Medicare Shared Savings Program Public Reporting: RWJBarnabas Health Partners

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, Senior VP of Finance, Population Health and Physician Services
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)
NBIMC Interventional Cardiology N
SBMC Department of Critical Care Medicine N
NBIMC Adult Gastroenterology N
Charles Markowitz, MD N
Nicholas Guittari, MD 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
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
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
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
Mansue Amy Voting Member 1 ACO Participant Representative Robert Wood Johnson University Hospital, Inc.
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:

  • 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

  • Second Agreement Period
    • Performance Year 2017, $0
    • 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 2017
      • 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 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

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 79.04 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.64 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 92.88 92.31
ACO-4 CAHPS: Access to Specialists 82.61 83.32
ACO-5 CAHPS: Health Promotion and Education 61.60 62.30
ACO-6 CAHPS: Shared Decision Making 75.16 75.85
ACO-7 CAHPS: Health Status/Functional Status 70.59 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 21.92 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.14 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.36 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 60.54 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 88.23 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 66.59 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.94 1.93
ACO-11 Use of Certified EHR Technology 85.86 91.17
ACO-12 Medication Reconciliation 87.16 75.32
ACO-13 Falls: Screening for Future Fall Risk 63.70 74.38
ACO-44 Imaging Studies for Low Back Pain 67.69 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 73.94 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 62.69 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 80.90 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93.81 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 48.74 61.98
ACO-19 Colorectal Cancer Screening 60.15 64.58
ACO-20 Breast Cancer Screening 72.76 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 87.04 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 19.41 16.74
ACO-41 Diabetes: Eye Exam 58.41 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 75.45 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 88.04 86.86

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.

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ACO Name and Location

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

ACO Primary Contact

Primary Contact Name Po Chou, Senior VP of Finance, Population Health and Physician Services
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)
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
Dr. Ng Medical Director
Alisa Wasserman 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

  • Second Agreement Period
    • Performance Year 2017, $0
  • First Agreement Period
    • Performance Year 2016, $3,912,029
    • Performance Year 2015, $1,827,858
    • Performance Year 2014, $0

Shared Savings Distribution

  • 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
  • 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

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 84.89 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 95.64 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 94.15 92.31
ACO-4 CAHPS: Access to Specialists 84.03 83.32
ACO-5 CAHPS: Health Promotion and Education 65.36 62.30
ACO-6 CAHPS: Shared Decision Making 79.78 75.85
ACO-7 CAHPS: Health Status/Functional Status 72.09 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 23.26 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.04 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.52 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 57.37 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 73.09 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 59.32 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.86 1.93
ACO-11 Use of Certified EHR Technology 100.00 91.17
ACO-12 Medication Reconciliation 89.14 75.32
ACO-13 Falls: Screening for Future Fall Risk 75.91 74.38
ACO-44 Imaging Studies for Low Back Pain 70.00 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 74.92 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 80.00 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 85.31 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99.30 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 74.82 61.98
ACO-19 Colorectal Cancer Screening 71.76 64.58
ACO-20 Breast Cancer Screening 75.29 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.90 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 15.61 16.74
ACO-41 Diabetes: Eye Exam 64.29 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 69.16 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 92.72 86.86

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” or “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.