Meridian Accountable Care Organization

ACO Name and Location

Meridian Accountable Care Organization, LLC
1350 Campus Parkway
Neptune, New Jersey 07753

ACO Primary Contact

Primary Contact Name

Navneet Kathuria, M.D., MPH, MBA

Primary Contact Phone Number

848-888-4400

Primary Contact Email Address

MeridianACO@hackensackmeridian.org


Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Achilles Foot And Ankle Associates, PA

Y

Adult And Geriatric Medicine

Y

Adult Medical Oncology Hematology Group

Y

Advanced Digestive Center, Inc

Y

Advanced Radiology Solutions

Y

Alfred Wolkomir MD

Y

Allaire Foot & Ankle, LLC

Y

Allergy & Asthma Associates, Inc

Y

American Heart Center, PC

Y

Andrew L. Simon M.D., F.A.C.S, P.A.

Y

Angelo Chinnici

Y

Ani Orthopaedics, P.C.

Y

Antonios Tsompanidis DO

Y

Associates In Foot And Ankle Surgery

Y

Atlantic Cardiology, LLC

Y

Atlantic Hematology Oncology Associates, LLC

Y

Atlantic Medical

Y

Atlantic Shore Medical, PA

Y

Atlantic Surgical Group

Y

Atlas Medical Care, LLC

Y

Babu V. Surya MD

Y

Barron Emergency Physicians

Y

Bayshore Emergency Medical Associates LLC

Y

Brick Rheumatology, LLC

Y

Bruce A DeCotiis MD PA

Y

Cardiology Associates Of Ocean County

Y

Central Jersey Pulmonary & Medical Associates, LLC

Y

Charles P Fernicola MD PC

Y

Charles R. Spatz MD

Y

Chi I. Lee MD

Y

Christopher Brown

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

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 A. Grosso DO

Y

Don W Choi

Y

Douglas W. Chudzik MD

Y

Dr. Evan Kelner, DPM, PA

Y

Ear Nose Throat And Facial Plastic Surgery Associates PC

Y

East Coast Radiation Oncology Associates PA

Y

Eatontown Medical Associates, PA

Y

Evan Adler DPM

Y

Evan Adler DPM

Y

Farmingdale Medical Associates, LLC

Y

Franklin P Hernando, MD, PA

Y

Garden State Foot & Ankle Center, LLC

Y

Gary P. Lengel MD

Y

Gerald E. Pflum MD, PA

Y

Golding Granado Medical Associates, LLC

Y

Greater Monmouth Neurology PC

Y

Gregory Cunningham

Y

Gregory J. Cunningham, MD

Y

Health Village Imaging

Y

Heather Crawford DPM

Y

HolMDel Cardiology Associates

Y

HolMDel Physician Associates

Y

HolMDel Pulmonary Medicine, LLC

Y

Indira Bollampally MD

Y

Indu Sharma MD PA

Y

Internal Medicine Institute Of New Jersey, LLC

Y

Iwamaye & Farber MD PA

Y

Janlinn Healthcare, LLC

Y

Jarahian Medical LLC

Y

Jersey Medical Associates Inc

Y

Jersey Shore Geriatrics Inc

Y

Jersey Shore Medical And Pediatrics Associates,LLC

Y

Jersey Shore Neurology Associates, PA

Y

Jersey Shore Podiatric Associates

Y

John A. Schmidt Jr MD, LLC

Y

Joseph Mannion MD

Y

Karl E. Kado, DPM

Y

Kashmira Patel MD, LLC

Y

Kivarkis Y. Younan MD, PA

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

Marlboro Podiatry Center

Y

Maruti Family & Sleep Medicine LLC

Y

Mayur V. Patel MD, PA

Y

Medical Associates Of Ocean County PA

Y

Meridian Laboratory Physicians, PA

Y

Meridian Obstetrics And Gynecology Associates P C

Y

Meridian Pediatric Associates PC

Y

Meridian Surgical Associates, PC

Y

Meridian Trauma Associates, PC

Y

Michael A. Weinblatt D.P.M.

Y

Michael L. Sher MD, LLC

Y

Monmouth Cardiology Associates, LLC

Y

Monmouth Sleep & Pulmonary Associates, LLC

Y

Monmouth-Ocean Neurology

Y

Navesink Medical Associates LLC

Y

Navesink Surgical Associates

Y

Neptune Internal Medicine, LLC

Y

Neurology Associates Of Central Jersey

Y

Neuropsychology & Counseling Associates, LLC

Y

New Jersey Urologic Institue P.A.

Y

Nirmala D. Sanakkayala MD

Y

NJ Acute Care Specialists Professional Corporation

Y

Northern Monmouth County Medical Associates, PC

Y

Northern Ocean County Medical Associates, PC

Y

Oakhurst Medical Group

Y

Ocean County Retina PC

Y

Ocean Foot And Ankle, PC

Y

Ocean Medical MD, PA

Y

Ocean Pulmonary Associates, PA

Y

Orthopaedic And Spine Institute Of NJ PC

Y

Owen Carolan MD, LLC

Y

Pacita C. Sy, MD, LLC

Y

Paul J Silbert

Y

Physicians Home & Health Services

Y

Pineland Associates In Obstetrics-Gynecology, PA

Y

Plover Inpatient Services LLC

Y

Premier Healthcare Associates, PC

Y

Primary Care And Preventive Medicine PA

Y

Ramtown Medical Center, LLC

Y

Rao Gourkanti, MD

Y

Raymond Masterson MD

Y

Red Bank Radiologists

Y

Richard Eichel, MD LLC

Y

Robert E Sussman DPM PC

Y

Robinson-Gallaro Gastroenterology Associates LLC

Y

Sagar Y. Patel MD, LLC

Y

Saint Barbara Medical LLC

Y

Samra Plastic And Reconstructive Surgery, LLC

Y

Sandip Parikh, MD

Y

Shivendra Pandey MD PC

Y

Shore Cardiac Anesthesiology Associates, Inc.

Y

Shore Endocrinology Associates LLC

Y

Shore Eye Associates

Y

Shore Heart Group, PA

Y

Shore Nephrology PA

Y

Shore Radiation Oncology, LLC

Y

Somc Medical Group, P.C.

Y

Southern Ocean County Surgical Association, LLC

Y

Southern Ocean Oral Surgery & Implant Center, Inc.

Y

Southern Ocean Otolaryngology, PA

Y

Srinivas Pavuluri MD

Y

Stafford Medical, PA

Y

Stafford Surgical Specialists, LLC

Y

Sukhwinder K. Hundle MD

Y

Susan E Dick MD

Y

Sushil K Mehandru MD PA

Y

Tarun Shah

Y

The Institute Of Orthopaedic Surgery And Sports Medicine, P.A.

Y

The Youth Fountain

Y

Total Patient Care LLC

Y

Tristate Spine And Pain, LLC

Y

Two River Physician Associates

Y

University Radiology Group PC

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

Yong Shi MD, LLC

Y


ACO governing body:

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Aaron

Michael

D.O.

1

ACO Participant Representative

Shore Heart Group, PA

Clarke

James

M.D.

1

Other (ACO Representative)

N/A

DeDona

Anna

D.O.

1

ACO Participant Representative

SOMC Medical Group, PC

DeTulio

Anthony

M.D.

1

ACO Participant Representative

Northern Ocean County Medical Associates, PC

DiGuglielmo

Nicola

M.D.

1

ACO Participant Representative

Northern Ocean County Medical Associates, PC

Eng

Janet

1

Medicare Beneficiary Representative

N/A

Grosso

Dominick

D.O.

1

ACO Participant Representative

Dominick Grosso, D.O., LLC

Kathuria

Navneet

M.D.

0

Other (ACO Representative)

N/A

Masterson

Raymond

M.D.

1

ACO Participant Representative

Northern Ocean County Medical Associates, PC

Mazzocchi

Dominic

M.D.

1

ACO Participant Representative

Northern Ocean County Medical Associates, PC

Pass

Mark

M.D.

1

ACO Participant Representative

Jersey Shore Geriatrics, Inc.

Power

William

M.D.

1

ACO Participant Representative

Northern Ocean County Medical Associates, PC

Vasen

Arthur

M.D.

1

Community Stakeholder Representative

N/A

Veldanda

Ashokvardhan

M.D.

1

ACO Participant Representative

Stafford Medical, PA

Winzelberg

Neal

M.D.

1

ACO Participant Representative

Coastal Gastroenterology Associates, PA


Key ACO clinical and administrative leadership:

Dr. Navneet Kathuria

ACO Executive

Dr. James Clarke

Medical Director

Mr. Peter Hughes

Compliance Officer

Dr. Raymond Masterson

Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Meridian ACO Board

Dr. James Clarke

Meridian ACO Membership Committee

Mr. Patrick Young

Meridian ACO Quality Committee

Dr. Navneet Kathuria

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 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 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

2016 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

79.84

79.9

ACO-2

CAHPS: How Well Your Providers Communicate

93.98

92.63

ACO-3

CAHPS: Patients' Rating of Provider

92.68

91.93

ACO-4

CAHPS: Access to Specialists

82.57

83.52

ACO-5

CAHPS: Health Promotion and Education

60.08

60

ACO-6

CAHPS: Shared Decision Making

75.78

75.28

ACO-7

CAHPS: Health Status/Functional Status

71.79

71.82

ACO-34

CAHPS: Stewardship of Patient Resources

22.86

27.52

ACO-8

Risk-Standardized, All Condition Readmission

15.42

14.7

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

17.59

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

57.25

53.2

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

77.18

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

60.21

59.81

ACO-9

Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

8.32

9.27

ACO-10

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 )

13.12

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

83.48

82.72

ACO-39

Documentation of Current Medications in the Medical Record

33.53

87.54

ACO-13

Falls: Screening for Future Fall Risk

63.14

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

59.45

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

54.58

69.21

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

70.12

74.45

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

91.85

90.98

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

50.99

53.63

ACO-19

Colorectal Cancer Screening

58.63

61.52

ACO-20

Breast Cancer Screening

57.36

67.61

ACO-21

Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented

82.93

76.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

72.99

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

12.21

18.24

ACO-41

Diabetes: Eye Exam

36.27

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

74.87

70.52

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

82.83

85.05

ACO-31

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

77.78

88.67

ACO-33

Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)

64.22

79.67

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 "Meridian Accountable Care Organization, LLC" to view the quality performance results. This ACO can also be found by using the ACO ID A69939 in the public use files on data.cms.gov.


Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.