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
Anita Vaughn, MD N
Barnabas Health Medical Group, PC N
Barnabas Health Medical Group, PC N
Barnabas Health Multispecialty N
Dr. Marjorie M Gonzales PC N
Hemant G Patel MD PA N
Hillsborough Medical Associates, PA N
Hudson MD Group, LLC Y
Icare Internal Medicine N
Ironbound Medical Associates LLC 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
MC Medical Group, LLC N
Medwell Internal Medicine, LLC N
Modern Nephrology & Transplant, LLC N
Monmouth Family Health Center, Inc N
NBIMC Department of Cardio-Thoracic N
NBIMC Department of Health 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
Petronilo L Seares, Jr MD, LLC 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
Rutgers Health – PCC Monument Square N
Rutgers Health -  RWJ Hem Onc N
Rutgers Health RWJ Department of Medicine Gen Internal N
Rutgers Health RWJ Primary Care Institute N
Rutgers Health RWJ Primary Medicine Group N
Rutgers Health RWJ Scleroderma Program N
Rutgers Health-RWJ Allergy Faculty N
Rutgers Health RWJ-Cardiology N
Rutgers Health RWJ-Electrophysiology N
Rutgers Health RWJ-Emergency Medicine N
Rutgers Health RWJ-Endocrinology N
Rutgers Health RWJ-Family Medicine N
Rutgers Health RWJ-Gastroenterology N
Rutgers Health RWJ-Immunology N
Rutgers Health RWJ-Pulmonary N
Rutgers Health RWJ-Rheumatology N
Saleem Mahmood, M.D. N
Walk In Medical Center PC 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
Dennedy Margot   1.0 Medicare Beneficiary Representative N/A
Seares Petronilo MD 1.0 ACO Participant Representative Petronilo L. Seares, Jr, MD, LLC
Anderson Andy MD 1.0 ACO Participant Representative Barnabas Health Medical Group PC
Shihabuddin Lina MD 1.0 ACO Participant Representative Barnabas Health Medical Group PC
Sicat Jon MD 1.0 ACO Participant Representative NBIMC Department of Internal

Key ACO clinical and administrative leadership:

Maruf Rahman ACO Executive
Dr. Niels Dua Medical Director
Alisa Wasserman Compliance Officer
Dr. Lina Shihabuddin Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Clinical Practice Committee John Bonamo, MD
Finance Committee Dr. Lina Shihabuddin
Credentials Committee John Bonamo, MD

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
  • 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
  • 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

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

2019 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments and Information 89.91 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 96.61 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 93.89 92.69
ACO-4 CAHPS: Access to Specialists 82.58 81.54
ACO-5 CAHPS: Health Promotion and Education 56.41 60.44
ACO-6 CAHPS: Shared Decision Making 63.60 62.78
ACO-7 CAHPS: Health Status/Functional Status 73.94 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 24.29 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 90.91 92.84
ACO-46 CAHPS: Care Coordination 87.62 86.89
ACO-8 Risk Standardized, All Condition Readmission 14.77 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 52.90 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.66 1.87
ACO-13 Falls: Screening for Future Fall Risk 82.12 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 69.96 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 66.67 78.04
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 81.85 70.40
ACO-19 Colorectal Cancer Screening 69.34 70.76
ACO-20 Breast Cancer Screening 78.63 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 85.38 82.17
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 16.13 13.88
ACO-28 Controlling High Blood Pressure 75.68 75.04

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

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