Meridian Accountable Care Organization
Public Reporting Information
ACO Name and Location
Meridian Accountable Care Organization, LLC
Previous Names: N/A
343 Thornall Street
8th Floor, Physician Services
Edison, NJ 0883
ACO Primary Contact
| Primary Contact Name | James Clarke, MD |
| Primary Contact Phone Number | 732-481-8530 |
| Primary Contact Email Address | MeridianACO@hackensackmeridian.org |
Organizational Information
ACO participants:
| ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
| ADULT AND GERIATRIC MEDICINE PC | Y |
| ADVANCED DIGESTIVE CENTER, INC | Y |
| ALFRED WOLKOMIR | Y |
| ALLERGY & ASTHMA ASSOCIATES, INC. | Y |
| AMERICAN HEART CENTER PC | Y |
| ANDREW L. SIMON M.D., F.A.C.S, P.A. | Y |
| ANTONIOS TSOMPANIDIS DO PC | Y |
| ASSOCIATES IN FOOT AND ANKLE | Y |
| ATLANTIC CARDIOLOGY LLC | Y |
| ATLANTIC MEDICAL, LLC | Y |
| ATLANTIC SURGICAL GROUP PA | Y |
| ATLAS MEDICAL CARE,LLC | Y |
| BRUCE A. DECOTIIS MD PA | Y |
| CENTRAL JERSEY PULMONARY & MEDICAL ASSOCIATES, LLC | Y |
| CHARLES SPATZ | Y |
| COASTAL CARDIOVASCULAR CONSULTANTS, PA | Y |
| COASTAL COMPREHENSIVE HEALTHCARE, LLC | Y |
| COASTAL EAR NOSE AND THROAT LLC | Y |
| COASTAL FOOT & ANKLE, LLC | Y |
| COASTAL GASTROENTEROLOGY ASSOCIATES, P.A. | Y |
| COASTAL IMAGING LLC | Y |
| COMSTI MEDICAL LLC | Y |
| CRESCENT MULISPECIALITY GROUP LLC | Y |
| DAVID CHELI MD PA | Y |
| DAVID I KLEINFELD, MD, PA | Y |
| DIGESTIVE DISEASE SPECIALISTS OF CENTRAL JERSEY P.C. | Y |
| DOMINICK GROSSO | Y |
| DON CHOI | Y |
| DOUGLAS CHUDZIK | Y |
| DR. EVAN KELNER, DPM, PA | Y |
| EAR NOSE THROAT AND FACIAL PLASTIC SURGERY ASSOCIATES PC | Y |
| EATONTOWN MEDICAL ASSOCIATES PA | Y |
| EVAN ADLER DPM | Y |
| GARDEN STATE FOOT & ANKLE CENTER LLC | Y |
| GARY LENGEL | Y |
| GREGORY CUNNINGHAM | Y |
| HEALTH VILLAGE IMAGING LLC | Y |
| HEATHER CRAWFORD, D.P.M., L.L.C. | Y |
| INDIRA BOLLAMPALLY | Y |
| INTERNAL MEDICINE INSTITUTE OF NEW JERSEY LLC | Y |
| JANLINN HEALTHCARE LLC | Y |
| JERSEY MEDICAL ASSOCIATES INC | Y |
| JERSEY SHORE GERIATRICS INC | Y |
| JERSEY SHORE OPHTHALMOLOGY RETINA CONSULTANTS LLC | Y |
| JERSEY SHORE PODIATRIC ASSOCIATES | Y |
| JOHN SCHMIDT | Y |
| KASHMIRA PATEL MD LLC | Y |
| KRETOV MEDICAL ARTS LLC | Y |
| L. GUALBERTI GIRGIS MD AND J. GUALBERTI MD | Y |
| LAWRENCE FRIEMAN MD PA | Y |
| LAWRENCE J MENDITTO DPM PC | Y |
| MARUTI FAMILY & SLEEP MEDICINE LLC | Y |
| MERIDIAN LABORATORY PHYSICIANS, PA | Y |
| MERIDIAN MEDICAL GROUP FACULTY PRACTICE PC | Y |
| MERIDIAN MEDICAL GROUP PRIMARY CARE PC | Y |
| MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC | Y |
| MERIDIAN MEDICAL GROUP-SPECIALTY CARE PC | Y |
| MERIDIAN TRAUMA ASSOCIATES, P.C. | Y |
| MICHAEL L SHER MD LLC | Y |
| MONMOUTH CARDIOLOGY ASSOCIATES, LLC | Y |
| MONMOUTH SLEEP & PULMONARY ASSOCIATES, LLC | Y |
| MONMOUTH-OCEAN NEUROLOGY PC | Y |
| NAVESINK MEDICAL ASSOCIATES LLC | Y |
| NEPTUNE INTERNAL MEDICINE, LLC | Y |
| NEW JERSEY UROLOGIC INSTITUE PA | Y |
| OCEAN COUNTY RETINA PC | Y |
| OCEAN FOOT AND ANKLE, PC | Y |
| OCEAN MEDICAL MD, P.A. | Y |
| OCEAN PULMONARY ASSOCIATES, P.A. | Y |
| PACITA C. SY, M.D., LLC | Y |
| PAPPAS FAMILY MEDICAL CENTER, LLC | Y |
| PATHWAYS NEUROPSYCHOLOGY ASSOCIATES | Y |
| PAUL SILBERT | Y |
| PENESETTI PRASAD MD ET AL | Y |
| PG MEDICAL ASSOCIATES PA | Y |
| PINELAND ASSOCIATES IN OBSTETRICS-GYNECOLOGY,PA | Y |
| PREMIER HEALTHCARE ASSOCIATES, PC | Y |
| PRIMARY CARE AND PREVENTIVE MEDICINE | Y |
| RAMTOWN MEDICAL CENTER, LLC | Y |
| RED BANK RADIOLOGISTS,PA | Y |
| RICHARD EICHEL, MD LLC | Y |
| ROBERT DEMARTIN | Y |
| ROBERT E SUSSMAN DPM PC | Y |
| ROBERT P RABINOWITZ DO PA | Y |
| SAGAR Y. PATEL M.D. LLC | Y |
| SAINT BARBARA MEDICAL LLC | Y |
| SAMRA PLASTIC AND RECONSTRUCTIVE SURGERY LLC | Y |
| SANDIP PARIKH MD LLC | Y |
| SCHUBER C S FAN MD PA | Y |
| SHIVENDRA PANDEY MD PC | Y |
| SHORE ENDOCRINOLOGY ASSOCIATES LLC | Y |
| SHORE HEART GROUP, PA | Y |
| SHORE RADIATION ONCOLOGY LLC | Y |
| SOCH MEDICAL GROUP PC | Y |
| SOUTHERN OCEAN OTOLARYNGOLOGY,PA | Y |
| SRINIVAS PAVULURI MD PA | Y |
| SUSAN DICK | Y |
| TARUN SHAH | Y |
| UROLOGY ASSOCIATES, PA | Y |
| V.K. PERKARI M.D. LLC | Y |
| VEIN CENTER FOR WOMEN PC | Y |
| WILLIAM ADAMS | Y |
| WILLIAM C. ANANIA, DPM, PC | Y |
ACO governing body:
| Member | Member’s Voting Power –Expressed as a percentage or number | Membership Type – | ACO Participant Legal Business Name/DBA, if Applicable | ||
| Last Name | First Name | Title/ Position | |||
| Aaron | Michael | D.O. | 1 | ACO Participant Representative | Shore Heart Group, PA |
| DeDona | Anna | D.O. | 1 | ACO Participant Representative | SOCH Medical Group, PC |
| DeTulio | Anthony | M.D. | 1 | ACO Participant Representative | Meridian Medical Group Primary Care, PC |
| Druckman | Scott | D.O. | 1 | ACO Participant Representative | Meridian Medical Group Primary Care, PC |
| Grosso | Dominick | D.O. | 1 | ACO Participant Representative | Dominick Grosso, D.O., LLC |
| Gumina | John | M.D. | 1 | ACO Participant Representative | Meridian Medical Group Primary Care, PC |
| Mazzocchi | Dominic | M.D. | 1 | ACO Participant Representative | Meridian Medical Group Primary Care, PC |
| Pass | Mark | M.D. | 1 | ACO Participant Representative | Jersey Shore Geriatrics, Inc. |
| Power | William | M.D. | 1 | ACO Participant Representative | Meridian Medical Group Primary Care, PC |
| Rothberg | Michael | M.D. | 1 | ACO Participant Representative | SOCH Medical Group, PC |
| Vida | Jay | D.O. | 1 | ACO Participant Representative | SOCH Medical Group, PC |
| Winzelberg | Neal | M.D. | 1 | ACO Participant Representative | Coastal Gastroenterology Associates, PA |
| Vasen | Arthur | M.D. | 1 | Community Stakeholder Representative | N/A |
| Veldanda | Ashokvardhan | M.D. | 1 | Community Stakeholder Representative | N/A |
| Eng | Janet | 1 | Medicare Beneficiary Representative | N/A | |
| Clarke | James | M.D. | 1 | Other (ACO Representative) | N/A |
Key ACO clinical and administrative leadership:
| Michael Lospinuso, MD | ACO Executive |
| William Oser, MD | Medical Director |
| Thomas Flynn | Compliance Officer |
| John Gumina, MD | Quality Assurance/Improvement Officer |
Associated committees and committee leadership:
| Committee Name | Committee Leader Name and Position |
| Meridian ACO Board | James Clarke, MD |
| Meridian ACO Membership Committee | Patrick Young |
| Meridian ACO Quality Committee | John Gumina, MD |
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
- Performance Year 2016, $0
- First Agreement Period
- Performance Year 2015, $0
- Performance Year 2014, $0
- Performance Year 2013, $7,296,256
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: 12%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 88%
Quality Performance Results
2017 Quality Performance Results:
| ACO# | Measure Name | Rate | ACO Mean |
| ACO-1 | CAHPS: Getting Timely Care, Appointments, and Information | 80.84 | 80.60 |
| ACO-2 | CAHPS: How Well Your Providers Communicate | 94.40 | 93.13 |
| ACO-3 | CAHPS: Patients’ Rating of Provider | 93.29 | 92.31 |
| ACO-4 | CAHPS: Access to Specialists | 82.05 | 83.32 |
| ACO-5 | CAHPS: Health Promotion and Education | 64.50 | 62.30 |
| ACO-6 | CAHPS: Shared Decision Making | 71.66 | 75.85 |
| ACO-7 | CAHPS: Health Status/Functional Status | 72.56 | 73.05 |
| ACO-34 | CAHPS: Stewardship of Patient Resources | 23.97 | 25.68 |
| ACO-8 | Risk Standardized, All Condition Readmission | 14.79 | 15.01 |
| ACO-35 | Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) | 18.20 | 18.46 |
| ACO-37 | All-Cause Unplanned Admissions for Patients with Heart Failure | 74.85 | 79.16 |
| ACO-38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 58.92 | 61.74 |
| ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) | 1.33 | 1.93 |
| ACO-11 | Use of Certified EHR Technology | 91.83 | 98.48 |
| ACO-12 | Medication Reconciliation | 20.45 | 75.32 |
| ACO-13 | Falls: Screening for Future Fall Risk | 68.15 | 74.38 |
| ACO-44 | Imaging Studies for Low Back Pain | 65.12 | 67.32 |
| ACO-14 | Preventive Care and Screening: Influenza Immunization | 67.09 | 72.52 |
| ACO-15 | Pneumonia Vaccination Status for Older Adults | 48.79 | 72.92 |
| ACO-16 | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up | 76.92 | 70.69 |
| ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 93.15 | 90.48 |
| ACO-18 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | 63.97 | 61.98 |
| ACO-19 | Colorectal Cancer Screening | 63.71 | 64.58 |
| ACO-20 | Breast Cancer Screening | 68.55 | 70.05 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 84.39 | 79.89 |
| ACO-27 | Diabetes Mellitus: Hemoglobin A1c Poor Control | 15.32 | 16.74 |
| ACO-41 | Diabetes: Eye Exam | 47.98 | 50.37 |
| ACO-28 | Hypertension (HTN): Controlling High Blood Pressure | 79.44 | 71.47 |
| ACO-30 | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic | 92.74 | 86.86 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.
- For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
- For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data
- For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu/data
- For 2014 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu/data
- For 2013 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/yuq5-65xt/data
Note: In the Quality Performance Results file(s) above, search for “Meridian Accountable Care Organization, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A1484 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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