and Cessation Intervention ACO-17 
 
 
 
 
 
 
 

Above 90th
 Depression Screening ACO-18 
 
 
 
 
 
 
 

Above 90th
 Colorectal Cancer Screening ACO-19 
 
 
 
 
 
 
 

70-80th
 Mammography Screening ACO-20 
 
 
 
 
 
 
 

70-80th
 Proportion of Adults who had blood pressure screened in past 2 years ACO-21 
 
 
 
 
 
 
 

70-80th
At-Risk Population Diabetes
 Patients who meet all the following measures
Low Density Lipoprotein (LDL) (<100 mg/dL), Aspirin Use, Hemoglobin A1c Control (HbA1c) (<8 percent), Blood Pressure (BP) < 140/90, Tobacco Non Use
ACO-23 ACO-26 ACO-22 ACO-24 ACO-25 
 
 
 
 
 
 
 

Above 90th
 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) ACO-27 
 
 
 
 
 
 
 

Above 90th
At-Risk Population Hypertension
 Percent of beneficiaries with hypertension whose BP < 140/90 ACO-28 
 
 
 
 
 
 
 

Above 90th
At-Risk Population IVD
 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl ACO-29 
 
 
 
 
 
 
 

80-90th
 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic ACO-30 
 
 
 
 
 
 
 

70-80th
At-Risk Population HF
 Beta-Blocker Therapy for LVSD ACO-31 
 
 
 
 
 
 
 

Above 90th
At-Risk Population CAD
 Patients who meet all the following measures
Drug Therapy for Lowering LDL Cholesterol, ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD
ACO-32 ACO-33 
 
 
 
 
 
 
 

Above 90th
ACO Statistics
Participants
Suffolk Obstetrics and Gynecology, LLP
ProHEALTH Care Associates, LLP
Next Generation Pediatrics
Island Medical Group, PC
Robert Kazenoff, MD, PC
Rio A Sferrazza, DO, PC
Ananda & Poulose Medical
Howard Bradnock, MD, PC
Treatment Clinic LLC
Pediatrics and Adolescent Medicine
Paul Schwartz, MD
Mark B Klapholz, MD
Thomas I Lecher, MD, PC
Joseph A. DiGiovanna & Michael J. DiGiovanna, D.O., P.C.
Leon B. Eisikowitz, MD, PC
West Carver Med Assoc PC
Jerry G. Kaplan, MD, PC
Turtel, Shapiro, Scavron & Bendit, LLP
Randolph P DiLorenzo, MD, PC
Long Island Pulmonary Medical Associates, PC
Michael J Bradford, MD, PC
East Meadow Family Practice Associates, P.C.