AtlantiCare's Accountable Care Organization

ACO Name and Location

AtlantiCare Health Solutions
2500 English Creek Ave
Building 500
Egg Harbor Township, NJ 08234

ACO Primary Contact

Steven Blumberg,
Senior Vice President, Executive Director AtlantiCare Health Solutions
2500 English Creek Ave
Building 500
Egg Harbor Township, NJ 08234
Phone (609) 407-2396
Steven.blumberg@atlanticare.org

ACO Participants

  • AtlantiCare Physician Group PA
  • AtlantiCare Regional Medical Center
  • Charles M Richwine IV/Lori T. Richwine, DO PC
  • Atlantic OffShore Medical Associates, P.A.
  • Mark Pernice, DO
  • Paul Hierholzer, DO PC
  • John F. Kasper, DO PC
  • LC Janes, DO, PC
  • Richard G. Olarsh, D.O.
  • Cape Atlantic Internal Medicine, PC
  • Chona Santos-Miranda, MD
  • Buena Family Practice Center, LLC
  • NJ South Coast Medical Center Corp.

ACO Governing Body

 

Harry Chaiken, MD, Chairman

AtlantiCare Physician Group

ACO participant Representative

Voting Member


Brian Kirchner, MD, Vice Chairman

AtlantiCare Physician Group

ACO participant Representative

Voting Member


Margaret Sykes

AtlantiCare Health Systems

Board Rep

 

Voting Member


Steven Blumberg

Senior Vice President
Executive Director
AtlantiCare Health Solutions

ACO participant Representative

Voting Member


Ines Digenio, MD

AtlantiCare Regional Medical Center

ACO Participant Representative

Voting Member


Ronald Soucier, DO

AtlantiCare Physician Group

ACO Participant Representative

Voting Member


David Leavy

 

Medicare Beneficiary

Voting Member


Walter Greiner

AtlantiCare
Senior VP, Finance
Secretary/Treasurer

ACO Participant Representative

Voting Member


Lori Richwine, DO

Harbor Family Medicine

ACO Participant Representative

Voting Member


David Tilton

AtlantiCare Health System
CEO and President

ACO Participant Representative

Voting Member


John F. Kasper, MD

John F. Kasper, DO PC

ACO Participant Representative

Voting Member


Lynn Miller Executive VP Clinical Operations Geisinger Health System    Voting Member

John Bulgur, DO Geisinger Health System    Voting Member


Committees and Key Leadership Personnel

Clinical Integration Committee of the Board

Finance/Credentials Committee of the Board


Voting members:
Ines Digenio, MD  (Chairman)
Ronald Soucier, DO
Lori Richwine, DO
Deborah Bayer, DO
Steven Blumberg  
Harry Chaiken, MD
Paul Hierholzer, DO
John Bulgar, DO

Staff:
Terri Schieder
Joan Brennan, DNP, CPPS  
Christeen Cornell
Donna Michael-Ziereis
Kimberley Krause
Patricia Haines
Ellen Wolownik
Lauren Cooke
Laura Campbell
Daniel Lyons, MD
Marilouise Venditti, MD
Richard Stefanacci, DO
Bhargavi Degapudi, MD

 

Voting members:
Brian Kirchner, MD (Chairman)
Charles Richwine, DO
Richard Renza, DO
Harry Chaikin, MD
Walter Greiner
Steven Blumberg

Staff:
Joseph McCarthy
Terri Schieder
Laura Campbell
Kimberley Krause
Alex Sharnoff
Cynthia Meli
Marilouise Venditti, MD
Daniel Lyons, MD

Compliance

Robert Weaverling

ACO Composition:

A network of individual practices of ACO professionals, partnership or joint venture arrangement between hospital and ACO professionals.

Aggregate Amount of Shared Savings/Losses

2013- Performance Year  1 : No shared savings/losses
2014- Performance Year  2 : No shared savings/losses
2015- Performance Year 3    TBD

 

How Shared Savings are Distributed

TBD

Quality Performance Results:

    2013 Reporting Period 2014 Reporting Period

Measure number

Performance Measure

ACO Performance Rate (%)

Mean Performance Rate for all ACOS (%)

ACO Performance Rate (%)

Mean Performance Rate for all ACOS (%)

ACO #1

Getting Timely Care, Appointments, and Information

79.53

81.48

81.63

80.13

ACO #2

How Well Your Doctors Communicate

94.33

92.96

94.99

92.39

ACO #3

Patients’ Rating of Doctor

92.69

92.06

93.78

91.58

ACO #4

Access to Specialists

84.02

85.12

87.20

83.97

ACO #5

Health Promotion and Education

56.97

58.38

59.41

58.29

ACO #6

Shared Decision Making

73.33

74.53

73.78

74.60

ACO #7

Health Status/Functional Status

72.5

71.12

73.49

71.10

ACO #8

Risk Standardized, All Condition Readmissions

14.83

14.90

15.37

15.15

ACO #9

ASC Admissions: COPD or Asthma in Older Adults

0.85

1.17

0.81

1.08

ACO #10

ASC Admissions: Heart Failure

1.51

1.20

1.41

1.19

ACO #11

Percent of PCPs who Qualify for EHR Incentive Payment

76.92

66.21

77.50

76.71

ACO #12

Medication Reconciliation

81.15

73.56

68.14

82.61

ACO #13

Falls: Screening for Fall Risk

19.90

39.57

25.53

45.60

ACO #14

Influenza Immunization

67.31

56.93

63.59

57.51

ACO #15

Pneumococcal Vaccination

42.55

54.76

48.36

55.03

ACO #16

Adult Weight Screening and Follow-up

72.61

61.61

70.63

66.75

ACO #17

Tobacco Use Assessment and Cessation Intervention

94.56

84.01

92.64

86.79

ACO #18

Depression Screening

26.12

31.19

30.42

39.27

ACO #19

Colorectal Screening

55.98

59.30

54.84

56.14

ACO #20

Mammography Screening

44.32

62.05

54.96

61.41

ACO #21

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

70.29

74.25

63.10

60.24

Diabetes Composite ACO 22 through ACO 26

Beneficiaries with Diabetes who met all of the following criteria:
#22-Hemoglobin A1C Control (Hba1C) (<8 percent)
#23- Low Density Lipoprotein (LDL) (<100 mg/dL)

#24- Blood Pressure <140/90

#25- Tobacco non-use

#25: Aspirin use

30.10

22.21

30.51

25.41

ACO #27

Diabetes: Percent of beneficiaries with diabetes with whose Hemoglobin A1c in poor control (>9 percent)

16.75

22.11

12.08

20.35

ACO #28

Percent of beneficiaries with hypertension whose BP is <140/90

68.55

67.79

74.82

68.02

ACO #29

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

61.07

55.44

57.59

57.29

ACO #30

Percent of beneficiaries with IVD who use Aspirin or other antithrombotic

80.05

76.35

83.13

80.79

ACO #31

Beta-Blocker therapy for LVSD

60.23

79.82

74.05

82.71

CAD Composite: ACO# 32-ACO #33

Beneficiaries with Coronary Artery Disease (CAD) who met all of the following criteria:

ACO #32-Drug Therapy for Lowering LDL Cholesterol

ACO #33- Ace Inhibitor or ARB Therapy for patients with CAD and Diabetes and/or LVSD

62.80

62.78

83.98

66.90


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