NEQCA Accountable Care, Inc is NEQCA’s network-wide Medicare Accountable Care Organization (ACO).  An ACO is a group of providers who voluntarily agree to be accountable for the quality and cost of care of a defined group of Medicare fee-for-service beneficiaries. NEQCA’s Medicare ACO is one of 89 new ACOs selected to participate in the Medicare Shared Savings Program, starting January 1, 2015. The Medicare Shared Savings Program is a value-based payment program whose aim is to support better coordination of care for individuals, better health for populations and lower health care costs through continuous quality improvement.

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. 

If you are a NEQCA provider, and your practice is interested in participating in the ACO, please contact Chantal Buchanan, ACO Director of Operations.

ACO Name and Location

NEQCA Accountable Care, Inc. 

325 Wood Road, Suite 210

Braintree, Massachusetts 02184

ACO Primary Contact 

Primary Contact Name

Chantal Buchanan

Primary Contact Phone Number

781-356-3336

Primary Contact Email Address

cbuchanan@neqca.org

Organizational Information

ACO Participants 

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Global Care Medical Group PC

N

Philip Kotsios

N

John J Adams MD

N

Katherine Murray Leisure

N

Stephen Louie

N

David Schroeder

N

Stephen Murphy

N

Abdulfatah Elshaar

N

Robert Moore

N

Gloria Moussa-Gabour, MD

N

Abraham Dietz

N

Austin O'Brien

N

Ronald Sen

N

Clara Lennox

N

William Cobb

N

George Meltsakos

N

Zouhdi Hajjaj

N

Savitha Gowda

N

Rebecca Spoerri-Bowman, DO

N

Hua Zhang

N

Sharon Stotsky

N

Mark Romanowsky

N

John Yee

N

Sivaram Yamajala, MD

N

Riad Mortada

N

Timothy Biliouris

N

Maria Gorbovitsky, MD

N

Robert Commito

N

Christopher Coakley, MD

N

Eric Johnson

N

Eugene Valsky

N

Plymouth Carver Primary Care, PC

N

Dutton Family Care Associates Llp

N

P.C.Shah, MD, Inc

N

Philip J. Tavano, MD, PC

N

John F Yee, MD, PC

N

Christopher Coakley, MD

N

Abraham Dietz

N

Dhirendra Bana

N

Pratt Medical Group, Inc

N

David Schroeder, MD, PC

N

Mark Romanowsky Md Pc

N

John J Adams MD

N

Pauline Chao

N

Eric E. Johnson, MD, PC

N

Michael J Higgins MD

N

Robert F. Commito, MD, PC

N

Cardiology Associates of Greater Lowell Inc

N

Hallmark Health Medical Associates Inc

N

Reading Family Medicine, PC

N

Austin J O'Brien MD PC

N

North Suburban Internal Medicine & Gastroenterological Associates

N

Bickford Health Associates, PC

N

Tharwat A Hanna Md Pc

N

Raafat I Attia Hanna Md Pc

N

David Siegenberg, MD, PC

N

Riad K. Mortada, MD PC

N

Pulmonary & Primary Care Associates Of Plymouth, Pc

N

Mayflower Medical Associates Pc

N

George P Meltsakos MD PC

N

Zaheer Ahmed, MD

N

Greater Lowell Family Practice PC

N

Rheumatology and Internal Medicine Associates, PC

N

Fathyeh Marvasti

N

Robert R. Moore, MD, PHD, PC

N

TLB II, PC

N

Pleasant Lake Management Company, PC

N

Ahmed Basheer, MD PC

N

Blue Hills Medical Associates

N

Nicole Bloor, MD, PC

N

William E. Cobb, M.D ., P.C.

N

Main Street Family Practice, PC

N

Nephrology Asssociates Of The Merrimack Valley Pc

N

Sergio Camargo

N

Yun Lam

N

Maria L Gorbovitsky Md Pc

N

Michael J Higgins MD

N

Pramodchandra Shah

N

Nicole Bloor

N

Wayne Weinreb

N

Pauline Chao

N

William Wittman

N

Dhirendra Bana

N

Carolyn Haskell

N

Ahmed Basheer

N

Fathyeh Marvasti

N

David Siegenberg

N

Alla Feygina

N

Raafat Attia Hanna

N

John Mudrock

N

Medical Associates of New England

N

Daf Medical Associates Inc

N

Zouhdi Hajjaj, PC

N

Osterville Health Care Pc

N

Hua Zhang, MD LLC

N

Chintamani Gokhale

N

Katherine Murray Leisure

N

Zaheer Ahmed, MD

N

Theodore Herwig

N

Stephen Murphy

N

Theodore Herwig

N

Lowell Family Medical Care, PC

N

North Reading Internal Medicine, Pc

N

Rebecca Spoerri-Bowman, DO

N

Zanjabee Integrative Medicine And Primary Care Llc

N

Woodland Internists, PC

N

Caring For All, PC

N

Shaheen Mian, M.D., P.C.

N

James Todd

N

Ottavio Nardone, MD

N

Savitha Gowda, M.D., P.C.

N

Esmail Fallah Sohy

N

South Shore Nephrology, PC

N

Eng Hwi Kwa

N

Basmaa Ali

N

Wynne Huang

N

Resnik Medical Associates Pc

N

Walpole Medical Associates, PC

N

Pondville Medical Associates, LLC

N

Rezene Berhane

N

Tufts Medical Center Community Care, Inc.

N

Halward Blegen

N

Mandy Kaur

N

Ronald Sen

N

Ottavio Nardone, MD

N

Woburn Nephrology Associates, PC

N

William J Wittman, MD, PC

N

Tewksbury Medical Group, PC

N

Tharwat Hanna

N

Ali Emami

N

Sergio Camargo, MD

N

Timothy Tierney

N

John Grieveson

N

Shaheen Mian

N

Yun Lam

N

Saraswathi Devi Muppana

N

 

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

Tishler

Julie

M.D.

1/11th

Participant

Pratt Medical Group, Inc.

Larkin

Matt

 

1/11th

Participant

Pratt Medical Group, Inc.

Basheer

Ahmed

M.D.

1/11th

Participant

Pondville Medical Associates, Inc.

Keating

Ron

 

1/11th

Medicare Beneficiary

 

Collins

Mark

M.D.

1/11th

Participant

Osterville Healthcare, PC

Singh

Mark

M.D.

1/11th

Participant

Blue Hills Medical Associates

Romanowsky

Andrew

M.D.

1/11th

Participant

Mark Romanowsky, MD, PC

Sutaria

Dhiren

M.D.

1/11th

 

Participant

Woodland Internists, PC

Costello

Meg

ACO Executive Director

1/11th

Other

 

Tierney

Timothy

M.D.

1/11th

Participant

Main Street Family Practice, PC

Silverman

Eric

M.D.

1/11th

Participant

Pulmonary Associates of Metrowest

 

Key ACO Clincal and Administrative Leadership

Margaret Costello

ACO Executive

Jatin Dave

Medical Director

Cara Merski

Compliance Officer

Liz Savaria-Porter

Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

ACO Funds Flow Committee

Mark Singh, MD, Participant and ACO Trustee

ACO Finance Committee

Matt Larkin, Participant and ACO Trustee

ACO Quality Committee

Jatin Dave, MD, ACO Medical Director and Chief Medical Officer

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

  • Network of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period

  • Performance Year 2016, $6,094,390
  • Performance Year 2015, $3,756,134

Shared Savings Distribution

First Agreement Period

  • Performance Year 2016
      • Proportion invested in infrastructure: 14%
      • Proportion invested in redesigned care processes/resources: 61%
      • Proportion of distribution to ACO participants: 25%
  • Performance Year 2015
      • Proportion invested in infrastructure: 14%
      • Proportion invested in redesigned care processes/resources: 61%
      • Proportion of distribution to ACO participants: 25%

Quality Performance Results 

2016 Quality Performance Results: 

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

84.88

80.51

ACO-2

CAHPS: How Well Your Providers Communicate

93.3

93.01

ACO-3

CAHPS: Patients' Rating of Provider

93.3

92.25

ACO-4

CAHPS: Access to Specialists

83.88

83.49

ACO-5

CAHPS: Health Promotion and Education

65.82

60.32

ACO-6

CAHPS: Shared Decision Making

77.84

75.40

ACO-7

CAHPS: Health Status/Functional Status

72.47

72.30

ACO-34

CAHPS: Stewardship of Patient Resources

23.37

27.52

ACO-8

Risk-Standardized, All Condition Readmission

15.38

14.7

ACO-35

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

19.94

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

57.39

53.2

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

75.59

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

61.28

59.81

ACO-9

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

9.57

9.27

ACO-10

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

16.11

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

87.42

82.72

ACO-39

Documentation of Current Medications in the Medical Record

72.83

87.54

ACO-13

Falls: Screening for Future Fall Risk

78.5

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

69.76

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

66.78

69.21

ACO-16

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

70.75

74.45

ACO-17

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

92.91

90.98

ACO-18

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

68.52

53.63

ACO-19

Colorectal Cancer Screening

60

61.52

ACO-20

Breast Cancer Screening

71.72

67.61

ACO-21

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

84.62

76.79

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

79.85

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

17.18

18.24

ACO-41

Diabetes: Eye Exam

46.05

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

76.6

70.69

ACO-30

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

83.72

85.05

ACO-31

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

81.82

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%)

77.33

79.67

  • 2015 Performance Summary Statistics

    Performance Measure

    ACO Performance Rate

    Mean Performance Rate for All ACOs

    Risk Standardized, All Condition Readmissions (ACO-8)

    ASC Admissions: COPD or Asthma in Older Adults (ACO-9)

    ASC Admission: Heart Failure (ACO-10)

    Percent of Primary Care Providers who Qualified for EHR Incentive Payment (ACO- 11)

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 “NEQCA Accountable Care, Inc.” to view the quality performance results. This ACO can also be found by using the ACO ID A35510 in the public use files on data.cms.gov.

Payment Rule Waivers

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