NEQCA Accountable Care, Inc

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 58 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, 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, NEQCA Executive Director, Medicare and Medicaid ACOs.

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 

Click here for a list of ACO Participants.

ACO Governing Body                   

  • Mark Collins, MD - Osterville Healthcare, PC
  • Meg Costello – ACO Executive Director
  • Matt Larkin - Pratt Medical Group, Inc.
  • Andrew Romanowsky, MD - Mark Romanowsky, MD, PC
  • Eric Silverman, MD - Pulmonary Associates of Metrowest
  • Mark Singh, MD – Blue Hills Medical Associates
  • Dhiren Sutaria, MD- Woodland Internists, PC
  • Julie Tishler, MD - Pratt Medical Group, Inc.
  • Timothy Tierney - Main Street Family Practice, PC
  • Medicare Beneficiary / Consumer Advocate - TBD
  • Participant Trustee - TBD

Key ACO Clincal and Administrative Leadership

Margaret Costello

ACO Executive

Jatin Dave

Medical Director

Meghan Colozzo

Compliance Officer

Erin Carroll

Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

ACO Funds Flow Committee

Ted Herwig, MD, Participant and ACO Trustee

ACO Finance Committee

Deeb Salem, MD, Participant and ACO Trustee

ACO Quality Committee

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

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Performance Year 2018: 

Shared Savings Distribution

  • Performance Year 2018
      • Proportion invested in infrastructure: 
      • Proportion invested in redesigned care processes/resources: 
      • Proportion of distribution to ACO participants: 

Quality Performance Results 

2018 Quality Performance Results: 

ACO Measure #

Measure Title

2018 Results

ACO – 1

CAHPS: Getting Timely Care, Appointments, and Information

 

ACO – 2

CAHPS: How Well Your Providers Communicate

 

ACO – 3

CAHPS: Patients' Rating of Provider

 

ACO – 4

CAHPS: Access to Specialists

 

ACO – 5

CAHPS: Health Promotion and Education

 

ACO – 6

CAHPS: Shared Decision Making

 

ACO – 7

CAHPS: Health Status/Functional Status

 

ACO - 34

CAHPS: Stewardship of Patient Resources

 

ACO – 8

Risk-Standardized, All Condition Readmission

 

ACO - 35

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

 

ACO - 36

All-Cause Unplanned Admissions for Patients with Diabetes

 

ACO - 37

All-Cause Unplanned Admissions for Patients with Heart Failure

 

ACO - 38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

 

ACO - 43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator [PQI] #91)

 

ACO - 44

Use of Imaging Studies for Low Back Pain

 

ACO - 12

Medication Reconciliation Post- Discharge

 

ACO -13

Falls: Screening for Future Fall Risk

 

ACO - 14

Preventive Care and Screening: Influenza Immunization

 

ACO - 15

Pneumonia Vaccination Status for Older Adults

 

ACO - 16

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

 

ACO - 17

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

 

ACO - 18

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

 

ACO - 19

Colorectal Cancer Screening

 

ACO - 20

Breast Cancer Screening

 

ACO - 42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

 

ACO - 40

Depression Remission at Twelve Months

 

 

ACO - 27

Diabetes Composite (All or Nothing Scoring):

ACO - 27: Diabetes Mellitus: Hemoglobin A1c Poor Control

 

ACO - 41

ACO - 41: Diabetes: Eye Exam

 

ACO - 28

Hypertension (HTN): Controlling High Blood Pressure

 

ACO - 30

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

 

  • 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)