ACO Name and Location
Steward National Care Network, Inc.
30 Perwal Street
Westwood, MA 02090

ACO Primary Contact
Kristin Shaw, MPH
Director, Medicare ACO
781-247-9955
[email protected]

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
ALLEN FAMILY MEDICINE PLLC	N
ALLEN W FILIBERTI MD PC	N
ALONSO MEDICAL PC	N
ALPINE FAMILY MEDICINE LLC	N
ALPINE MEDICAL GROUP	N
AMERICAN FAMILY MEDICINE, LLC	N
ANIKET CHAKRABARTI MD PC	N
ANTHONY F MARINO MD PC	N
ASHISH GANDHI MD PC	N
ASSOCIATES IN INTERNAL MEDICINE INC	N
AZAR A KORBEY MD, PLLC	N
BIJAN SADRNOORI MD PC	N
BOUNTIFUL FAMILY HEALTHCARE	N
BRIM HEALTHCARE OF TEXAS LLC	N
BRIM HOLDING COMPANY, INC.	N
Carol S Savage	N
CENTRAL PHOENIX MEDICAL CLINIC LLC	N
CHARLES S CHEN MD PC	N
CHARLOTTE LOEW	N
CHIKWENDU C NWOSU MD LLC	N
COPPERVIEW MEDICAL CENTER, LLC	N
CRAGO FAMILY MEDICINE PC	N
DARREN B. JENKINS, D.O., P.C.	N
DAVID AND JOHN DELLIQOADRI, D.O. INC	N
DAVIS HOSPITAL & MEDICAL CENTER LP	N
DIXITKUMAR N MODI MD PA	N
Doctor Malvar & Associate	N
DOCTORS JAMES AND KELLY HOYE PARTNERS IN FAMILY CARE	N
DR BADI ALTAWIL MD LLC	N
DR CRAIG S GUSTAFSOON LLC	N
EAST VALLEY UROLOGY CENTER PLC	N
EATON MEDICAL ASSOCIATES PLLC	N
ESSEX MEDICAL ASSOCIATES	N
EVERCARE MEDICAL ASSOCIATES	N
FAMILY MEDICAL ASSOCIATES, P.C.	N
FAMILY MEDICAL CARE OF LAWRENCE COUNTY,INC	N
FAMILY MEDICINE ASSOCIATES OF SOUTH ATTLEBORO, P.C.	N
FYK MED PLLC	N
GEORGE GAGNE	N
GILA INTERNAL MEDICINE & GERIATRIC P C	N
GRABIAS MEDICAL GROUP PC	N
GREATER HAMPSTEAD FAMILY MEDICINE	N
GROVE MEDICAL ASSOCIATES PC	N
HANJANI PC	N
HARVARD STREET NEIGHBORHOOD HEALTH CENTER INC	N
HAVERHILL FAMILY OFFICE LLC	N
HEALTH QUALITY INC	N
HEARTSAFE. LLC	N
HERITAGE TECHNOLOGIES LLC	N
HUNTER MEDICAL CENTER INC	N
HYDE PARK HEALTH ASSOCIATES INC.	N
I DHALIWAL MD PC	N
IASIS GLENWOOD REGIONAL MEDICAL CENTER LP	N
INNOVATIVE PRIMARY CARE LLC	N
Internal Medicine and Preventive Care PC	N
INTERNAL MEDICINE ASSOCIATES OF LAWRENCE COUNTY, P.C.	N
JAVED SIDDIQI	N
JORDAN VALLEY MEDICAL CENTER LP	N
JOSEPH GURKA	N
Joseph Kalik	N
JUDITH HINCHEY	N
JUSTIN P. MIKULA, M.D., INC.	N
KATIE A JULIEN MD PC	N
KAYSVILLE CLINIC, LLC	N
Keshavjivan PLLC	N
LAILA ATTAR	N
LAKEVILLE FAMILY MEDICINE PC	N
LAWRENCE FAMILY DOCTORS LLC	N
LE & CHANG FAMILY URGENT CARE PC	N
LIANNE INC	N
LOTUS MED LLC	N
LYDIA ZUSER	N
MANISH TANDON MD ASSOCIATES PC	N
MARK C. NITZBERG, P.C.	N
MARK SPEARS MD PLLC	N
MEADOWBROOK MEDICAL GROUP PC	N
Medical Associates Of Warren Inc	N
MERRIMACK MEDICAL & WALK IN CENTER, LLC	N
MERRIMACK VALLEY MEDICAL ASSOCIATES PC	N
MERRIMACK VALLEY PULMONARY ASSOCIATES, P.C.	N
MICHAEL D JONES MD PC	N
MICHAEL J LANDMAN MD PC	N
MIDTOWN COMMUNITY HEALTH CENTER INC	N
MORTON HOSPITAL, A STEWARD FAMILY HOSPITAL, INC.	N
MOUNTAIN VISTA MEDICAL CENTER LP	N
NASHOBA VALLEY MEDICAL CENTER, A STEWARD FAMILY HOSPITAL INC	N
NEW ENGLAND GASTROENTEROLOGY ASSOCIATES, PC	N
NEW ENGLAND PRIMARY CARE ASSOCIATES P.C.	N
NEW ENGLAND SINAI HOSPITAL, A STEWARD FAMILY HOSPITAL, INC.	N
NEW WILMINGTON FAMILY MEDICINE ASSOCIATES P C	N
NEWBURYPORT FAMILY PRACTICE, P.C.	N
NORFOLK COUNTY MEDICAL ASSOCIATES INC	N
NORMAN R TABROFF	N
NORTHEAST GASTROENTEROLOGY ASSOCIATES PC	N
NORTHEAST NEPHROLOGY & INTERNAL MEDICINE, PC	N
ODESSA REGIONAL HOSPITAL LP	N
ORN INDUSTRIES LLC	N
ORTHOPEDIC CARE PHYSICIAN NETWORK, LLC	N
PAUL BURNS	N
PERMIAN PREMIER HEALTH SERVICES INC	N
PERSONAL CARE PHYSICIANS PC	N
PHOENIX FAMILY MEDICAL CARE PLLC	N
PHYSICIAN GROUP OF ARIZONA INC	N
PHYSICIAN GROUP OF LOUISIANA INC	N
PHYSICIAN GROUP OF UTAH INC	N
PIACITELLI FM LLC	N
PLUNKETT FAMILY HEALTH	N
PREMIER FAMILY MEDICAL	N
PREMIERE CARE LLC	N
PRIMA CARE PC	N
PRIMARY CARE CLINIC BOSTON PC	N
PRIME MEDICAL ASSOCIATES LLC	N
RAM CLINIC PC	N
RAOUF SAYEGH	N
RAYMOND ZHOU MD PC	N
REBECCA LEVINE, MD, PLLC	N
RESIL MEDICAL ASSOCIATES PC	N
RICHARD F SAWYER JR MD PC	N
RIVERTON FAMILY HEALTH CENTER LLC	N
ROMAN SANTOS	N
SALEM NEW HAMPSHIRE PHYSICIANS NETWORK PC	N
SALSON CLINICS LLC	N
SALT LAKE REGIONAL MEDICAL CENTER LP	N
SHIRLY RAMCHANDANI MD PC	N
SIMON HO	N
SJ MEDICAL CENTER LLC	N
SORIANO PHYSICIAN SERVICES PLLC	N
SOUTHEAST RHEUMATOLOGY & IMMUNOLOGY LLC	N
SOUTHWEST GENERAL HOSPITAL LP	N
ST LUKES MEDICAL CENTER LP	N
ST LUKES MEDICAL PC	N
STEVEN A. GABRIEL M.D., P.C.	N
STEVEN E ROSS MD PC	N
STEWARD CARNEY HOSPITAL, INC.	N
STEWARD GOOD SAMARITAN MEDICAL CENTER, INC.	N
STEWARD HILLSIDE REHABILITATION HOSPITAL, INC	N
STEWARD HOLY FAMILY HOSPITAL INC	N
STEWARD MEDICAL GROUP INC	N
STEWARD MELBOURNE HOSPITAL INC	N
STEWARD NORWOOD HOSPITAL INC	N
STEWARD ROCKLEDGE HOSPITAL INC	N
STEWARD SEBASTIAN RIVER MEDICAL CENTER INC	N
STEWARD SHARON REGIONAL HEALTH SYSTEM, INC.	N
STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC	N
STEWARD ST. ANNES HOSPITAL CORPORATION	N
STEWARD TRUMBULL MEMORIAL HOSPITAL INC	N
SUNITA GODIWALA	N
SUNRISE FAMILY PRACTICE LLC	N
TAN D TRAN MD PC	N
THE MEDICAL CENTER OF SOUTHEAST TEXAS LP	N
TOTAL MD CARE CORP	N
TOTAL MEDICAL CARE	N
TRINITY FAMILY MEDICINE	N
TRISTAN MEDICAL PC	N
TRUMBULL MAHONING MEDICAL GROUP, INC.	N
UTAH PARTNERS FOR HEALTH	N
WALPOLE MEDICAL CENTER, PC	N
WARREN MEDICAL SPECIALISTS INC.	N
WEBSTER SQUARE MEDICAL CENTER, INC	N
WHITTIER STREET HEALTH CENTER COMMITTEE INC	N
WORCESTER COUNTY ORTHOPEDICS	N
WRIGHT FAMILY MEDICINE, INC	N

 

ACO Governing Body:

Member Last Name	Member First Name	Member Title/Position	Member's Voting Power (Expressed as a percentage or number)	Membership Type	ACO Participant Legal Business Name and D/B/A, if applicable
Herman	Andrew	CFO	12.5%	ACO Participant Representative	Steward Melbourne Hospital, Inc.
Weinstein, MD	Joseph	Chair of the Board	12.5%	ACO Participant Representative	Mountain Vista Medical Center LP
Mitty, MD	Roger	Medical Director, CMO	12.5%	ACO Participant Representative	Steward Trumbull Memorial Hospital, Inc.
Callum, MD	Michael	Vice President, Physician Services	12.5%	ACO Participant Representative	Steward St. Elizabeth’s Medical Center of Boston, Inc.
Shetty, MD	Sanjay	President, North America	12.5%	ACO Participant Representative	Odessa Regional Hospital LP
Puleo	Sister Marie	Beneficiary Representative	12.5%	Medicare Beneficiary Representative	N/A
Knell	Daniel	President, Florida Region	12.5%	ACO Participant Representative	Steward Sharon Regional Health System, Inc.
Dunn	Brian	President, West Region	12.5%	ACO Participant Representative	Jordan Valley Medical Center, LP

 

Clinical and Administrative Leadership:

Leadership Member	Role
Joseph Weinstein, MD	President and Chief Physician Executive Officer, Clinical Lead
Andrew Herman	Chief Financial Officer, Financial Lead
Amy Paul	Compliance and Privacy Officer
Michael Jarjour	Vice President, Technology, HIT Lead
Michael Lenahen	Vice President, Care Coordination
Bianca Duff	Vice President, Clinical Operations, Quality of Care Lead
Jason Worthen	Vice President, Medicare ACO

 

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
SNCN Compliance Committee	Dr. Joseph Weinstein, Committee Chair, Medical Director

 

Types of Participants, or Combinations of Participants, That Formed the ACO:

• Federally Qualified Health Center (FQHC)
• ACO professionals in a group practice arrangement
• Hospital employing ACO professionals
• Networks of individual practices of ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses: 

• Second Agreement Period
  • Performance Year 2021, $34,490,235.58
  • Performance Year 2020, $51,533,448
  • Performance Year 2019, $6,730,046
• First Agreement Period
  • Performance Year 2019, $6,730,046
  • Performance Year 2018, ($383,385)

 

 Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Shared Savings Distribution:

• Second Agreement Period
  • Performance Year 2021
    • Proportion invested in infrastructure:  10%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants:  80%
  • Performance Year 2020
    • Proportion invested in infrastructure:  10%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants:  80%
  • Performance Year 2019
    • Proportion invested in infrastructure: 15%
    • Proportion invested in redesigned care processes/resources: 15%
    • Proportion of distribution to ACO participants: 70%
• First Agreement Period
  • Performance Year 2019
    • Proportion invested in infrastructure: 15%
    • Proportion invested in redesigned care processes/resources: 15%
    • Proportion of distribution to ACO participants: 70%
  • Performance Year 2018
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A

 

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure #	Measure Name	Rate	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control2	12.53	12.46
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	64.98	74.38
236	Controlling High Blood Pressure	81.69	74.87
318	Falls: Screening for Future Fall Risk	87.73	87.03
110	Preventative Care and Screening: Influenza Immunization	76.33	80.52
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	87.50	80.97
113	Colorectal Cancer Screening	74.18	73.63
112	Breast Cancer Screening	77.05	75.11
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	87.54	84.24
321	CAHPS for MIPS3	N/A	N/A
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2	0.1619	0.154
MCC1	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2	36.88	33.99

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

 

Payment Rule Waivers

• Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.