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NJ Physicians ACO has been accepted to participate, by the Centers for Medicare & Medicaid Services (CMS), as an Accountable Care Organization participating in the Medicare Shared Savings Program...

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NJ Physicians ACO has been accepted to participate, by the Centers for Medicare &amp; Medicaid Services (CMS), as an Accountable Care Organization participating in the Medicare Shared Savings Program...

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1

Participants - New Jersey Physicians ACO

http://www.njphysiciansaco.com/participants.html

New Jersey Physicians ACO. NJ Physicians ACO Participants. Sancheti, MD,. Ocean Family and Geriatrics. Professional Associates of Jackson, LLC. Manish Saini, MD, LLC. Ocean Medical Group, PA. North Edison Family Practice Group. Rimmi Sobti, MD Inc. Geriatric Medical Center, LLC. Winding River Medical Park. Vinodrai V. Ghetiya, MD. Anil K. Sharma, MD, PA. Pulmonary Internists of Central Jersey. Kock-Yen Tsang, MD. Cardiovascular Medical Group of New Jersey. Anjana Mathur, MD, PA. Ziaulhuq Zia, MD.

2

New Jersey Physicians ACO - New Jersey Physicians ACO

http://www.njphysiciansaco.com/index.html

New Jersey Physicians ACO. NJ Physicians ACO has been accepted to participate, by the Centers for Medicare and Medicaid Services (CMS), as an Accountable Care Organization participating in the Medicare Shared Savings Program (MSSP) created by the Affordable Care Act. Incorporate a new entity and submit a notice of intent to CMS to participate and sign agreements with the ACO entity: DONE. Complete and submit an MSSP application to CMS by July 31st deadline: Done.

3

Savings Calculation - New Jersey Physicians ACO

http://www.njphysiciansaco.com/savings-calculation.html

New Jersey Physicians ACO. Savings are calculated as the difference between the projected benchmark and the actual costs - The ACO is given back 50 percent of the savings. This is an additional payment opportunity where physicians may be rewarded for improving care coordination and providing care that is appropriate, safe, and timely. Each ACO has its own unique benchmark based upon the prior cost of its attributed beneficiaries. The projected benchmark is based upon three factors:.

4

Beneficiary Attribution - New Jersey Physicians ACO

http://www.njphysiciansaco.com/beneficiary-attribution.html

New Jersey Physicians ACO. This program is applicable to Medicare Fee-for-Service (FFS) patients only. MSSP ACOs are attributed Medicare FFS beneficiaries based upon their historical utilization with the ACO's participating providers (based upon provider Tax Identification Number). We suggest viewing the ACO Summary Fact Sheet available on the portal for language regarding who patients may be attributed to.

5

Organization Chart - New Jersey Physicians ACO

http://www.njphysiciansaco.com/organization-chart.html

New Jersey Physicians ACO.

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New Jersey Physicians ACO has been accepted to participate in the Medicare Shared Savings Program (MSSP) by the Centers for Medicare and Medicaid Services (CMS) as an Accountable Care Organization under the Affordable Care Act. To improve the health care of the community while controlling costs. Focus on improving care coordination by primary care doctors to achieve the cost and quality objectives. Partner with various payers to spread the benefit of this enhanced model across all patients.

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