Physician-Led PPS Partners With North Shore

Crain’s Health Pulse
November 14, 2014
Physician-Led PPS Partners With North Shore

The only Performing Provider System in New York City that isn’t led by a hospital has joined the North Shore-LIJ health system and rebranded for a better shot at a piece of the state’s $6.42 billion Medicaid waiver.

New York Community Preferred Providers, a collaboration between AW Medical and a number of IPAs and ACOs, had previously received a $500,000 Design Grant and the state’s suggestion to consider merging with another PPS. Now, NYCPP will lead a PPS that includes the North Shore-LIJ Health System.

The partnership will bring the North Shore-LIJ system into “multicultural neighborhoods throughout New York City and Long Island to better serve patients and the communities in which they live,” Michael Dowling, the system’s chief executive, said in a statement.

The agreement came together within the past few weeks, according to representatives for both parties.

The PPS, named Advocate Community Partners, will operate in Manhattan, Brooklyn, Queens, the Bronx and Long Island, according to NS-LIJ. While NS-LIJ is part of several PPSs on Long Island and in Queens, there is no geographic overlap with Advocate Community Partners, a spokesman for the system said.

In the latest round of attributions, AW Medical had 437,638 Medicaid patients in its PPS—more than any PPS in the state. The number of patients is an important part of the formula that determines how much funding the PPS can get.

The group is also planning to apply for $25 million in capital funding, according to Capital New York.

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