Cedars-Sinai ACO Public Reporting Requirements

Cedars-Sinai Accountable Care, LLC

200 N. Robertson Blvd. Ste 101
Beverly Hills, CA 90211

Contact:

ACO Primary Contact:
Thomas D. Gordon
(310) 385-3220
gordont@csmns.org

For questions or comments, please call:
Cedars-Sinai Patient & Provider Services
(800) 700-6424

Cedars-Sinai is pleased to have been selected to participate as an Accountable Care Organization (ACO) in the Medicare Shared Savings Program (MSSP). Cedars-Sinai's ACO brings together physicians, hospitals and other health care professionals with the goal of delivering patient-centered care that improves the patient's quality of care, experience, and satisfaction, improves the overall health of the population and reduces the total cost of health care without compromising quality and outcomes.

This page provides information to Medicare beneficiaries regarding our participation in the Medicare Shared Savings Program and is posted to comply with the Centers for Medicare and Medicaid Services Public Reporting Guidelines. If you are a Medicare Fee-For-Service beneficiary and have questions or would like more information, please contact Cedars-Sinai Patient Services at 1-800-700-6424.

Composition of ACO:

Our ACO is a Limited Liability Corporation (LLC) with sole ownership by Cedars-Sinai Medical Care Foundation.

ACO Participants:

Cedars-Sinai Medical Center

Cedars-Sinai Medical Care Foundation, including:

  • Cedars-Sinai Medical Group
  • Tower Hematology/Oncology
  • Los Angeles Cardiology Associates
  • California Heart Center

Community Cedars-Sinai Health Associates Physicians, including:

Abraham U. Waks, MD, FACP
Alan G. Silverman, MD Inc.
Alexander Philip Ford, MD
Anne L. Peters, MD
Cardiovascular Medical Group
David Kattan, MD, A Professional Medical Corporation
David Schechter, MD
Entertainment Medical Group  
Farhad Melamed MD, A Medical Corporation
Fishman & Levy MDS
Glen Michael Wool, MD
Jack Ditlove, MD
James L. Meltzer, MD Inc.
Jenny Hwang Incorporated
Joel Schneider, MD
Keith L. Klein, MD, FACP, FASN Inc.
Kirk Uomoto, MD, A Medical Corporation
Malak Philippe Zacca Shammas, MD
Michel J. Mazouz, MD, A Medical Corporation
One Medical Group Inc
Paul Cohart, MD Inc.
Platinum Care LA
Ramin Gabbai MD, A Medical Corporation
Robert A. Gross, MD Inc
Roger L. Lerner, MD, FCAP
Samuel J. Smith MD, Inc.
Stephen Copen, MD Inc.
Steven J. Jacobs, MD Inc.
Steven M.Simons, MD Inc.
Susan Azad, MD Inc.
Terry E. Podell, MD, A Professional Corporation
Wendy W. Cheng, MD

Governing Body:


Cedars-Sinai Accountable Care, is overseen by a Board of Managers.

Board Officers:
Thomas Priselac, Chairman of the Board & President, ACO Participant Representative – CSMC
Thomas Gordon, Executive Director and CEO, ACO Participant Representative – CSMCF
Edward Prunchunas, Chief Financial Officer, ACO Participant Representative – CSMC
Peter Braveman, Secretary, ACO Participant Representative – CSMC
Stephen Deutsch, MD, Medical Director, ACO Participant Representative – CSMCF

Board of Managers:
Robert Eller, Medicare Beneficiary Representative
Vera Guerin, ACO Participant Representative - CSMCF
Rick Jacobs, ACO Participant Representative - CSMC
Michael Langberg, MD, ACO Participant Representative - CSMC
Thomas Leanse, ACO Participant Representative - CSMCF
James Meltzer, MD, ACO Participant Representative – Solo practitioner
Stewart Middler, MD, ACO Participant Representative – CSMCF
James Nathan, ACO Participant Representative - CSMCF
Lawrence Platt, ACO Participant Representative – CSMC
Mark Siegel, ACO Participant Representative – CSMCF
Theodore Stein, MD, ACO Participant Representative – CSMCF
Leslie Vermut, MD, ACO Participant Representative - CSMCF

ACO Committees and Key Leadership Personnel

Cedars-Sinai Accountable Care is actively engaging its participants through four committees. Below are details on the committees and leadership.

  • Medical Director: Stephen Deutsch, MD (CSMCF)
  • Cedars-Sinai Clinical Integration Clinical Performance Task Force: Co-Chaired by Steve Simons, MD (solo practitioner) & Jerome Wang, MD (CSMCF)
  • Cedars-Sinai Clinical Integration Clinical Physician Network Management Task Force: Co-Chaired by Jack Ditlove, MD (solo practitioner) & Daniel Stone, MD (CSMCF)
  • Cedars-Sinai Clinical Integration Clinical Care Coordination Task Force: Co-Chaired by Anne Peters, MD (solo practitioner) & Clement Yang, MD (CSMCF)
  • Cedars-Sinai Clinical Integration Clinical Financial Model Task Force: Co-Chaired by David Schechter, MD (solo practitioner) & Jerry Whitman, MD (solo practitioner)

How Shared Savings Are Distributed and Aggregate Amount of Shared Savings

Cedars-Sinai Accountable Care may be eligible for sharing in savings with Medicare if a minimum savings threshold is met and there is an achievement of the quality metrics for the program. If Cedars-Sinai Accountable Care receives shared savings, qualification for distribution of savings will be evaluated at the individual physician level. Consistent with the intent of the three-part aim, shared savings distribution does not occur unless threshold performance benchmarks of quality, efficiency and patient satisfaction are achieved by the physician participant.

Specific amount of shared savings will be posted after completion of first year, calendar year 2013.

How Shared Savings are Distributed

  • Reinvest in infrastructure: 20%
  • Distribution to ACO Participants: 80%

Please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) (TTY users should call 1-877-486-2048) for general questions or additional information about Accountable Care Organizations.