New York DSRIP 1115 Quarterly Report

July 1, 2014 – September 30, 2014

New York State Department of Health
Office of Health Insurance Programs
Albany, New York
www.health.ny.gov/dsrip

Table of Contents
Introduction
Year 0 Focus
Stakeholder Engagement Activities, Transparency, and Public Forums
Interim Access Assurance Fund
DSRIP Project Design Grants
DSRIP Safety Net and Vital Access Providers
DSRIP Fund
Quarterly expenditures related to IAAF, DSRIP Project Design Grants, and DSRIP Fund
Other New York State DSRIP Program Activity
          DSRIP Project Management
          Independent Assessor
          DSRIP Support Team
          Requests for Regulatory Waivers
          Capital Restructuring Finance Program (CRFP) Request for Applications (RFA)
          Other Issues
          Upcoming Activities
          Additional Resources
Tentative MRT Waiver/DSRIP Key Dates
NYS MRT IAAF Payment Report
DSRIP Project Design Grant Final Award Allocation

New York DSRIP
Section 1115 Quarterly Report

Introduction

On April 14, 2014, New York finalized terms and conditions with the Centers for Medicare and Medicaid Services (CMS) for a groundbreaking amendment that will allow the state to reinvest $8 billion in federal savings generated by Medicaid Redesign Team (MRT) reforms. The MRT waiver amendment amends New York´s Section 1115 Demonstration, the Partnership Plan, and will transform the state´s health care system, bend the Medicaid cost curve, and ensure access to quality care for all Medicaid members. The agreement authorizes funding through the current demonstration end date of December 31, 2014 and will continue upon agreement of the demonstration´s renewal from January 1, 2015 through December 31, 2019.

The Medicaid 1115 waiver amendment will enable New York to fully implement the MRT action plan, facilitate innovation, lower health care costs over the long term, and save scores of essential safety net providers from financial ruin. The waiver allows the state to reinvest over a five–year period $8 billion of the $17.1 billion in federal savings generated by MRT reforms.

The waiver amendment dollars will address critical issues throughout the state and allow for comprehensive reform through a Delivery System Reform Incentive Payment (DSRIP) program. The DSRIP program will promote community–level collaborations and focus on system reform, specifically a goal to achieve a 25 percent reduction in avoidable hospital use over five years. Safety net providers will be required to collaborate to implement innovative projects focusing on system transformation, clinical improvement and population health improvement. Single providers will be ineligible to apply. All DSRIP funds will be based on performance linked to achievement of project milestones.

The $8 billion reinvestment will be allocated in the following ways:

  • $500 Million for the Interim Access Assurance Fund – temporary, time limited funding to ensure current trusted and viable Medicaid safety net providers can fully participate in the DSRIP transformation without disruption
  • $6.42 Billion for Delivery System Reform Incentive Payments (DSRIP) – including DSRIP Planning Grants, DSRIP Provider Incentive Payments, and DSRIP Administrative costs
  • $1.08 Billion for other Medicaid Redesign purposes – this funding will support Health Home development, and investments in long term care, workforce and enhanced behavioral health services

In addition, the special terms and conditions also commit the state to comprehensive payment reform and continuing New York´s effort to effectively manage its Medicaid program within the confines of the Medicaid Global Spending Cap.

This quarterly report summarizes the program development and implementation activities for the DSRIP program for the period from July 1, 2014 through September 30, 2014.

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Year 0 Focus

This report summarizes the activities from the second quarter of Year 0. The agreement between New York and CMS includes a pre–implementation year, known as Year 0, which is the period between April 14, 2014 and March 31, 2015. Stakeholder education and engagement, planning activities, procurement of DSRIP contractors and development of key DSRIP policies and procedures are the main areas of focus during Year 0. An extensive DSRIP website was launched on April 14, 2014 and is available here. A high–level Year 0 timeline outlining key activities is available on the website and included with this report. (Attachment A).

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Stakeholder Engagement Activities, Transparency, and Public Forums

The period covering July 1, 2014 through September 30, 2014 included extensive stakeholder engagement activity conducted by DOH and by its selected vendors for the DSRIP Support Team and DSRIP Independent Assessor.

  • On August 1, 2014, DOH hosted a DSRIP Attribution and Valuation Webinar to walk through Project 2.d.i ("the 11th Project") and provide updates on the DSRIP attribution and valuation methodologies. This webinar was recorded on Friday, August 1, 2014 was co–led by Jason Helgerson, NYS Medicaid Director and Greg Allen, Director of the Division of Program Development and Management within the NYS Office of Health Insurance Programs (OHIP). The slides and recorded webinar are available on the DSRIP website.
  • In September 2014, the Westchester Medical Center led a webinar on the planning process they have gone through in developing their comprehensive DSRIP Project Plan. The slides and recorded webinar are available on the DSRIP website.
  • In August 2014, DOH hosted the second half of a two–part webinar series that details the steps and processes a PPS should take in carrying out their DSRIP Community Needs Assessment in order to help drive proper project selection in their DSRIP application.
  • On September 10, 2014, DOH hosted a webinar to provide information on the integral role of Health Homes in DSRIP Performing Provider Systems (PPS), including the role of downstream Health Home care managers.
  • On September 29, 2014, DOH, with the Independent Assessor, released the DSRIP Project Plan Application, Project Milestones and Metrics, and Scoring Guide for Public Comment.
  • Public comments on Attachments I and J were incorporated into redlined versions of the STCs.
  • New York collected comment on a draft of the DSRIP Evaluation Plan through July 21, 2014
  • The DSRIP Support Team (DST) developed an online survey to be filled out by all PPSs to gather preliminary information about their current status and needs. The data collected from the survey helped understand the level of support potentially required for each PPS and also helped guide the subsequent development of support materials.
  • The DST performed outreach to DSRIP stakeholders to ensure their awareness of and involvement in the DSRIP Program. Stakeholders included other DOH bureaus, other NYS agencies, industry associations, and downstream providers.
  • The DST formed, trained and deployed teams to the regions to support PPSs with application development.
  • The DST assisted DOH with the development of the Midpoint Deliverable questionnaire that provided DOH insight regarding the PPSs´ progress in becoming compliant with DSRIP requirements. In addition, DOH used the finalized, DOH–developed questionnaire as a trigger for second design grant payment.
  • The DST developed an online PPS status reporting tool. The tool is used by the PPSs to provide their current progress against DSRIP objectives. It is also used by the DST members to supplement the PPSs´ self–assessment, and gathers information weekly for reporting to DOH.
  • The DST conducted workshops with DOH on establishing a digital forum for PPSs to share information, collectively solve challenges and claim ownership over the DSRIP process (MRT Innovation Exchange).
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Interim Access Assurance Fund

The purpose of the Interim Access Assurance Fund (IAAF), part of the DSRIP program, is to assist safety net hospitals in severe financial distress and major public hospital systems to sustain key health care services as they participate with other providers to develop proposals for systems of integrated services delivery to be funded and implemented under the DSRIP.

$500 million in temporary funding is available in Year 0 through the IAAF will enable recipient hospitals to work toward sustainable operations and, to maintain critical services to their community as they work with other partner providers to develop integrated Performing Provider Systems (PPS) eligible for DSRIP funding.

In accordance with the waiver amendment Special Terms & Conditions (STCs) the State is required to, within 10 days of initiating Interim Access Assurance Fund (IAAF) payments, submit a report to the Centers for Medicare & Medicaid Services (CMS) that states the total amount of the payment or payments, the amount of FFP that the state will claim, the source of the non– Federal share of the payments, and documentation of the needs and purposes of the funds to assure CMS of non–duplication. The report must include all other Medicaid payments (e.g. base, supplemental, VAP, DSH) the provider receives to demonstrate that existing payments are not sufficient to meet financial needs of the providers.

IAAF payments for Large Public Providers began on June 18, 2014 while IAAF payments for Safety Net providers began June 27, 2014. All of the IAAF payment reports submitted to CMS are included as Attachment B.

More information is also available on the IAAF web page.

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DSRIP Project Design Grants

The state has made available funding to emerging Performing Provider Systems to develop comprehensive DSRIP Project Plans. Applications for these planning funds were due on Thursday, June 26, 2014 and were collected by the state. Applications for DSRIP Project Design Grants were received from 49 entities across the state.

The DOH announced awards on August 6, 2014, with 42 of the 49 applicants receiving awards. The DOH included conditions with awards to certain applicants including considerations for merging or partnering with other PPSs and for geographic overlap with other PPSs.

Attachment C contains the final award allocation of the DSRIP Design Grant Awards as of September 3, 2014. The regional map and a schedule of the DSRIP Design Grant Awards are available here.

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DSRIP Safety Net and Vital Access Providers

The DSRIP safety net appeal process continued during this quarter. NYS had created preliminary safety net lists from cost report information. The lists that were posted were developed based upon data readily available to the DOH from various reports filed either with DOH, OASAS, OMH or OPWDD that contained the data needed to determine if a provider meets the respective criteria to be classified as a safety net provider. The providers on those lists could then utilize the appeal form process to provide documentation for DOH to reevaluate that provider and determine that they may in fact meet the specific safety net criteria.

The initial DSRIP Safety Net Appeal process closed on June 11, 2014. This did not include the physicians and pharmacies. The first physician and pharmacy appeal process ended on July 15, 2014. The second DSRIP safety net appeal process ended on August 27, 2014. This included every provider group.

The Vital Access Provider (VAP) Exception process opened on September 29, 2014 and ended on October 24, 2014 for all Medicaid providers, physicians and pharmacies for facilities that did not qualify by the Safety Net Definition by calculation or by appeal. If the exception is granted, then the applicant will be qualified and can fully participate in the DSRIP program. Non– qualifying facilities are limited; they may only receive up to 5% (as a group) of their PPS´s award.

Complete lists of approved safety net providers and VAP exception appeals can be found on the DSRIP website here.

In the upcoming quarter, DOH will collect DSRIP Program Design Grant Midpoint deliverable reports from awarded Performing Provider System ("PPS"). The DSRIP program Design Grant Midpoint deliverable will be due October 15, 2014 and will include a questionnaire which will be used to evaluate if the PPS would be awarded the second half of the design grant award to be disbursed on November 3, 2014. The original questionnaires and responses will be made publically available on the DSRIP website.

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DSRIP Fund

The DOH incorporated public comment in finalizing the DSRIP Project Toolkit in August 2014. The DSRIP Project Toolkit was also updated to include project 2.d.i (the 11th project). The DSRIP Project Toolkit was further updated in October 2014 to align with the reporting measures outlined in Attachment J.

The DOH, with the Independent Assessor, developed comprehensive DSRIP Project Plan application and Scoring Guide during this quarter. The DSRIP Project Plan application also included a comprehensive Project Requirements Milestones and Metrics document that outlined the Domain 1 process measures for each of the 44 projects across Domains 2 through 4. The DSRIP Project Plan application with accompanying Scoring Guide and Project Requirements Milestones and Metrics documents were released for public comment on 9/29

All materials for the DSRIP Project Plan application are available on DSRIP website here.

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Quarterly expenditures related to IAAF, DSRIP Project Design Grants, and DSRIP Fund

IAAF payments began for Large Public Providers began on June 18, 2014 while IAAF payments for Safety Net providers began June 27, 2014. Subsequent IAAF payments were based on three separate categories of providers and made at the following times:

  • Large Publics (excluding HHC): July 22, 2014; September 15, 2014
  • Large Publics (HHC only): July 24, 2014; August 22, 2014; August 29, 2014
  • Safety Net: August 1, 2014; August 25, 2014; September 15, 2014

Attachment B contains all of the IAAF payments made during the July 1, 2014 through September 30, 2014 quarter.

DSRIP Project Design Grant funds for the 42 approved applications were initially distributed on August 22, 2014. Attachment C contains the DSRIP Project Design Grant payments made during the July 1, 2014 through September 30, 2014 quarter.

DSRIP Fund performance payments are scheduled to begin April 1, 2015 for approved DSRIP Project Plan Applications.

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Other New York State DSRIP Program Activity

DSRIP Project Management

DSRIP project management efforts continued in to this quarter with the continuation of the use of the successfully established MRT process and work plan format, with key DSRIP staff meeting twice weekly and reporting on progress of DSRIP activity to New York´s Medicaid Director. DSRIP project management meetings have now expanded to include staff from the DSRIP Independent Assessor and the DSRIP Support Team as well as CMS, the vendor tasked with creating the DSRIP project Plan Application web tool. Meetings will continue through the end of Year 0, and will likely continue through DSRIP Years 1 – 5.

New York has also established additional, separate project management meetings with their vendors for the DSRIP Independent Assessor and the DSRIP Support Team and a joint meeting involving key staff from New York, the DSRIP Independent Assessor, and the DSRIP Support Team. These meetings allow for more in depth reviews of project deliverables with each vendor and to address any policy considerations requiring New York input.

Independent Assessor

New York released a Funding Availability Solicitation (FAS) for the purpose of procuring the services of an entity to serve as the DSRIP Independent Assessor on May 20, 2014. Through the FAS procurement process, New York selected Public Consulting Group (PCG) to serve as the DSRIP Independent Assessor. Notification of the award was made on July 31, 2014 and PCG began work on August 4, 2014.

The DSRIP Independent Assessor´s tasks include, but are not limited to, creating an application and application review tool as well as a process for a transparent and impartial review of all proposed project plans, making project approval recommendations to the state using CMS– approved criteria, assembling an independent review panel chosen by the Department of Health based on standards set forth in the DSRIP STCs, conducting a transparent and impartial mid–point assessment of project performance during the third year to determine whether the DSRIP project plans merit continued funding or need plan alterations, and assisting with the ongoing monitoring of performance and reporting deliverables for the duration of the DSRIP program. State review of proposals was underway at the close of this quarter and additional detail on the contract award will be provided in future reports.

Since beginning work on August 4, 2014, PCG has worked extensively on the development of the DSRIP Project Plan Application, the Project Metrics and Milestones, Scoring Guide, and PPS Lead Financial Stability Test. Throughout the development of these documents, PCG has worked closely with Department of Health staff to ensure the DSRIP Project Plan and all accompanying documents have been consistent with the STCs, Attachments I and J, and the DSRIP project Toolkit.

DSRIP Support Team

New York released a Funding Availability Solicitation (FAS) for the purpose of procuring the services of a vendor to serve as the DSRIP Support Team (DST) on May 21, 2014. Through the FAS procurement process, New York selected KPMG to serve as the DST. KPMG began work on August 1, 2014.

The DSRIP Support Team´s responsibilities include, but are not limited to, under the direction of New York´s DSRIP team, working with providers to strategically think through their potential DSRIP Project Plans to transition to effective and efficient high performing health care delivery systems, developing DSRIP Project Plan prototypes, "how to" guides and other tools to help providers as they prepare their Project Plan applications and then supporting providers from shortly after DSRIP Design Grant awards until final submission of these Project Plan applications.

Since beginning work as the DSRIP Support Team, KPMG has provided the following key functions as the DST:

  • The DSRIP Support Team (DST) developed an online survey to be filled out by all PPSs to gather preliminary information about their current status and needs. The data collected from the survey helped understand the level of support potentially required for each PPS and also helped guide the subsequent development of support materials.
  • The DST performed outreach to DSRIP stakeholders to ensure their awareness of and involvement in the DSRIP Program. Stakeholders included other DOH bureaus, other NYS agencies, industry associations, and downstream providers.
  • The DST formed, trained and deployed teams to the regions to support PPSs with application development.
  • The DST assisted DOH with the development of the Midpoint Deliverable questionnaire that provided DOH insight regarding the PPSs´ progress in becoming compliant with DSRIP requirements. In addition, DOH used the finalized, DOH–developed questionnaire as a trigger for second design grant payment.
  • The DST developed the Governance How to Guide aimed at providing direction and content to the PPSs when setting up their governance models.
  • The DST developed a Community Needs Assessment checklist to help assess the completeness of the PPSs´ CN! reports.
  • The DST developed an online PPS status reporting tool. The tool is used by the PPSs to provide their current progress against DSRIP objectives. It is also used by the DST members to supplement the PPSs´ self–assessment, and gathers information weekly for reporting to DOH.
  • The DST conducted workshops with DOH on establishing a digital forum for PPSs to share information, collectively solve challenges and claim ownership over the DSRIP process (MRT Innovation Exchange).
  • The DST commenced the development of the DSRIP Application Prototype to help provide the PPSs with a clear understanding of what an actual application will look like.

Requests for Regulatory Waivers

New York State has not received any requests for regulatory waivers. Future reports will identify any requests for regulatory waivers submitted by PPSs.

Capital Restructuring Finance Program (CRFP) Request for Applications (RFA)

The 2014–15 New York State budget authorized the establishment of the CRFP to allow the DOH and the Dormitory Authority of the State of New York (DASNY), in consultation with the Office of Mental Health ("OMH"), the Office for People with Developmental Disabilities ("OPWDD") and the Office of Alcoholism and Substance Abuse Services ("O!S!S"), to make awards totaling up to $1.2 billion in state funds to support capital projects to help strengthen and promote access to essential health services, including projects to improve infrastructure, promote integrated health systems, and support the development of additional primary care capacity. Awards of CRFP funding may be made to DSRIP participating entities as well as to non–DSRIP participating entities.

The CRFP RFA is scheduled to be released on November 18, 2014. Additional information regarding the CRFP RFA will be included in subsequent quarterly reports.

Other Issues

Other issues arising in this quarter include concerns raised by major general public hospitals regarding valuation. During the time period covered in this report, New York staff met with those affected parties and provided regular updates to CMS. In the next quarter, the issue was resolved through revisions to Attachment I and the development of an additional DSRIP project to serve low– and non–utilizers and the uninsured. Those developments will be included in the next DSRIP quarterly report.

Upcoming Activities

Year 0 implementation and planning activities will continue through March 31, 2015.

  • Potential PPSs will complete the PPS Lead Financial Stability Test by November 10, 2014
  • Public comments on the DSRIP Project Plan, Project Milestones and Metrics, and Scoring Guide will be collected and summarized for public release
  • DST will complete a prototype DSRIP Project Plan Application for evaluation by the DSRIP Independent Assessor and results will be released for public review
  • PPSs will complete the DSRIP project Plan Application and submit for review by the DSRIP Independent Assessor by December 22, 2014
  • IAAF payments will continue for qualifying hospitals
  • Preliminary attribution will be calculated for emerging PPSs
  • Safety Net provider lists will continue to be updated
  • New York will continue working with CMS on finalizing the MRT waiver extension

Future reports will also include updates on additional activities as required by the MRT Waiver Amendment and related attachments.

Additional Resources

More information on the New York State DSRIP Program is available here.

Interested parties can sign up to be notified of DSRIP program developments, release of new materials, and opportunities for public comment through the Medicaid Redesign Team listserv. Instructions are available here.

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Tentative MRT Waiver/DSRIP Key Dates

Year 0

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New York State Medicaid Redesign Team (MRT) Interim Access Assurance Fund (IAAF) Payment Report

NYS MRT IAAF Payment Report

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DSRIP Project Design Grant Final Award Allocation

Region Provider Name Counties Served Total Award Amount Conditions* Lead Contact Name Email Telephone
Capital Region Albany Medical Center Hospital Albany, Columbia, Dutchess, Greene, Rensselaer, Saratoga, Schenectady, Ulster, Warren $700,000 The Department requests that Albany Medical Center Hospital and Columbia Memorial Hospital should consolidate into one Performing Provider System (PPS). George Clifford CliffoG@mail.amc.edu (518) 262‐6022
Capital Region Columbia Memorial Hospital Columbia, Greene Mary Daggett mdaggett@cmh‐net.org (518) 828‐8013
Capital Region Ellis Hospital Albany, Fulton, Montgomery, Rensselaer, Saratoga, Schenectady $500,000 Actively explore partnering with Health Alliance Dave Smingler david.smingler@ihany.org (518) 243‐4840
Pamela Rehak pamela.rehak@sphp.com (518) 268‐5321
Central NY Auburn Community Hospital Cayuga, Onondaga, Seneca, Wayne $369,000 Actively explore joining 1 or more PPS Scott Berlucchi sberlucchi@auburnhospital.org (315) 255‐7047
Central NY Cortland Regional Medical Center, Inc. Cayuga, Cortland, Schuyler, Tompkins $497,500 None at this time Denise Wrinn dwrinn@cortlandregional.org (607) 756‐3526
Central NY Faxton St. Luke´s Healthcare Herkimer, Oneida $500,000 Actively explore joining 1 or more PPS Cheryl M. Perry cperry@mvnhealth.com (315) 624‐6153
Central NY St. Joseph´s Hospital Health Center Cayuga, Cortland, Jefferson, Lewis, Madison, Onieda, Onondaga, Oswego, Saint. Lawrence, Tompkins $500,000 None at this time Kristen Mucitelli‐Heath kristen.heath@sjhsyr.org (315) 744‐1383
Central NY Upstate University Hospital Cayuga, Cortland, Madison, Oneida, Onondaga, Oswego $333,333 None at this time Thomas P. Quinn, MBA quinnt@upstate.edu (315) 464‐4238
Finger Lakes Finger Lakes PPS Allegany, Cayuga, Chemung, Genesee, Livingston, Monroe , Ontario, Orleans, Schuyler, Seneca, Steuben, Wayne, Wyoming, Yates $1,000,000 None at this time Carol Fisher carol.fisher@rochestergeneral.org (585) 922‐5726
James Garnham james_garnham@URMC.Rochester.edu (585) 273‐1752
Long Island Catholic Health Services of Long Island Nassau, Queens $500,000 None at this time Terence M. O´Brien terence.o´brien@chsli.org (516) 705‐3712
Long Island Long Island Jewish Medical Center Nassau, Queens $500,000 None at this time Jerrold E. Hirsch, Ph.D. VP, Strategic Planning jhirsch@nshs.edu (516) 465‐8070
Long Island Nassau University Medical Center Nassau $1,000,000 Demonstrate an institutional capacity to serve as a PPS lead Victor Politi, MD, FACP, FACEP vpoliti@numc.edu (516) 572‐6011
Long Island Stony Brook University Hospital Suffolk $333,333 None at this time Jennifer Jamilkowski jennifer.jamilkowski@stonybrookmedicine.edu (631) 444‐4500
Mid‐Hudson HealthAlliance of the Hudson Valley, HealthAlliance Hospital: Broadway Campus Delaware, Ulster $340,000 Actively explore joining 1 or more PPS (Ellis or Westchester) Josh Ratner josh.ratner@hahv.org (845) 334‐4802
Mid‐Hudson Montefiore Medical Center Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester $500,000 None at this time Ben Wade bwade@montefiore.org (718) 696‐3051
Mid‐Hudson Refuah Health Center Orange, Rockland, Sullivan $500,000 None at this time Chanie Sternberg Csternberg@RefuahHealthCenter.com (845) 354‐9300
Mid‐Hudson Westchester Medical Center Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester $1,000,000 None at this time June Keenan keenanj@wcmc.com (914) 493‐6894
Mohawk Valley Mary Imogene Bassett Hospital Chenango, Delaware, Herkimer, Madison, Oneida, Otsego, Schoharie $760,000 Actively explore joining 1 or more PPS (Faxton St. Lukes) Gerald Groff, MD gerald.groff@bassett.org (607) 547‐3652
North Country Adirondack Health Institute Clinton, Essex, Franklin, Fulton, Hamilton, Saint Lawrence, Saratoga, Warren, Washington $891,000 None at this time Cathy Homkey chomkeyahi@medserv.net (518) 761‐0300
NYC Housing Works Health Services III (Previously was Amida Care, Inc.) Bronx, Kings, New York, Queens, Richmond $500,000 Must resubmit with safety net provider as lead or successfully become a safety net provider through the appeal process. Also must demonstrate that you can function as an Integrated Delivery System. Charles King king@housingworks.org (347) 473‐7400
NYC AW Medical Bronx, Kings, Nassau, New York, Queens $500,000 Restrict geographic area and clearly demonstrate that network meets requirements. Also, need to demonstrate that providers with the PPS can clinically integrate. Hal Sadowy halsadowy@yahoo.com (317) 294‐7111
NYC Bellevue Hospital Center Kings (Brooklyn), New York (Manhattan), Queens $285,714 None at this time Christina Jenkins Christina.jenkins@nyhcc.org (212) 788‐3648
NYC Bronx‐Lebanon Hospital Center Bronx $500,000 Discuss geographic overlap with other PPS and ensure that the PPS is financially sustainable. Sam Shutman sshutman@bronxleb.org (718) 901‐8920
NYC Coney Island Hospital Kings $285,714 None at this time Christina Jenkins Christina.jenkins@nyhcc.org (212) 788‐3648
NYC Elmhurst Hospital Center (NYC HHC) Queens $285,714 None at this time Christina Jenkins Christina.jenkins@nyhcc.org (212) 788‐3648
NYC Jacobi Medical Center Bronx $285,714 None at this time Christina Jenkins Christina.jenkins@nyhcc.org (212) 788‐3648
NYC KINGS COUNTY HOSPITAL CENTER Kings $285,714 None at this time Christina Jenkins Christina.jenkins@nyhcc.org (212) 788‐3648
NYC Lutheran Medical Center Kings $500,000 None at this time Claudia Caine ccaine@lmcmc.com (718) 630‐7300
NYC Maimonides Medical Center Kings (Brooklyn), Queens $500,000 None at this time David Cohen DCohen@maimonidesmed.org (718) 283‐6392
NYC Mount Sinai Hospitals Group Bronx, Kings, New York, Queens, Richmond, Westchester $500,000 None at this time Arthur Gianelli arthur.gianelli@mountsinai.org (212) 523‐9434
NYC NYCHHC Harlem Hospital Center Bronx, New York $285,714 None at this time Christina Jenkins Christina.jenkins@nyhcc.org (212) 788‐3648
NYC Richmond Univ Med Center & Staten Island Univ Hosp Richmond (Staten Island) $500,000 None at this time Joseph Conte jconte@rumcsi.org (718) 818‐2402
Robert Blake robert_blake@siuh.edu (718) 226‐1166
NYC St. Barnabas Hospital (dba SBH Health System) Bronx $500,000 Discuss geographic overlap with other PPS and ensure that the PPS is financially sustainable. Leonard Walsh, Executive Vice President/COO lwalsh@sbhny.org (718) 960‐6561
NYC SUNY Downstate Medical Center Kings (Brooklyn) $333,333 None at this time Frank Campbell Frank.Campbell@downstate.edu (617) 834‐9204
NYC The Jamaica Hospital Kings, Queens $500,000 None at this time Ann Corrigan ACORRIGA@jhmc.org (718) 206‐6934
NYC The New York and Presbyterian Hospital Bronx, Kings, New York, Queens, Westchester $500,000 None at this time Phyllis Lantos phl9002@nyp.org (212) 305‐6845
NYC The New York Hospital Medical Center of Queens Queens $500,000 None at this time Maureen Buglino, VP Community & Emergency Medicine mabuglin@nyp.org (718) 670‐1981
NYC Woodhull Medical and Mental Health Center Kings $285,714 None at this time Christina Jenkins Christina.jenkins@nyhcc.org (212) 788‐3648
Southern Tier United Health Services Hospitals, Inc Broome, Chemung, Chenango, Delaware, Steuben, Tioga $495,300 Actively explore merging with 1 or more PPS (Cortland) Robin Kinslow‐Evans robin_kinslow‐evans@uhs.org (607) 762‐2801
Tug Hill Seaway Samaritan Medical Center Jefferson, Lewis, Saint Lawrence $500,000 None at this time Thomas H. Carman tcarman@shsny.com (315) 785‐4121
Western NY Catholic Medical Partners‐Accountable Care IPA INC Cattaraugus, Chautauqua, Erie, Niagara, Orleans $500,000 None at this time Dennis Horrigan dhorriga@chsbuffalo.org (716) 862‐2163
Western NY Erie County Medical Center Corporation Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming $1,000,000 None at this time Richard C. Cleland RCleland@ecmc.edu (716) 898‐5072
Western NY Niagara Falls Memorial Medical Center Niagara, Orleans $499,000 Actively explore partnering with Erie County Medical Center Corporation Sheila Kee sheila.kee@nfmmc.org (716) 278‐4301
      Total Award $$
$21,551,800		 *An updated (condensed) version of the Partner Organization List will be required from each awardee. Guidance on this will be forthcoming.      
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