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 Addressshines@crystalrunhealthcare.com

 

Organizational Information

ACO participants:

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

 

ACO governing body:

MemberMember’s Voting PowerMembership TypeACO Participant TIN Legal Business Name/DBA, if Applicable
Last NameFirst NameTitle/Position
CheungFrancisCIO12.5%EmployeeCrystal Run Healthcare ACO
HinesScottChief Quality Officer12.5%EmployeeCrystal Run Healthcare ACO
NasserJonathanChief Clinical Integration Officer12.5%EmployeeCrystal Run Healthcare ACO
SanstedDougChief Strategy & Legal Officer12.5%EmployeeCrystal Run Healthcare ACO
SpencerGregoryCMO12.5%EmployeeCrystal Run Healthcare ACO
ZengSteveCFO12.5%EmployeeCrystal Run Healthcare ACO
TeitelbaumHalCEO12.5%EmployeeCrystal Run Healthcare ACO
WaltersKennethMedicare Beneficiary12.5%Medicare BeneficiaryN/A 

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, MD; Chief Quality Officer
Practice Redesign CommitteeJonathan Nasser, MD; Chief Clinical Transformation Officer
Best Practice CouncilScott Hines, MD Chief Quality Officer
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

  • Second Agreement Period
    • Performance Year 2021, $0
    • Performance Year 2020, $2,391,188.71
  • First Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $2,752,398
    • 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

Second Agreement Period

  • Performance Year 2021
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2020
    • Proportion invested in infrastructure: 50%
    • Proportion invested in redesigned care processes/resources: 50%
    • Proportion of distribution to ACO participants: 0%

First Agreement Period

  • Performance Year 2019
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2018
    • Proportion invested in infrastructure: 50%
    • Proportion invested in redesigned care processes/resources: 50%
    • Proportion of distribution to ACO participants: 0%
  • Performance Year 2017
    • Proportion invested in infrastructure: 50%
    • Proportion invested in redesigned care processes/resources: 50%
    • Proportion of distribution to ACO participants: 0%

 

Quality Performance Results

2021 Medicare Shared Savings Program Quality Performance Report

A3452 – CRYSTAL RUN HEALTHCARE ACO, LLC

APP – CMS Web Interface Measure Set

Measure #Measure NameEligible For Scoring1NumeratorDenominatorReported Performance RateCurrent Year Mean Performance Rate (SSP ACOs)
001Diabetes: Hemoglobin A1c (HbA1c) Poor Control2Y7141617.0712.46
134Preventative Care and Screening: Screening for Depression and Follow-up PlanN9124936.5574.38
236Controlling High Blood PressureY17625868.2274.87
318Falls: Screening for Future Fall RiskY17326964.3187.03
110Preventative Care and Screening: Influenza ImmunizationY22527681.5280.52
226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionY335362.2680.97
113Colorectal Cancer ScreeningY23129877.5273.63
112Breast Cancer ScreeningY35847275.8575.11
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseN22225387.7584.24
370Depression Remission at Twelve MonthsN4547.4115.50
321CAHPS for MIPS3YN/AN/AN/AN/A
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2Y0.16430.1540
MCC1All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2Y37.5033.99

[1] For PY 2021, measures #134, #438, and #370 do not have CMS Web Interface benchmarks and are not scored as a result.

[2] A lower performance rate corresponds to higher quality.

[3] CAHPS for MIPS is a composite measure, so numerator, denominator, and performance rate values are not applicable (N/A). See Table 4 for details on CAHPS for MIPS performance.

 

Quality Performance Results, continued – CAHPS for MIPS

2021 Medicare Shared Savings Program Quality Performance Report

A3452 – CRYSTAL RUN HEALTHCARE ACO, LLC

Table 4. APP – CAHPS for MIPS Measures

Measure IDMeasure NameEligible For ScoringReported Performance RateCurrent Year Mean Performance Rate (SSP ACOs)
CAHPS-1Getting Timely Care, Appointments, and InformationY75.5384.67
CAHPS-2How Well Providers CommunicateY93.0193.56
CAHPS-3Patient’s Rating of ProviderY89.8992.19
CAHPS-4Access to SpecialistsN75.0078.80
CAHPS-5Health Promotion and EducationY56.8361.61
CAHPS-6Shared Decision MakingY50.3160.89
CAHPS-7Health Status and Functional StatusN72.4971.78
CAHPS-8Care CoordinationY85.2485.66
CAHPS-9Courteous and Helpful Office StaffY87.8991.88
CAHPS-11Stewardship of Patient ResourcesY15.3524.71

 

Payment Rule Waivers

    • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
      • No, our ACO does not use the SNF 3-Day Rule Waiver.
    • Waiver for Payment for Telehealth Services:
      • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.

 

Fraud and Abuse Waivers

  • ACO Pre-Participation Waiver:The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement.[For each arrangement, provide the following information:
    • Parties to the arrangement: N/A
    • Date of arrangement: N/A
    • Items, services, goods, or facility provided: N/A
    • Date and nature of any amendments to the arrangement, if applicable: N/A
  • ACO Participation Waiver:
    The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.[For each arrangement, provide the following information:

    • Parties to the arrangement: N/A
    • Date of arrangement: N/A
    • Items, services, goods, or facility provided: N/A
    • Date and nature of any amendments to the arrangement, if applicable: N/A