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 N
Barnabas Health Medical Group, PC N
Barnabas Health Multispecialty N
Marjorie Gonzales, PA N
Hillsborough Medical Associates, PA N
Hudson MD Group, LLC Y
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
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 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 N
Rutgers Health – PCC Monument Square N
Rutgers Health RWJ Primary Medicine Group N
RWJBH Associates 2, LLC N
RWJBH Primary Care Services N
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
Andy Anderson MD 16.7% ACO Participant Representative Barnabas Health Medical Group PC
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

Key ACO clinical and administrative leadership:

Maruf Rahman, MBA ACO Executive
Andy Anderson, MD Medical Director
Alisa Wasserman, BS, MPH Compliance Officer
Lorena Cunningham Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Clinical Practice Committee Andy Anderson, MD
Finance Committee John Pilla, 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
    • Performance Year 2020, $6,274,717 / $0
    • Performance Year 2021, $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
    • 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
  • 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 Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

ACO# Measure Name Rate ACO Mean
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 38.45 33.99
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 0.17 0.15
ACO-13 Falls: Screening for Future Fall Risk 85.10 87.03
ACO-14 Preventive Care and Screening: Influenza Immunization 85.28 80.52
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92.31 80.97
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 73.39 74.38
ACO-19 Colorectal Cancer Screening 64.56 73.63
ACO-20 Breast Cancer Screening 67.58 75.11
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.95 84.24
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 13.29 12.36
ACO-28 Controlling High Blood Pressure 74.61 74.87

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

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