G-Health Enterprises 2017 Annual Report.

Welcome to G-Health Enterprises
. . .
Every day our hearts and minds are touched by what we see unfolding at G-Health Enterprises. When we unlocked
the doors to our new facility, we unlocked our dream to establish a state-of-the-art medical facility conveniently
located for our primary client base. Our G-Health facility is a bricks and mortar representation of our
GBUAHN mission – “To transform health care by removing barriers created by social determinants of health in
underserved communities.”
The year 2017 was one of immense growth for our organizations. We revealed the name G-Health Enterprises
to encompass all of our progressive health care affiliates: the Greater Buffalo United Accountable Healthcare
Network (GBUAHN), the Greater Buffalo United Accountable Care Organization (GBUACO) and the Greater
Buffalo United Independent Physicians Association (GBUIPA). We saw GBUAHN reach a membership of more
than 7,500 members and become the sixth largest health home in New York state. GBUACO successfully completed
its first full year in operation and in co-operation with YourCare Health Plan. The National Committee
for Quality Assurance (NCQA) recognized GBUAHN as accredited in case management, making GBUAHN the
first and only health home in New York state to achieve such recognition. NCQA also presented GBUACO with
level two accreditation as an accountable care organization (ACO). GBUACO is one of only ten ACOs in the
U.S. to receive this distinction.
The numbers show that G-Health Enterprises significantly reduced the number of hospital readmissions and
emergency room visits among its members. These statistics represent just the tip of the iceberg for the barriers
to quality health care that the affiliates of G-Health Enterprises are knocking down.
We thank everyone who helped make 2017 a huge success for G-Health Enterprises. You, as leaders in health
care, human services, business and government, along with the citizens of Buffalo and Western New York, have
helped us unlock the dream of better health care for underserved populations. Your support is the key that will
open more doors for us in the future.

G-Health Enterprises’ new facility
dazzles
. . .
In August 2017 G-Health Enterprises opened the doors
to its new $6 million, 40,000-square-foot medical
facility at 564 Niagara Street, thus unlocking the
dream to bring conveniently-located, outstanding
health care to members of GBUAHN and patients of
Urban Family Practice.
G-Health Enterprises’ new building is the largest
commercial development on Buffalo’s Lower West
Side in 25 years. It stands as a testament to G-Health
Enterprises’ CEO Dr. Raul Vazquez and Chief
Systems Operator Toni Vazquez for their persistence
in bringing the very best in progressive health care to
the citizens of Buffalo.
The building brings together all of the elements that
make up G-Health Enterprises’ care philosophy. Dr.
Vazquez moved his own private practice, including
all specialists, into the new building. An ultramodern
fitness center graces the lower level; as does a teaching
kitchen where GBUAHN members and staff attend
healthy cooking classes.
Mrs. Vazquez spoke of the importance of bringing
quality health care to the Lower West Side.
“We decided where there’s a need and a void, there
must be a vision – a vision that can find potential in
the least likely of places,” Mrs. Vazquez said.
New York State Senator Tim Kennedy spoke
with enthusiasm about the ribbon cutting and
what GBUAHN and GBUACO are doing for the
community:
“This is a monument of success in the city of Buffalo,”
said Senator Kennedy. “This multi-million-dollar
health care facility is unmatched anywhere in the great
state of New York.”
And now that the dream is unlocked, doors are
opening everywhere for G-Health Enterprises. As the
leader in innovative methods for the delivery of health
care, the best is yet to come.
On a picture-perfect day in September 2017, an
official grand opening and ribbon cutting celebration
was held at the facility. Buffalo Mayor Byron Brown
led the program of speakers, calling the new medical
building a “game changer.”
“Today marks a huge step in building a city of
opportunity for all people, connecting our residents to
vital health and human services, while also creating
jobs for the members of our community,” said Mayor
Brown.
“We want to create jobs in our community,” said Dr.
Vazquez. “I want to create 200, 300, 400 – I want to
add up to 1,000 jobs in five years.”

gbuahn
. . .
GBUAHN nationally recognized for
excellence in case management
In October 2017, the National Committee for Quality
Assurance (NCQA) announced that GBUAHN has
received level two NCQA case management accreditation.
GBUAHN is the first and only health home in New York
state to achieve NCQA recognition for case management.
Earning NCQA’s case management accreditation shows
that GBUAHN’s case management program is dedicated
to care coordination, patient-centeredness and improving
quality of care. NCQA sets its standards high to encourage
case management organizations like GBUAHN to
continuously enhance the quality of services they deliver.
NCQA Case Management Accreditation is the only
program that focuses on care transition.
“This NCQA accreditation in case management for
GBUAHN is huge in our organization’s commitment to
providing smart, coordinated health care for the Medicaid
patients we serve,” said GBUAHN CEO Raul Vazquez,
M.D. “Our patient health navigators, or care coordinators,
work tirelessly to organize the right services for our
members through the development of individualized care
plans.”
NCQA accreditation standards are developed with input
from researchers in the field, the Case Management Expert
Panel and standing committees, employers, both purchasers
and operators of case management programs, state and
federal regulators and other experts.
GBUAHN now the largest Medicaid
Health Home outside New York City
area
GBUAHN is now the sixth largest Medicaid Health Home
in New York State. October 2017 data from the New York
State Department of Health shows only health homes
located in the Hudson River area, Manhattan, Brooklyn
and the Bronx have larger memberships than GBUAHN.
In addition, GBUAHN is the first and only health home
organization in New York State to achieve National
Committee for Quality Assurance (NCQA) recognition for
case management.
“Buffalo can be proud that we care so much about our
citizens that GBUAHN is leading the way in when it
comes to keeping people of all socioeconomic groups
healthy,” said GBUAHN CEO Dr. Raul Vazquez. “We
are breaking down barriers to health care that many low
income individuals face and we are making them healthier,
improving the overall wellness of our city and region.”
GBUAHN answers the call for
help in the wake of Hurricane
Maria
GBUAHN teamed up with WIVB-TV News4 on
Wednesday, December 13, 2017 to host a telethon for
victims of Hurricane Maria in Puerto Rico. The telethon
yielded more than $36,500 in donations for those who were
forced to flee their homes due to the natural disaster.
Volunteers from GBUAHN and members of the
Puerto Rico Hurricane Relief Fund answered close
to 1,000 calls from donors. WIVB-TV reporter/
anchors Christy Kern and Nalina Shapiro provided
live televised updates throughout the event, and
interviewed GBUAHN Chief Executive Officer Dr.
Raul Vazquez several times during the telethon.
“It’s not like ‘oh this happened, things are better.’
Things are still not good,” said Dr. Vazquez during
News4’s 6:00 p.m. broadcast. “And a lot of these
people are coming (to Buffalo), so that’s what we’re
doing here – trying to support them.”
Dr. Vazquez and GBUAHN Chief Systems Officer
Toni Vazquez (on behalf of the Raul and Toni Vazquez
Foundation) donated a total of $1,500. All of the
funds raised in the telethon went to Hurricane Maria

survivors who are resettling in Buffalo and Western
New York. The funds were used toward housing,
furniture, clothing, appliances, etc.
GBUAHN is 7,500 Members Strong
GBUAHN celebrated a milestone of reaching membership
of 7,500 in 2017. The milestone came on the eve of
GBUAHN’s Grand Opening Ceremony, celebrating the
new, multi-million dollar medical facility at 564 Niagara
Street on Buffalo’s Lower West Side. GBUAHN has
tripled in size over the past two years, creating jobs,
revitalizing the city’s economy and helping individuals
navigate the often-complex Medicaid system.
“This increase is monumental in such a short span
of time,” said Raul Vazquez, M.D., GBUAHN CEO.
“However, this is just the beginning for us. We are
passionate about helping our members, and GBUAHN
will make sure that we have the resources to continue to
provide phenomenal services for Medicaid recipients.”
Significant savings for taxpayers is another key result
of this program. With their assigned GBUAHN patient
health navigators, members receive on-going support for
preventive care with a primary physician and maintenance
care for chronic conditions such as diabetes, asthma and
high blood pressure. As a result, expensive emergency
room visits decrease and Medicaid costs are reduced.
GBUAHN donated over 20 pallets of water to the Puerto Rico
Hurricane Maria Relief Block Party on October 1, 2017

GBUAhn Stats
. . .
Source: New York State Department of Health 2016 Health Home Quality and Utilization Report
ER Visits per 1000 Health Home Medicaid Members
108.97
114.86
120
100
80
60
40
20
0
GBUAHN
State Avg.
GBUAHN
State Avg.
(Based on the percent of total mental illness hospitalizations/ER visits for health home members)

GBUAHN was 33.12% better than the state average at preventing hospital readmissions.
(Total number of potentially preventable readmissions per 100,000 health home enrollees)
GBUAHN was 14% better than the state average at preventing emergency room visits.
(Total number of preventable ER visits per 100 health home enrollees)
Source: New York State Department of Health 2016 Health Home Quality and Utilization Report

(Percentage of sexually active female health home
members who had a screening)
(Percentage of health home members who had
their BMI documented)
(Based on percentage of ER visits for health home members diagnosed with alcohol/drug dependence)
Source: New York State Department of Health 2016 Health Home Quality and Utilization Report

GBUACO
. . .
GBUACO one of only ten ACOs in the
U.S. to receive NCQA accreditation
The National Committee for Quality Assurance (NCQA)
presented GBUACO level two accreditation as an
accountable care organization (ACO) in 2017. GBUACO is
one of only ten ACOs in the U.S. to receive this distinction.
Earning NCQA accreditation as an accountable care
organization shows that GBUACO is dedicated to
delivering coordinated patient-centered care and is
accountable for improving clinical quality, enhancing the
patient experience and reducing cost. The NCQA sets its
standards high to encourage accountable care organizations
like GBUACO to continuously enhance the quality of
services they deliver.
“This NCQA accreditation is a huge honor for GBUACO,
which is in its very first year of existence,” said GBUACO
CEO Raul Vazquez, M.D. “We are changing the way
health care is delivered in Buffalo, Western New York
and the nation. The NCQA sets its standards high, making
this accreditation very difficult to achieve, with only nine
other ACOs in the entire country holding this honor with
GBUACO.”
The NCQA Accountable Care Organization Accreditation
not only involves a rigorous review of an organization’s
structure and processes, but also requires organizations
to collect data on key clinical and service measures (e.g.,
mammography screening rates, comprehensive diabetes
care, consumer satisfaction).
“By earning NCQA ACO Accreditation, GBUACO has
demonstrated to payers and other purchasers that it has met
challenging requirements designed to show the efficiency,
integration and high quality expected of an accountable
care organization,” said NCQA President Margaret E.
O’Kane. “Accreditation also shows patients and providers
that GBUACO is prepared to deliver on the promise of
better care on all these dimensions.”
GBUACO gives its patients a Lyft
GBUACO, the first Medicaid accountable care organization
in New York state, is also one of the first health care
companies in Western New York to team up with Lyft to
provide free rides for patients. GBUACO officials inked the
deal with Lyft shortly after the ridesharing company was
approved to operate in the Buffalo area.
Lack of transportation to appointments has been a longstanding
issue in health care, especially among Medicaid
recipients. GBUACO offers free rides to patients who are
utilizing the services of any of its network providers. With
the addition of Lyft, GBUACO will be able to move more
patients, more swiftly.
“The major reason our Medicaid patients miss doctors’
appointments is because they cannot find an efficient mode
of transport,” said GBUACO Chief Executive Officer
Raul Vazquez, M.D. “This partnership with Lyft enables
our care coordinators to arrange rides for our patients that
are cheaper, faster, and oftentimes more comfortable and
reliable.”
Care coordinators will set up rides for GBUACO network
patients utilizing Lyft Concierge.

The highlight of the evening was the live auction of a group
art painting by kids from Fantastic Friends of Western New
York. Fantastic Friends of Western New York sponsors
monthly events for people of all ages with special needs.
The group painting was purchased by Carmen Greenberg-Perez,
Medical Sales Director at United Healthcare,
for $600. Paintings by the kids who created and completed
their artwork at the tournament sold for $100 each.
About Vive:
Concierge is a third-party web application that allows
GBUACO care coordinators to arrange rides online on
behalf of individuals who may not have the technology, or
the ability, to do it themselves.
“Our partnership with GBUACO will help remove
transportation barriers and provide reliable, on-demand
rides to patients who need it,” said Gyre Renwick, head of
health care partnerships at Lyft. “The response from health
care companies that have been using Lyft Concierge has
been outstanding, with patients using words like ‘exciting’
and ‘comfortable’ to describe their Lyft experiences.”
“This collaboration with Lyft is in perfect keeping with
GBUACO’s mission to use innovation to transform patient
lives,” said Vazquez. “Ridesharing is the newest way to get
around in Western New York, and we are jumping aboard
to help our patients live healthier lives. When we get them
to their medical appointments, smaller health issues are
less likely to become larger ones causing expensive, yet
preventable, trips to the ER.”
Vive provides services to refugees who cannot return to
their homelands due to their race, religion, nationality or
political opinion.
About The Western New York Center for Survivors
of Torture at Jewish Family Services:
The Western New York Center for Survivors of Torture at
Jewish Family Services provides programs for survivors of
refugee trauma and political and state-sponsored torture.
About Back to Basics Outreach Ministries:
Back to Basics helps ex-convicts who are just out of prison
with their transition back into the community.
“For the GBUACO Golf Tournament, we select charities
that serve some of our most vulnerable citizens who do
not have many places to go to get the help they need,” said
GBUACO Chief Executive Officer Raul Vazquez, M.D.
“The organizations our tournaments support are usually
smaller agencies that really need the help and we want to
let them know they are not forgotten.”
Raising some green, on the green
- the 3rd Annual GBUACO Charity
Golf Tournament
GBUACO’s 3rd Annual Charity Golf Tournament took
place on Friday, September 22, 2017 at Glen Oak Golf
Course in East Amherst. After hitting the links, golfers
enjoyed an awards ceremony, basket raffle and check
presentations to charities that each received $2,500 from
the tournament: Vive, Back to Basics Outreach Ministries
and Western New York Center for Survivors of Torture at
Jewish Family Services. United Healthcare was the premier
sponsor of this event.

The William L. gaiter Conference Room
named after tireless civil rights
William L. Gaiter played a huge role in helping the
Buffalo African-American community through some of its
most arduous times. He used boycotts, demonstrations and
lawsuits in his fight for equality for African-Americans.
He also happens to be someone G-Health Enterprises
Chief Systems Officer Toni Vazquez calls “Dad.”
Therefore, it only seemed appropriate that the exquisite
conference room in the new G-Health facility receive the
moniker, The William L. Gaiter Conference Room.
Gaiter was born in Selma, Alabama in 1927. Upon
arriving in Buffalo, he attended a meeting of B.U.I.L.D.
(Build Unity, Independence, Liberty and Dignity) in
Buffalo in 1966 and was inspired to join the movement.
Coincidentally, Gaiter became president of B.U.I.L.D. on
the same dreadful day that Dr. Martin Luther King, Jr. was
assassinated in 1968.
Under Gaiter’s leadership, B.U.I.L.D. fought for a better
community. City Hall, the Buffalo School Board and the
Buffalo Police Department were all targets of change for
the organization. Gaiter said: “We are not going to get
anything from City Hall or Albany or Washington unless
we fight.”
B.U.I.L.D., with Gaiter at the helm, achieved many
great things for the black community, including the
implementation of the Juneteenth Festival. The yearly
festival has evolved into one of the premier summer
events for all of Buffalo.
Other organizations that Gaiter was affiliated with include:
the Buffalo Affirmative Action Program (BAAP), which
was responsible for recruiting, training and unionizing
minorities into the construction industry in the Buffalo
vicinity. Through the WNY Council for African Relief
(WNYCAR), he raised over $75,000 to aid Malika Village
in Senegal, West Africa, and other African countries. He
served as president of the Institute for People Enterprises
(IPE), which he founded in 1978. In 1984, he organized
and chaired the Western New York Council for African
Relations.
. . .
leader
Gaiter received numerous awards including: the Buffalo
Challenger Buffalo Citizen Award; Phyllis Wheatley Club
Certificate of Appreciation; Black Educators Association
Community Service Award; the Buffalo Urban League
Evans-Young Humanitarian Award and the prestigious
Buffalo News Man of the Year Award.

I am g-fit!
. . .
by: Dana Ingebretson, MS, RD, CDN, G-Health Enterprises Director of Nutrition Services
2017 brought the launch of GBUAHN’s Member
Wellness Weight-Management program. Structured to
help members reach a healthier weight, the program
consists of combined group nutrition and fitness
classes over the course of an hour and a half. The
classes are taught by GBUAHN’s on-staff personal
trainer DaMond Brock, ISSA CPT and registered
dietitian, Dana Ingebretson, MS, RD, CDN.
During the class time, members first tackle nutrition
by learning to read nutrition facts labels and balance
their portions and types of food. Additionally,
members share stories of success and failure with each
other and applaud each other on their journey to better
health. The classes include stress management and
better sleep techniques to help manage their weight
holistically. After 45 minutes of group nutrition,
members head over to the gym, where they participate
in a variety of physical activities such as Zumba, yoga,
lifting weights or walking on the treadmill, and enjoy
encouraging each other to work out.
Since the program launched in the winter of 2017,
at least 169 GBUAHN members have attended the
program at least once. Over a period of time, 75% of
members who attended the program lost an average of
5.5 pounds with some members losing as much as 15
pounds. Research shows that even a five pound weight
loss can improve health conditions such as high
blood pressure. Says one GBUAHN member, whose
diabetic numbers have improved since she started, “I
have never been this energetic before. It’s been a great
program and I appreciate everything you guys do for
us.”

. . .
GBUACO network of PROVIDERS
The Greater Buffalo United Independent Physicians
Association (GBUIPA)
WNY Medical, PC
Jericho Road Community Health Center
ECMC
Kaleida Health
CCS, PC
DENT Neurologic Institute
WNY Imaging Group
MASH Urgent Care
Vivian L.Lindfield, M.D.
Thank you to our 3rd annual gbuaco golf tournament
Sponsors
. . .
Premier Sponsor
Gold Sponsorship
YourCare Health Plan
CCS Healthcare
Strategic Interests
Fallon Health Weinberg
Kenneth Gayles, M.D.
Delaware Surgical Group
Silver Sponsorship
WellCare
M&T Bank
Bronze sponsorship
DENT Neurologic Institute
Chet Fox, M.D.
Silvestri Architects, PC
Lincoln Moving & Storage
WNY MRI
Tee Sign Sponsors
WNY 211
Horizon Health Services
Jericho Road
StaffBuffalo
Jewish Family Services
Charity Golf
Towne Automotive
Kalos Health
Strategic Interests
Planned Parenthood
Donation Sponsors
Deep Eddy Vodka
Buffalo Bills
Buffalo Bisons
Russell’s Steaks - Chops & More
Black & Blue
800 Maple
Keller Chevrolet
My Tomato Pie
NY Beer Project
Hilton Garden Downtown

2017 awards
. . .
WNY Muslims Humanitarian Award – Raul Vazquez, M.D., G-Health Enterprises CEO
WNY Muslims Humanitarian Award – Ava White, G-Health Enterprises Senior Vice President of Outreach
Kidney Foundation of Western New
.
York
.
Community
.
Service Award – GBUAHN
Population Health Collaborative Spotlight on Population Health Awards (SOPHi) – Data-Driven – GBUAHN
Urban Chamber of Commerce Award – Outstanding Business Leadership Award 2017 – Raul Vazquez, M.D.
G-Health Enterprises
Greater Buffalo United IPA
Raul Vazquez, M.D. F.A.A.F.P.
President/CEO
Kenneth L. Gayles, M.D. F.A.C.C.
Vice President
Dwight Lewis, M.D.
Secretary
Winston Douglas, M.D.
Treasurer
Frances Ilozue, M.D.
Riffat Sadiq, M.D.
Ted Triana, D.O.
Kenton Forte, M.D.
Jesslyn Perry, M.D.
George Haddad, M.D.
G-Health Enterprises
GBUACO Board of Directors
Raul Vazquez, M.D. F.A.A.F.P.
President/CEO
Kenneth L. Gayles, M.D. F.A.C.C.
Vice President
Frances Ilozue, M.D.
Secretary
Riffat Sadiq, M.D.
Treasurer
Kenton Forte, M.D.
Jesslyn Perry, M.D.
George Haddad, M.D.
Winston Douglas, M.D.
Dwight Lewis, M.D.
Faizan Haq
Joseph Serghany, M.D.
Nicolas P. Saikali, M.D.
Sam Yi, M.D.
Saravanan Rohith, M.D.
Roan Reynolds
Phenerson Chillis
G-Health Enterprises
Administrators
Raul Vazquez, M.D. F.A.A.F.P.
President/Chief Executive Officer
Toni Vazquez
Chief Systems Officer
Chet Fox, M.D.
Chief Medical Officer
Ivan Agosto
Chief Operating Officer
Luis A. Santiago
Chief Financial Officer
Ava White
Senior Vice President of Outreach
Ralph Hernandez, MS/HSA
Executive Director
Nadia Vazquez
Assistant Director of G-Health Enterprises
Jason A. Isbrandt
Director of Marketing/Provider Relations
G-Health Enterprises 2017 Annual Report
Photographers:
Anthony Pierce
G-Health Enterprises - Multimedia Producer
Pablo Colon
G-Health Enterprises - Multimedia Producer
Writers:
Dana Ingebretson, MS, RD, CDN,
G-Health Enterprises Director of Nutrition Services
Julie A. Doerr
G-Health Enterprises - Assistant Director of Marketing

YourCare and GBUACO team up to
improve health care
. . .
In 2017, GBUACO and health insurance provider
YourCare Health Plan officially embarked on a historic
partnership. It’s a collaboration of firsts – YourCare is the
first health plan that provides Medicaid and other free or
low-cost health insurance plans to pair up with GBUACO,
the first Medicaid accountable care organization (ACO) in
New York state.
every barrier for the individuals for which they care,” said
Graziano. “Providers looking to effect change – not only
within the WNY community, but within health care models
as a whole – should consider forming a relationship with
the GBUACO team.”
At the heart of the agreement between GBUACO and
YourCare is a value-based payment system. Under a valuebased
payment system, practitioners in an ACO must meet
clearly-defined quality metrics that measure prevention
of disease and chronic disease management. Providers
who have partnered with GBUACO work as a team and
are incentivized for keeping their patients healthy and
minimizing expensive emergency room visits and hospital
stays.
“Launching the first Medicaid ACO partnership with
GBUACO was a major accomplishment, as it will lead
us to reduce costs and provide better-coordinated care
for each individual served by the ACO,” said YourCare
President and CEO Dennis Graziano.
Graziano says GBUACO and YourCare are a great fit
because both organizations strive to reduce barriers to
health care for underserved populations.
“GBUACO providers truly put their patients first –
something that resonates strongly with the YourCare
Plan team – (also) known for putting its members first,”
Graziano stated.
When asked why a provider should join GBUACO,
Graziano cited the commitment of the individuals that
make up the ACO.
“The providers associated with GBUACO are really
phenomenal practitioners – always looking to provide the
utmost quality care to their patients by defining the social
determinants of health, and then eliminating each and
YourCare Health Plan President and CEO Dennis Graziano
photo by: Chris Coe, Chris Coe Photography

564 Niagara St., Bldg 2.
Buffalo, NY 14201
(716) 247-5282