Transforming Experience through Population Health

Home to ACOs to Know

Becker’s Hospital Review featured Hackensack Meridian Health’s Accountable Care Organizations (ACOs) on its 100 ACOs to Know for 2016 list. Becker’s featured Hackensack Meridian Health on its national list for its strong portfolio of ACOs, including the commercial clinically integrated network,Hackensack Meridian Health Partners, as well as the network’s two Medicare ACOs, HackensackAlliance ACO and Meridian ACO. Combined these ACOs boast some of the strongest quality scores in the nation and are responsible for millions of dollars in health care savings.

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Hackensack Meridian Health Partners Experiences Major Growth

Meridian Health Partners, legacy Meridian Health’s clinically integrated network, transformed into Hackensack Meridian Health Partners this year, providing the network with a single clinically integrated network. Hackensack Meridian Health Partners entered new territory in 2016, expanding from Monmouth and Ocean counties to Bergen, Essex, Hudson, Middlesex and Passaic counties. Physician membership experienced its biggest growth to date, hitting more than 2,000 members and growing by nearly 60 percent in just three months. This exponential growth connects more Hackensack Meridian Health primary care and specialists, enabling the delivery of coordinated and efficient care to patients across seven counties.

Building Payor Relationships

Hackensack Meridian Health Partners continues to build upon and strengthen its payor relationships. Effective January 1, 2017, Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) and Hackensack Meridian Health expanded its network agreement. Under the updated agreement, Raritan Bay Medical Center and Palisades Medical Center both became Tier 1 hospitals for OMNIA health plan members. As a result, every Hackensack Meridian Health hospital entered 2017 as an OMNIA Tier 1 hospital, providing OMNIA health plan members in our community with increased savings through lower out-of-pocket costs.

Redesigning Our State of Care

Across the network, leaders, nurses and physicians are collaborating to improve patient care and redesign Hackensack Meridian Health’s care coordination. This care coordination project demonstrates Hackensack Meridian Health’s commitment to enhancing patient care throughout the care continuum – not just when they’re in the hospital.

Redesigning Care

As a first step to help create smoother care transitions and improve coordination, Hackensack Meridian Health care teams are implementing a new technology, PatientPing. PatientPing gives providers real-time notifications whenever their patients receive care at a wide range of facilities in New Jersey and beyond. Meanwhile, PatientPing gives care instructions to the facility where patients are receiving care, including contact information for the patient’s care team as well as the patient’s visit histories. This real-time sharing of information enables providers to apply timely interventions, avoid unnecessary readmissions, and ensure safer care transitions for their patients. Hackensack Meridian Health is the first health care provider to use this technology in New Jersey.

From Hackensack University Medical Center to Southern Ocean Medical Center, this care coordination endeavor will help streamline and align care patient care.

Delivering Quality Care

Hackensack Meridian Health’s two Medicare Accountable Care Organizations (ACO) hit new milestones this year. HackensackAlliance ACO experienced its most successful year ever, generating shared savings for the third year in a row. HackensackAlliance ACO ranked seventh in the nation for total savings, saving more than $33 million for the 2015 Performance Year. In addition, it improved its quality score to a 95.7 percent overall Quality Score. Meanwhile, Meridian ACO’s overall Quality Score for the 2015 Performance Year was 92.71 percent, making it the third consecutive year in which the Meridian ACO realized year-over-year improvements in quality.

Pioneering New Models of Care

Hackensack Meridian Health is participating in two Medicare initiatives aimed at improving patient care, outcomes and satisfaction. Nearly all of Hackensack Meridian Health’s hospitals are participating in Medicare’s Comprehensive Care for Joint Replacement (CJR) model. The major orthopedic program is designed to improve the care and outcomes of Medicare patients undergoing hip and knee replacements. In less than a year, the team comprised of clinical, administrative and executive team members worked tirelessly to increase coordination and implement new tools to support our care of patients undergoing hip and knee replacements.

The CJR model started on April 1, 2016, and will last for five years. Hackensack Meridian Health is also one of the select health care organizations picked by the federal government to participate in the Million Hearts initiative. This national five-year program aims to prevent two leading killers among Americans – heart attacks and strokes. Currently, 20 Hackensack Meridian Health providers and their practices in Monmouth and Ocean counties are participating and focusing on patient intervention. Participating providers will focus on improving the “ABCS” – aspirin for high-risk patients, blood-pressure control, cholesterol management and smoking cessation. The program started in January 2017 and runs until December 2021.