Public Reporting Information

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. 

The Hackensack Alliance ACO provides the following information in accordance with Medicare Shared Savings Program (MSSP) regulations at 42 CFR §425.308.

ACO Name and Location
Name: Hackensack Physician-Hospital Alliance ACO, LLC (dba Hackensack Alliance ACO)
Location: Hackensack University Medical Center 3 St John, Room 3844
30 Prospect Avenue Hackensack, NJ 07601
Email: ACOInfo@HackensackUMC.org

ACO Primary Contact
Name: Morey Menacker, DO
Email: MMenacker@HackensackUMC.org
Telephone: 551-996-4330
Facsimile: 551-996-0801

 

ORGANIZATIONAL INFORMATION

ACO Participants
BERGEN GASTROENTEROLOGY, PC*
DR ANTHONY M PASTENA LLC*
FOREST HEALTHCARE ASSOCIATES, PC*
GARY SCHWARTZ MD*
HACKENSACK UNIVERSITY MEDICAL GROUP PC*
INTEGRATED MEDICAL ASSOCIATES LLC*
MEDICAL ASSOCIATES OF ENGLEWOOD PC*
MONTCLAIR HOSPITAL LLC*
MOUNTAINVIEW MEDICAL GROUP, PC*
OLD HOOK MEDICAL ASSOCIATES, LLC*
OM MEDICAL CENTER, LLC*
PALISADES MEDICAL BILLING dba PALISADES MEDICAL ASSOCIATES*
PREMIER MEDICAL ALLIANCE LLC*
SHARAD SAHU MD*
SHRENIK G SHAH MD PC*
SUMMIT AVENUE MEDICAL PA*

NOTE: Participants involved in a joint venture between ACO professionals and hospitals are identified by an asterisk (*) next to their names on the above ACO Participant list




 

ACO Governing Body

NAME ROLE MEMBERSHIP TYPE ACO PARTICIPANT
Dr. Peter Gross Non-Voting Other - Chair, ACO Board of Managers N/A
Mr. Robert Garrett Voting Other - Hackensack University Health Network N/A
Mr. Mark Sparta Voting Other - Hackensack University Health Network N/A
Mr. Bernard Bober Voting Other - Medicare Beneficiary Representative N/A
Dr. Morey Menacker Voting ACO Participant Representative Forest Healthcare Associates, PC
Dr. Edward Gold Voting ACO Participant Representative Old Hook Medical Associates, LLC
Dr. Azzam Baker Voting ACO Participant Representative Hackensack University Medical Group PC
Dr. Ihor Sawczuk Voting ACO Participant Representative Hackensack University Medical Group PC
Dr. Eric Avezzano Voting ACO Participant Representative Premier Medical Alliance LLC
Dr. Kenneth Faistl Voting ACO Participant Representative Montclair Hospital LLC
Dr. Michael Giuliano Voting ACO Participant Representative Old Hook Medical Associates, LLC
Dr. Sharad Sahu Voting ACO Participant Representative Shard Sahu MD
Dr. Edward Prins Voting ACO Participant Representative Summit Avenue Medical PA

 

 

 

 

 

 

 

 

 

 

 



 


 

Key ACO Clinical and Administrative Leadership

KEY ACO LEADERSHIP POSITION NAME
President & CEO, Hackensack Physician-Hospital Alliance ACO LLC Dr. Morey Menacker
VP & Medical Director, Hackensack Physician-Hospital Alliance ACO LLC Dr. Edward Gold
Chair, Board of Managers, Hackensack Physician-Hospital Alliance ACO LLC Dr. Peter Gross
Administrative Director, Hackensack Physician-Hospital Alliance ACO LLC Mr. Michael Dardia
Compliance Officer, Hackensack Physician-Hospital Alliance ACO LLC Mr. Thomas Flynn
Acting Care Coordination Manager, Hackensack Physician-Hospital Alliance ACO LLC Ms. Elizabeth Koller

 

 

 

 

 



 


 

ACO Committees and Committee Leadership

COMMITTEE NAME LEADERSHIP
Executive Committee Dr. Peter Gross, Chair
Quality and Safety Committee Dr. Morey Menacker, Chair
Compliance and Credentials Committee Dr. Sharad Sahu, Chair
Finance Committee Dr. Eric Avezzano, Chair

 

 

  •  
 




 

Identification of the Types of ACO Participants or Combinations of Participants that Formed the ACO

  • Partnership or joint venture arrangement between hospitals and ACO professionalsQuality Performance Results

 

 

 

SHARED SAVINGS and LOSSES

Amount of Shared Savings/Losses

  • Performance Year 1: $5,266,358
  • Performance Year 2014: $2,832,988
  • Performance Year 2015: TBD (estimated Summer 2016) 

How Shared Savings Are Distributed

  • Proportion invested in infrastructure: 40%
  • Proportion invested in redesigned care processes/resources: 10%
  • Proportion of distribution to ACO Participants: 50%

 

 

 

QUALITY PERFORMANCE RESULTS

Quality Measure

2012 Reporting Period

2013 Reporting Period

2014 Reporting Period

Measure

Number

Performance Measure

ACO Performance Rate

Mean Perf Rate for All ACOs

ACO Performance Rate

Mean Perf Rate for All ACOs

ACO Performance Rate

Mean Perf Rate for All ACOs

ACO #1

Getting Timely Care, Appointments, and Information

79.96

81.79

81.50

81.48

76.73

80.13

ACO #2

How Well Your Doctors Communicate

92.10

92.84

93.30

92.96

92.37

92.39

ACO #3

Patients’ Rating of Doctor

91.11

91.86

91.58

92.06

90.97

91.58

ACO #4

Access to Specialists

84.74

85.11

86.50

85.12

87.11

83.97

ACO #5

Health Promotion and Education

54.01

56.61

55.85

58.38

60.24

58.29

ACO #6

Shared Decision Making

71.13

73.99

74.14

74.53

71.28

74.60

ACO #7

Health Status/Functional Status

71.96

70.35

73.84

71.12

69.22

71.10

ACO #8

Risk Standardized, All Condition Readmissions

16.33

15.42

15.52

14.90

16.43

15.15

ACO #9

ASC Admissions: COPD or Asthma in Older Adults

1.17

1.13

1.07

1.17

1.03

1.08

ACO #10

ASC Admission: Heart Failure

0.84

1.09

1.05

1.20

1.19

1.19

ACO #11

Percent of PCPs who Qualified for EHR Incentive Payment

34.92%

25.70%

69.01%

66.21%

77.63%

76.71%

ACO #12

Medication Reconciliation

88.10%

72.37%

87.38%

73.56%

93.54%

82.61%

ACO #13

Falls: Screening for Fall Risk

5.58%

28.27%

35.95%

39.57%

70.35%

45.60%

ACO #14

Influenza Immunization

50.17%

50.58%

66.78%

56.93%

79.78%

57.51%

ACO #15

Pneumococcal Vaccination

36.36%

48.62%

62.44%

54.76%

72.95%

55.03%

ACO #16

Adult Weight Screening and Follow-up

51.36%

5.39%

73.28%

61.61%

92.05%

66.75%

ACO #17

Tobacco Use Assessment and Cessation Intervention

79.67%

80.12%

9269.00%

84.01%

97.70%

86.79%

ACO #18

Depression Screening

26.58%

22.48%

35.31%

31.19%

66.85%

39.27%

ACO #19

Colorectal Cancer Screening

57.17%

50.21%

67.38%

59.30%

73.84%

56.14%

ACO #20

Mammography Screening

50.08%

62.23%

65.22%

62.05%

76.38%

61.41%

ACO #21

Proportion of Adults who had blood pressure screened in past 2 years

60.75%

71.56%

94.73%

74.25%

94.83%

60.24%

ACO #22

Hemoglobin A1c Control (HbA1c) (<8 percent)

74.78%

64.46%

76.10%

68.58%

79.47%

25.41%

ACO #23

Low Density Lipoprotein (LDL) (<100 mg/dL)

61.20%

52.99%

62.37%

54.78%

67.55%

25.41%

ACO #24

Blood Pressure (BP) <140/90

71.43%

66.04%

77.12%

69.53%

76.32%

25.41%

ACO #25

Tobacco Non Use

88.01%

71.72%

87.29%

63.33%

91.72%

25.41%

ACO #26

Aspirin Use

68.23%

72.24%

91.75%

74.82%

97.73%

25.41%

ACO #27

Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent)

15.52%

25.94%

14.58%

22.11%

9.60%

20.35%

ACO #28

Percent of beneficiaries with hypertension whose BP <140/90

67.23%

63.22%

78.23%

67.79%

82.01%

68.02%

ACO #29

Percent of beneficiaries with IVD with complete lipid profile and LDL control <100mg/dl

35.98%

52.02%

61.10%

55.44%

66.90%

57.29%

ACO #30

Percent of beneficiaries with IVD who use Aspirin or other antithrombotic

80.30%

72.60%

83.81%

76.35%

93.49%

80.79%

ACO #31

Beta-Blocker Therapy for LVSD

83.17%

79.60%

88.27%

79.82%

96.86%

82.71%

ACO #32

Drug Therapy for Lowering LDL Cholesterol

88.25%

69.67%

79.93%

71.60%

80.32%

66.90%

ACO #33

ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD

77.66%

69.71%

82.20%

69.13%

88.59%

66.90%

Note: ASC = ambulatory sensitive conditions, COPD = chronic obstructive pulmonary disease, PCP = primary care physician, EHR = electronic health record, IVD = ischemic vascular disease, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.

 

For more information on how to interpret scores on the above quaility performance measures, see

http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/MSSP-QM-Benchmarks.pdf






 

DISCLOSURE BY

HACKENSACK PHYSICIAN-HOSPITAL ALLIANCE ACO, LLC

(FOR PURPOSES OF MEDICARE FRAUD AND ABUSE WAIVER)
 

Hackensack Physician-Hospital Alliance ACO, LLC (the "ACO") seeks waiver protection under the federal Medicare Shared Savings Program for the following arrangement:

The ACO has entered into an arrangement with Hackensack University Medical Center ("HUMC"), as of April 1, 2016, whereby HUMC and its affiliates, HUMC Cardiovascular Partners, P.C. ("HUMCCP"), and Hackensack University Medical Group, P.C. ("HUMG"), and the cardiologists employed or otherwise engaged by HUMCCP and HUMG will provide on-call coverage and professional cardiology services to the ACO patients of HUMC (both in HUMC's emergency department and elsewhere, as needed).  The purposes of this arrangement are to improve accountability for the quality of care for the ACO's patients, by means of coordinated and integrated protocols and personnel, as well as to improve the efficiency, quality, and access to cardiac care for the ACO's chest pain patients at HUMC.  In particular, the arrangement is intended to ensure accessibility to consistent and coordinated high quality cardiac evaluation and treatment of the ACO's patients at HUMC.





 

Page Last Modified:  4/29/2016  7:45AM

 

 

 

 


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