Public Reporting

The Shared Savings Program requires ACOs to create and maintain a dedicated webpage to publicly report required organizational and programmatic information, such as organizational contact information and performance results. CMS provides instructions to ACOs ahead of each public reporting cycle.”

ACO Name and Location

Crystal Run Healthcare ACO, LLC
155 Crystal Run Road
Middletown, New York 10941

ACO Primary Contact

Primary Contact NameScott Hines, MD
Primary Contact Phone Number845-703-6381
Primary Contact Email


Organizational Information

ACO participants:

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
Crystal Run Healthcare LLPNo


ACO governing body:

MemberMember’s Voting PowerMembership TypeACO Participant TIN Legal Business Name/DBA, if Applicable
Last NameFirst NameTitle/Position
TeitelbaumHalChief Executive Officer14.2%ACO Participant RepresentativeCrystal Run Healthcare LLP
KouryMichelleChief Operating Officer14.2%ACO Participant RepresentativeCrystal Run Healthcare LLP
SpencerGregoryChief Medical Officer14.2%ACO Participant RepresentativeCrystal Run Healthcare LLP
NasserJonathanChief Clinical Transformation Officer14.2%ACO Participant RepresentativeCrystal Run Healthcare LLP
HinesScottChief Quality Officer14.2%ACO Participant RepresentativeCrystal Run Healthcare LLP
SanstedDouglasChief Legal Officer14.2%ACO Participant RepresentativeCrystal Run Healthcare LLP
WalterKennethBoard Member14.2%ACO Participant RepresentativeCrystal Run Healthcare LLP


Key ACO clinical and administrative leadership:

Hal TeitelbaumACO Executive
Gregory SpencerMedical Director
Katie OwensCompliance Officer
Scott HinesQuality Assurance/Improvement Officer


Associated committees and committee leadership:

Committee NameCommittee Leader Name and Position
Value Based Care CommitteeScott Hines & Jonathan Nasser (as above)
Practice Redesign CommitteeJonathan Nasser (as above)
Best Practice CouncilScott Hines (as above)
IT CommitteeFrancis Cheung (Chief Information Officer)


Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement


Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2017, $2,740,733


Shared Savings Distribution

Crystal Run Healthcare ACO will distribute all of the shared savings it earned in the following manner: Crystal Run Healthcare plans on using any shared savings to reinvest in the necessary infrastructure to further our mission of improving clinical quality, improving the patient experience, and reducing the cost of care. This will include investments in technology to collect and analyze clinical data, additional care coordinators to coordinate the care of our sickest patients, and capital investments to enhance our facilities. We also plan to use some of this money to incentivize our physicians to embrace the tenets of value based care.

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 66%
      • Proportion invested in redesigned care processes/resources: 33%
      • Proportion of distribution to ACO participants: 0%


Quality Performance Results

2017 Quality Performance Results:

ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information75.0280.6
ACO-2CAHPS: How Well Your Providers Communicate92.793.13
ACO-3CAHPS: Patients’ Rating of Provider90.8192.31
ACO-4CAHPS: Access to Specialists84.3383.32
ACO-5CAHPS: Health Promotion and Education60.9462.3
ACO-6CAHPS: Shared Decision Making76.5375.85
ACO-7CAHPS: Health Status/Functional Status71.7273.05
ACO-34CAHPS: Stewardship of Patient Resources18.6425.68
ACO#Measure NameRateACO Mean
ACO-8Risk Standardized, All Condition Readmission15.5815.01
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)19.0618.46
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes60.6953.95
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure94.4779.16
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions68.7561.74
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))1.911.93
ACO-11Use of Certified EHR Technology100%98.48%
ACO-12Medication Reconciliation16.79%75.32%
ACO-13Falls: Screening for Future Fall Risk62.19%74.38%
ACO-44Imaging Studies for Low Back Pain68.09%67.32%
ACO#Measure NameRateACO Mean
ACO-14Preventive Care and Screening: Influenza Immunization80.29%72.52%
ACO-15Pneumonia Vaccination Status for Older Adults77.41%72.92%
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up67.92%70.69%
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention91.65%90.48%
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan64.15%61.98%
ACO-19Colorectal Cancer Screening66.83%64.58%
ACO-20Breast Cancer Screening68.78%70.05%
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease80.44%79.89%
ACO#Measure NameRateACO Mean
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control16.58%16.74%
ACO-41Diabetes: Eye Exam59.15%50.37%
ACO-28Hypertension (HTN): Controlling High Blood Pressure75.4%71.47%
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic90.4%86.86%

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

Note: In the Quality Performance Results file(s) above, search for “Crystal Run Healthcare ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A16074 in the public use files on


Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.