How a REACH ACO can help you
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 well-being. 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
Name:
CareMount Value Partners IPA, LLC
Location:
90 South Bedford Road
Mount Kisco, NY 10549
ACO primary contact:
Maria Hale, Chief Experience Officer
1-888-Optum4U (1-888-678-8648)
experienceofficer@optum.com
ACO hours of operation: 8 a.m.–5 p.m. ET
Our ACO is made up of primary care providers and specialists who have agreed to work together with us to coordinate care.
These include 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: Dylan McKay, Optum
Compliance officer: Kristina Stolzenberg, Optum
Finance: Adam Brazitis, Optum
Quality improvement: Helen Townsen, Optum
Personnel: Dylan McKay, Optum
Our ACO has a Governance Committee to provide oversight and strategic direction.
REACH ACO Governance Committee
| Name | Title |
| Andrew Gianella | Committee Member; Voting Member – Optum |
| Martha Glantz | Committee Member; Beneficiary Representative; Voting Member |
| Scott Hines, MD | Committee Member; Participant Provider Representative; Voting Member – Optum/Crystal Run Healthcare Physicians LLP |
| Marian Hamilton | Committee Member; Consumer Advocate; Voting Member |
| Dylan McKay | Committee Member; Voting Member – Optum |
| Marc Schechter, DO | Committee Member; Participant Provider; Voting Member – Optum Medical Care, P.C. |
| Lawrence Shulman, DO | Committee Member; Participant Provider Representative; Voting Member – Optum Medical Care, P.C. |
| Gregory Spencer, MD | Committee Member, Participant Provider; Voting Member – Crystal Run Health Care Physicians LLP |
| Jack Towsley | Committee Member; Voting Member – Optum |
Performance Year 2023
- Total Quality Score: 95.349%
- Risk-Standardized, All-Condition Readmission Rate (ACR): 15.14
- Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 33.75
- Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 74.19
- Consumer Assessment of Healthcare Providers and Systems (CAHPS): 0.74
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
2023 Shared savings/losses
- Performance Year 2023: Gross Savings of $12,728,222.11
2023 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: 100%
- Proportion of Shared Savings distributed to Participant Providers and Preferred Providers: 0%
2022 Shared savings/losses
Performance Year 2022: Gross Savings of $11,191,739.03
2022 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%
Optum Medical Care, P.C., Optum Medical Care of New Jersey, P.C. and Optum Urgent Care, PLLC (collectively “Optum Medical Care”) are physician-led organizations (the “Practice”). The Practice retains full authority over all medical decision-making and patient care. Optum provides administrative and clinical support services to the Practice. Optum does not control or direct the clinical judgment, methods, or standards of physicians or other licensed professionals. Where indicated, “Part of Optum” means the Practice is managed or owned, where permitted by law, by Optum and participates in Optum’s efforts to support physician practices in helping patients live healthier lives.
Optum is a registered trademark of Optum, Inc. in the U.S. and other jurisdictions. All other trademarks are the property of their respective owners. Optum is an equal opportunity employer.