Medicare Shared Savings Program Public Reporting: RWJBarnabas Health Partners

Barnabas Health Care Network

ACO Name and Location

Barnabas Health ACO-North, LLC
95 Old Short Hills Road
West Orange, New Jersey 07052

ACO Primary Contact

Primary Contact Name Po Chou, Director of Operations
Primary Contact Phone Number 1-866-218-1266
Primary Contact Email Address Po.Chou@rwjbh.org

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture 
(Enter Y or N)
Daniel Brandwein, DPM and Sean Kaufman, DPM, Inc. N
NBIMC Interventional Cardiology N
SBMC Department of Critical Care Medicine N
NBIMC Adult Gastroenterology N
Charles Markowitz, MD N
Nicholas Guittari, MD N
Miher Maniar, DO N
NBIMC Department of Heart N
NBIMC Department of Surgery N
Lifecare Family Doctors, PC N
Monmouth Family Health Center, Inc. N
Modern Nephrology & Transplant, LLC N
Rekha Sharma, MD, PA N
Anil K Gupta, MD, PA N
Srinivasa R. Movva, MD, PC N
Cancer Surgery Services of Saint N
Associates In Transplants & General N
Cassada Medical, LLC N
Saint Barnabas Medical Center N
Clara Maass Medical Center N
Mark T. Olesnicky, MD N
The Medical Group PA N
Richard Pizzano, MD, PA N
Jersey City Medical Center N
Lawrence Grill, MD, PA N
Hemant G Patel, MD, PA N
Jay H Stone, MD, PA N
Comprehensive Pulmonary & Critical Care Associates N
Barnabas Health Medical Group PC N
Robert Picciano, MD & Maria Vieira Picciano, MD, PC N
Monmouth Medical Center Faculty Practice Plan, Inc. N
KBF Foot and Ankle Surgeons PA N
Medical Oncology Associates At Saint Barnabas N
Community Medical Center, Inc. N
New NBIMC, Inc. N
Monmouth Medical Center, Inc. N
Leonard Schindel, MD, PC N
Saint Barnabas Multi Specialty N
James E. Haberman, MD, PA N
Ironbound Medical Associates, LLC N
Saleem Mahmood, MD N
NBIMC Department of Geriatrics N
NBIMC Department of Non-Invasive N
NBIMC Department of Internal N
NBIMC Department of Cardio-Thoracic N
NBIMC Department of Psychiatry N
NBIMC Department of Oncology N
Jane Neuman N
Liberty Emergency Medical Associates, LLC N
Petronilo L Seares, Jr, MD, LLC N
Kimball Emergency Medical Associates, LLC N
Advance Medicine of West Essex PA N
Clara Maass Medical Center House Physicians N
Elion Krok, MD, PC N
Dr. Mayorquin Corporation N
Kenneth Donovan, DPM, LLC N
Kailash Singhvi, MD, PC N
Barnabas Health Medical Group PC N
Clara Maass Emergency Medical Associates, LLC N
Saint Barnabas Emergency Medical Associates, LLC N
Icare Internal Medicine N
Monmouth Emergency Medical Associates, LLC N
Community Emergency Medical Associates, LLC N
Newark Beth Israel Emergency Medical Associates, LLC N
Community EMC, LLC N
Barnabas Health Physician Associates PC N
Prime Geriatrice Care, LLC N
Anita Vaughn, MD N
SBMC Stress Test Panel N
MC Medical Group, LLC N

ACO governing body:

Member’s Last Name Member’s First Name Member’s Title/ Position Member’s Voting Power Membership Type ACO Participant TIN Legal Business Name
Sicat Jon Chair and Voting Member 1 ACO Participant Representative NBIMC Department of Internal
Bershad Joshua Voting Member 1 Other – ACO Executive Director  
Arnold Bill Non-voting Member 0 ACO Participant Representative Monmouth Medical Center, Inc.
Mimoso Mike Non-voting Member 0 ACO Participant Representative Community Medical Center, Inc.
Clyne Mary Ellen Voting Member 1 ACO Participant Representative Clara Maass Medical Center
Terry Darrell Non-voting Member 0 ACO Participant Representative New Nbimc, Inc.
Scott Joseph Voting Member 1 ACO Participant Representative Jersey City Medical Center
Zieniewicz Stephen Non-voting Member 0 ACO Participant Representative Saint Barnabas Medical Center
Vozos Frank Non-voting Member 0 Other – ACO Medical Director  
Bonamo John Non-voting Member 0 Other – Chief Medical Officer, RWJBH  
Seares Petronilo Voting Member 1 ACO Participant Representative Petronilo L Seares, Jr, MD, LLC
Robberson Heather Voting Member 1 ACO Participant Representative Cassada Medical, LLC
Desai Gautam Voting Member 1 ACO Participant Representative Monmouth Medical Center Faculty Practice Plan, Inc.
Dennedy Margot Voting Member 1 Medicare Beneficiary Representative  

Key ACO clinical and administrative leadership:

Po Chou ACO Executive
Frank Vozos Medical Director
Alisa Wasserman Compliance Officer
Sharon McSorley Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Clinical Practice Committee John Bonamo, MD, Chair
Finance Committee Joshua Bershad, MD, Chair
Credentials Committee John Bonamo, MD, Chair

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

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

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2016, $0
  • First Agreement Period
    • Performance Year 2015, $0
    • Performance Year 2014, $0
    • Performance Year 2013, $0

Shared Savings Distribution

  • 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
  • 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
    • 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
    • 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

Quality Performance Results

2016 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 79.66 80.51
ACO-2 CAHPS: How Well Your Providers Communicate 94.51 93.01
ACO-3 CAHPS: Patients’ Rating of Provider 91.72 92.25
ACO-4 CAHPS: Access to Specialists 82.09 83.49
ACO-5 CAHPS: Health Promotion and Education 56.82 60.32
ACO-6 CAHPS: Shared Decision Making 71.00 75.40
ACO-7 CAHPS: Health Status/Functional Status 70.62 72.30
ACO-34 CAHPS: Stewardship of Patient Resources 20.51 26.97
ACO-8 Risk Standardized, All Condition Readmission 14.80 14.70
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 16.52 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 55.63 53.20
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 72.30 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 58.82 59.81
ACO-9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 11.86 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 15.01 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 90.71 82.72
ACO-39 Documentation of Current Medications in the Medical Record 80.04 87.54
ACO-13 Falls: Screening for Future Fall Risk 39.11 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 44.40 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 43.43 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 67.34 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 73.33 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 37.35 53.63
ACO-19 Colorectal Cancer Screening 44.76 61.52
ACO-20 Breast Cancer Screening 50.80 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 79.20 76.79
ACO-42 Statin therapy for the Prevention and Treatment of Cardiovascular Disease 75.98 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 25.65 18.24
ACO-41 Diabetes: Eye Exam 14.50 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 73.20 70.69
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.57 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 100.00 88.67
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 76.19 79.67

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.   

Note: In the Quality Performance Results file(s) above, search for “Barnabas Health ACO-North, LLC” or “Barnabas Health Care Network” to view the quality performance results. This ACO can also be found by using the ACO ID A71489 in the public use files on data.cms.gov.

Payment Rule Waivers

No, our ACO does not use the SNF 3-Day Rule Waiver.

Robert Wood Johnson Partners

Untitled Document

ACO Name and Location

RWJ Partners, LLC
1 Robert Wood Johnson Place
New Brunswick, NJ 08903

ACO Primary Contact

Primary Contact Name Po Chou
Primary Contact Phone Number 1-732-729-7161
Primary Contact Email Address Po.Chou@RWJBH.org

Organizational Information

ACO participants:

 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Rutgers RWJ Emergency Medicine N
Robert Wood Johnson University Hospital, Inc. N
Somerset Medical Center N
Rutgers RWJ Family Medicine N
Rutgers RWJ Pulmonary N
Rutgers RWJ Cardiology N
Rutgers RWJ Rheumatology N
Rutgers RWJ Immunology N
Rutgers RWJ Hem Onc N
Rutgers RWJ Gastroenterology N
Rutgers RWJ Endocrinology N
Allentown Medical Associates N
Rutgers RWJ Department Of Medicine Gen Internal N
Rutgers RWJ Allergy Faculty N
Rutgers RWJ Scleroderma Program N
Rutgers PCC Monument Square N
Rutgers RWJ Primary Care Institute N
Rutgers RWJ Electrophysiology N
Advantage Medical Associates, PA N
Rutgers RWJ Primary Medicine Group N
Princeton Medical Care, LLC N
Primary Healthcare, LLC N
Walk In Medical Center PC N
Hillsborough Medical Associates, PA N
Robert Wood Johnson Physician Enterprise N
The Whole Istic You, LLC N

ACO governing body:

Member’s Last Name Member’s First Name Member’s Title/ Position Member’s Voting Power Membership Type ACO Participant TIN Legal Business Name
Abend Paul Voting Member 1 Other – Specialist Representative
Lee Leonard Voting Member 1 ACO Participant Representative Rutgers RWJ Cardiology
Bershad Joshua Vice Chair/ Voting Member 1 ACO Participant Representative RWJ Physician Enterprise PA
Colaizzi John Voting Member 1 Medicare Beneficiary Representative
Gracias Vincente Voting Member 1 ACO Participant Representative Rutgers RWJ Department of Medicine Gen Internal
Malik Bobby Voting Member 1 ACO Participant Representative Princeton Medical Care, LLC
Mansue Amy Chair/ Voting Member 1 ACO Participant Representative Robert Wood Johnson University Hospital, Inc.
Moffa Salvatore Voting Member 1 ACO Participant Representative Robert Wood Johnson University Hospital Somerset
Rabadi Khalaf Secretary/ Treasurer/ Voting Member 1 ACO Participant Representative Robert Wood Johnson Medical Associates at Hamilton PA
Salwitz Jim Voting Member 1 ACO Participant Representative Robert Wood Johnson University Hospital, Inc.

Key ACO clinical and administrative leadership:

Joshua Bershad ACO Executive
Cathryn Heath Medical Director
Elizabeth Trainor Compliance Officer
Jennifer Smith Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name  Committee Leader Name and Position
Board of Managers Amy Mansue, Chair
Finance Committee Amy Mansue, Chair
Performance Improvement Committee Joshua Bershad, Chair

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016, $3,912,029
    • Performance Year 2015, $1,827,858
    • Performance Year 2014, $0

Shared Savings Distribution
First Agreement Period

  • Performance Year 2016
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesigned care processes/resources: 15%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2015
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesigned care processes/resources: 15%
    • Proportion of distribution to ACO participants: 50%
  • 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

Quality Performance Results

2016 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 79.11 80.51
ACO-2 CAHPS: How Well Your Providers Communicate 94.55 93.01
ACO-3 CAHPS: Patients’ Rating of Provider 94.29 92.25
ACO-4 CAHPS: Access to Specialists 84.04 83.49
ACO-5 CAHPS: Health Promotion and Education 58.96 60.32
ACO-6 CAHPS: Shared Decision Making 74.95 75.40
ACO-7 CAHPS: Health Status/Functional Status 72.07 72.30
ACO-34 CAHPS: Stewardship of Patient Resources 20.79 26.97
ACO-8 Risk Standardized, All Condition Readmission 14.43 14.70
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 16.33 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 48.17 53.20
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 70.57 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 52.57 59.81
ACO-9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 9.69 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 19.13 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 89.09 82.72
ACO-39 Documentation of Current Medications in the Medical Record 95.04 87.54
ACO-13 Falls: Screening for Future Fall Risk 58.29 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 70.82 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 72.88 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 72.98 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95.90 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 53.47 53.63
ACO-19 Colorectal Cancer Screening 56.14 61.52
ACO-20 Breast Cancer Screening 71.66 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 62.78 76.79
ACO-42 Statin therapy for the Prevention and Treatment of Cardiovascular Disease 70.87 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 24.58 18.24
ACO-41 Diabetes: Eye Exam 45.29 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 62.16 70.69
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 81.59 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 90.43 88.67
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 75.36 79.67

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

Note: In the Quality Performance Results file(s) above, search for “RWJ Partners LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A18812 in the public use files on data.cms.gov.

Payment Rule Waivers

No, our ACO does not use the SNF 3-Day Rule Waiver.

Government Programs