Where providers and payers meet value-based care.
Empire Gate organizes New York's independent and group practices into one accountable network, then partners with health plans on value-based arrangements; giving providers and payers the technology, analytics, and clinical support to win at risk.
value-based network
the network
management
closed
visits reduced
The infrastructure that makes risk work for providers and payers.
Empire Gate is a New York independent practice association. We organize primary care and multispecialty practices into a single accountable network, partner with health plans on value-based arrangements, and carry the operational weight that risk demands.
Capitation replaces the claim-by-claim grind with dependable monthly payments. Shared surplus rewards the savings the network creates. Behind both sits a team handling risk adjustment, quality, and care management.
Providers keep their patients, their brand, and their clinical autonomy. Health plans get one accountable counterparty instead of dozens of disconnected practices.
Stay independent. Trade billing volume for managed outcomes, and share in the value the network creates.
Where the network reaches.
Empire Gate is concentrated where value-based care matters most: New York City and the surrounding counties. Our arrangements span Medicare Advantage, D-SNP, and Managed Medicaid across this footprint.
Brooklyn
Six reasons providers join Empire Gate.
Value-based care is hard to do alone. We give independent practices the economics, the tooling, and the clinical support of a much larger organization.
Predictable capitation
Move from claim-by-claim billing to dependable monthly payments tied to your attributed members.
Shared surplus
When care is well managed, the savings are shared. You earn on the outcomes you drive, not only the visits you bill.
Independence intact
No acquisition, no rebrand, no loss of control. You stay independent; we handle the contracting and the operations of risk.
Risk adjustment & coding
Certified coders and point-of-care documentation support capture your panel's acuity accurately and compliantly.
Quality & care management
Support for quality gaps, annual wellness visits, and high-risk members, so outcomes and scores move together.
Technology & analytics
A live view of your panel: gaps, utilization, rising risk, and where the next best action sits.
A provider network built to perform on risk.
For health plans, Empire Gate is one accountable, well-run network in place of dozens of disconnected practices: organized, measured, and aligned with you on total cost and quality.
One accountable network
Contract once with an organized network instead of negotiating practice by practice.
Compliant risk adjustment
Complete, audit-ready documentation that reflects true population acuity.
Quality & Stars lift
Coordinated HEDIS and quality-gap closure that moves ratings and outcomes together.
Medical cost management
Disciplined management of avoidable ED, readmissions, and post-acute spend.
Shared, at-risk incentives
We take risk alongside you, so our economics track lower total cost of care.
Plan-ready reporting
Clear performance reporting across utilization, gaps, and cost of care.
Surplus is not luck.
It comes from a focused set of levers, worked patiently, member by member. These are the places where value-based performance is actually made.
Risk-adjustment gap closure
Capture true panel acuity through complete, compliant documentation.
Avoidable ED reduction
Redirect non-emergent visits to the right, lower-cost site of care.
Inpatient & readmission management
Tighten transitions of care to keep members out of the hospital.
HEDIS quality-gap closure
Close measurable quality gaps that drive both outcomes and ratings.
Annual wellness visit completion
Bring members in early to plan care before problems escalate.
Referral leakage control
Keep referrals inside high-value, well-coordinated networks.
Unseen-member outreach
Reach newly attributed and unseen members before risk compounds.
Rising-risk stratification
Find members trending toward high cost while intervention still works.
Provider-level variation
Surface cost and quality variation, then coach toward the best patterns.
Post-acute & SNF spend
Manage skilled-nursing and post-acute utilization, the costliest tail of care.
The anatomy of a managed dollar.
Surplus is not one big move; it is many disciplined ones. This is roughly how the levers contribute to value created across a population. Illustrative weighting.
Illustrative contribution by lever; actual mix varies by population, plan, and starting point. Replace with your modeled weighting.
Five steps from fee-for-service to surplus.
Join the network
Contract once with Empire Gate; we structure the health-plan arrangement.
Members attributed
Health-plan members are attributed to your panel.
Monthly capitation
Predictable per-member payments replace the billing grind.
Analytics & support
We surface gaps and next best actions, with coding, quality, and care teams behind them.
Shared surplus
Manage care well, and share in the surplus the network creates.
Built inside a healthcare group that has done this before.
Empire Gate draws on more than twenty years of building value-based care, risk-adjustment, and health-technology businesses. That heritage shows up as working infrastructure, not slideware.
healthcare businesses
companies
created
Secondwave
Tech-enabled, human-driven clinical documentation integrity and risk-adjustment accuracy, from certified coders and point-of-care provider engagement.
secondwaveds.com →Arbiter
An AI platform that connects payers, providers, and patients; matching care to the right site and closing gaps in real time across the system.
arbiter.ai →MFO Ventures
The Moskow family office and operating partner behind a portfolio of healthcare-services and health-technology companies built to last.
mfoventures.com →"We wanted to take risk without becoming someone else's clinic. Empire Gate gave us the scale and the analytics, and we kept our practice."
Momentum across the group.
Arbiter emerges from stealth with $52M to build the AI system that connects healthcare.
MFO Ventures · newsProvista partners with Coral to drive pharmacy and infusion cost optimization.
MFO Ventures · newsForge Health poised for expansion with strategic investment from MFO Ventures.
MFO Ventures · newsBuilt to be diligenced.
Providers and health plans share patients and accountability with us, so the standards that matter to them are the standards we build to.
HIPAA aligned
Protected health information is handled under HIPAA, with access controls and minimum-necessary discipline.
BAA ready
We execute business associate agreements with partners and hold our vendors to the same.
Data security
Encryption in transit and at rest, role-based access, and audit logging across our systems.
Compliant by design
Risk-adjustment and documentation work is built for accuracy and audit-readiness, not just yield.
Operators, not spectators.
A team that has founded, run, and exited value-based care and risk-adjustment companies for two decades.
Eric Moskow, MD
Physician and serial healthcare entrepreneur. Founder of MFO Ventures and a succession of value-based care, risk-adjustment, and health-technology companies over more than twenty years, with over a billion dollars in enterprise value created.
LinkedIn →Harold Wodinsky
Runs day-to-day operations, network development, and provider and payer partnerships across New York.
Elliot Moskow
Attorney leading deal structuring, partnerships, and the analytics and tooling behind the network.
Fred Leathers
Finance leadership across capitation economics, surplus accounting, and reporting.
Henry Reyes
Serves as the primary point of contact for providers, supporting communication, coordination, and relationship management.
What partners ask first.
Do we stay independent?
Yes. There is no acquisition and no rebrand. You keep your patients, your name, and your clinical decisions. Empire Gate handles the payer contracting and the operations of risk around you.
What is capitation, in plain terms?
Instead of billing for each visit, you receive a predictable monthly payment for each attributed member. Manage their care well, and you share in the surplus those savings create.
What does joining cost the practice?
The model is built to reward performance, not to add overhead. We will walk through the specific economics for your panel before anything is signed, so the arrangement is clear from the start.
Who handles risk adjustment and quality work?
We do, alongside your team. Certified coders, point-of-care documentation support, and care-management resources sit behind the network, so the heavy lifting does not fall on your front desk.
What kinds of practices fit?
Primary care and multispecialty practices in New York that see managed-care and value-based members, from solo offices to larger groups. If you see members in risk-based plans, there is likely a fit worth exploring.
We are a health plan. How do we work with Empire Gate?
We contract as one accountable network and can take delegated risk for the populations you serve, with the risk-adjustment accuracy, quality work, and reporting that plans expect. Reach out and we will scope it together.
Bring your organization into value-based care.
Tell us who you are and we will tailor the conversation.
Opens your email app, addressed to our partnerships team.