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 Accountable Care, Inc. is one of 41 Next Generation ACOs across the country participating in the Next Generation ACO Model, administered by the Centers for Medicare and Medicaid Services Innovation Center. The Innovation Center is testing various payment and service delivery Models that aim to achieve better care for patients, smarter spending and healthier communities. Click here to learn more about the Next Generation ACO model.

For general questions or additional information about Accountable Care Organizations, please click here, and view a short video about ACOs here. You may also call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. 

NOTE: The Next Generation ACO Model is ending on December 31, 2021. NEQCA’s providers and preferred providers plan to participate in the Wellforce ACO, LLC in the Medicare Shared Savings Program in 2022.

 

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

NEQCA Accountable Care, Inc. does not have any joint ventures between or among the ACO or any of its Next Generation Participants and Preferred Providers. 

ACO Participants and Preferred Providers 

Click here for a list of ACO Participants.

Click here for a list of our ACO Preferred Providers.

ACO Governing Body                   

  • Dhiren Sutaria, MD (Chair) - Woodland Internists, PC
  • Daniel P. Bird - Consumer Advocate Trustee
  • Frank Brincheiro, MD - Reading Family Medicine, PC
  • Mark Collins, MD - Osterville Healthcare, PC
  • Carolyn O'Donnell - Beneficiary Trustee
  • David Schroeder, MD - Wellesley Internal Medicine
  • Eric Silverman, MD - Pulmonary Associates of Metrowest
  • Julie Tishler, MD - Pratt Medical Group, Inc.
  • Open Seat

Key ACO Clincal and Administrative Leadership

Nate Gagne - NEQCA

ACO Executive

Pratiksha Patel, MD - NEQCA

ACO Medical Director

Nicole S. Huff – Wellforce, Inc.

Compliance Officer

Candace Perry - NEQCA

Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

ACO Funds Flow Committee

David Criss, MD

ACO Finance Committee

Dan Driscoll, MD

ACO Quality Committee

Pratiksha Patel, MD, NEQCA Senior Medical Director and ACO Medical Director

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Performance Year 2020:  $15,406,075
  • Performance Year 2019: $13,774,259
  • Performance Year 2018: $117,376

Shared Savings Distribution

Performance Year 2020

  • Proportion invested in infrastructure:  18.4%
  • Proportion invested in redesigned care processes/resources: 31.2%
  • Proportion of distribution to ACO Participants and Preferred Providers: 50.5%

Performance Year 2019

  • Proportion invested in infrastructure: 22%
  • Proportion invested in redesigned care processes/resources: 30%
  • Proportion of distribution to ACO Participants and Preferred Providers: 48%

Performance Year 2018

  • Proportion invested in infrastructure: 100%
  • Proportion invested in redesigned care processes/resources: 0
  • Proportion of distribution to ACO participants: 0

Quality Performance

2020 Quality Performance Results: 88.8%

  • Note: Next Generation ACOs were given the greater of their Performance Year 5 (2020) or Performance Year 4 (2019) Quality scores due to the impacts of the COVID-19 pandemic in 2020. For NEQCA Accountable Care, Inc., the higher Quality score was for the 2019 Performance Year. Click here for Performance Year 2019 Quality results.

2019 Quality Performance Results: 88.8%

  • Click here for more detail on 2019 Quality Performance Results.                                                                                  

2018 Quality Performance Results: 100%

  •  Click here for more detail on 2018 Quality Performance Results.