Medicare Shared Savings Program Public Reporting

RWJBH Accountable Care, LLC

ACO Name and Location

RWJBH Accountable Care, LLC
Previous Names; N/A
95 Old Short Hills Road
West Orange, New Jersey 07052

ACO Primary Contact

Primary Contact Name Maruf Rahman, VP, Population Health
Primary Contact Phone Number 1-732-729-7691
Primary Contact Email Address Maruf.rahman@rwjbh.org

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Allentown Medical Associates N
Anil K Gupta MD PA N
Avenel Iselin Medical Group, LLC Y
Barnabas Health Medical Group, PC N
Barnabas Health Multispecialty N
BHMG United Medical Y
Marjorie Gonzales, PA N
Hillsborough Medical Associates, PA N
Icare Internal Medicine N
Jane Neuman N
Jersey Shore Medical and Pediatric Associates, LLC N
Kailash Singhvi Md Pc N
Lifecare Family Doctors, PC N
Mark Olesnicky N
Monmouth Family Health Center, Inc N
NBIMC Department of Cardio-Thoracic N
NBIMC Department of Heart N
NBIMC Department of Internal N
NBIMC Department of Non-Invasive N
NBIMC Department of Oncology N
NBIMC Department of Surgery N
NBIMC Interventional Cardiology N
Newark Beth Israel Medical Center, Inc N
Primary Healthcare, LLC N
Prime Geriatric Care, LLC N
Rekha Sharma MD PA N
Robert Wood Johnson Kidney Transplant Associates, PA Y
Robert Wood Johnson Physician Enterprise N
Robert Wood Johnson Medical Associates at Hamilton, PA Y
Rutgers Health – PCC Monument Square N
Rutgers Health RWJ Primary Medicine Group N
RWJBH Primary Care Services N
Sanitas Medical Associates Y
Union County Healthcare Associates Y
Walk In Medical Center PC N

ACO governing body:

Member’s First Name Member’s Last Name Member’s Title/ Position Member’s Voting Power Membership Type ACO Participant TIN Legal Business Name
Zenaida Steinhauer   16.6% Medicare Beneficiary Representative N/A
Jane Neuman MD 16.6% ACO Participant Representative Jane Neuman, MD
Lina Shihabuddin MD 16.7% ACO Participant Representative Barnabas Health Medical Group PC
Jon Sicat MD 16.7% ACO Participant Representative NBIMC Department of Internal
John Pilla MD 16.7% ACO Participant Representative Medemerge Medical Associates
Frank Pipas CPA 16.7% ACO Participant Representative N/A

Key ACO clinical and administrative leadership:

Maruf Rahman, MBA ACO Executive
Johanny Garcia, MD Medical Director
Alisa Wasserman, BS, MPH Compliance Officer
Ashley Dotey ACO Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Clinical Practice Committee Josh Bershad, MD
Johanny Garcia, MD
Finance Committee John Pilla, MD
Frank Pipas, CPA

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Federally Qualified Health Center (FQHC)
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2020, $6,274,717 / $0
    • Performance Year 2021, $0
    • Performance Year 2022, $8,548,584.73
  • Second Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2017, $0
    • Performance Year 2018, $0
    • Performance Year 2019: $0
  • First Agreement Period
    • Performance Year 2013, $0
    • Performance Year 2014, $0
    • Performance Year 2015, $0

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Shared Savings Distribution

  • Third Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2020
      • Proportion invested in infrastructure: 25% 
      • Proportion invested in redesigned care processes/resources: 25% 
      • Proportion of distribution to ACO participants: 50% 
    • Performance Year 2021
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2022
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
  • Second Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • Second Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • Second Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • Second Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2013
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2014
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 12.30 10.71
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 64.42 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 78.48 76.16
Quality ID# 318 Falls: Screening for Future Fall Risk CMS Web Interface 68.17 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 70.17 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 84.21 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 64.41 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 64.40 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 88.89 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 4.76 16.03
Quality ID# 321 CAHPS for MIPS CAHPS for MIPS Survey N/A N/A
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] Administrative Claim 0.1584 0.1510
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] Administrative Claim 31.77 30.97
Measure # Measure Name Collection Type Rate ACO Mean
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 83.74 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 96.34 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 93.7 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 77.61 77
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 57.97 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 61.55 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 73.26 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 85.01 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 88.94 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 22.7 25.62

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

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