Advocate Health Care
a patient or visitor a physician or healthcare professional an employer
PrintEmail
Decrease (-) Restore Default Increase (+) font size

medical services home
Advocate Physician Partners
search by doctor name 
Doctor Name Contains (Smart Search)
OR
search by specialty

search by city/zip code
Find a doctor near your location by entering a city name OR ZIP code.
Near:


Within miles:
0 1 5 10 15 30 30+

search by insurance
Insurance Name Contains (Smart Search)
 (what's this)
 
physician benefits

Whether you are a Primary Care or Specialist physician, a solo practitioner or part of a large medical group, it's a challenging time to practice medicine.  You need a partner to help you navigate the road ahead.  Advocate Physician Partners is the leading care management and managed care contracting organization in the state.  Approximately 3,900 physicians, employed and independent, rely on us to assist them in this difficult practice environment.

When you become a member of Advocate Physician Partners, you immediately gain access to a wealth of services and resources that allow you to practice medicine-not business. And we provide much more than just office support. From contracts and claims to money-saving value-added services, we offer our members the tools and support they need to care for their patients and their practices. 

Select a link below to learn more about the benefits of becoming an Advocate Physician Partners member.

Contracting
Medical Management
Caring for Your Patients - Patient Outreach
Clinical Integration / Pay-for-Performance
Technological Support
Value-Added Services

Contracting

We maintain contracts with all major health plans in the Chicago metropolitan area and select plans in downstate Illinois. These contracts represent 230,000 capitated lives in Health Maintenance Organization plans and an estimated 700,000 Preferred Provider Organization patients.  As a member of Advocate Physician Partners, you'll enjoy a number of benefits related to our contract portfolio:

  • Competitive reimbursement rates
  • Additional earning opportunities based on Clinical Integration Program performance
  • Non-exclusive contracts that give you the freedom to participate in other contracts

View a complete list of participating plans.

Back to the top

Medical Management

Practice management has become a complex and time-consuming task.  As a physician-led organization, we support your desire to focus on practicing medicine by assisting the physician practice with day-to-day functions such as credentialing, eligibility and referral, utilization and case management services. Below is an overview of all the services we offer our physician members.

Function

 Service

 Physician Value

Central Credentialing

Gather and submit credentials to over 25 health plans

Submits your credentials for participation in multiple health plan panels

Referral
and Denial Management

Review referrals for benefit coverage, limited medical necessity determinations and potential denials

Ensures patients receive effective medical care while managing use of resources for efficiency

Separate Utilization
and Case Management

Authorize inpatient care, coordinate patient discharge planning and manage care for complex cases

Demonstrates cost-effective care to health plans while assisting the physician office in managing care coordination

Eligibility Verification

Works with the health plans and physician office to verify member eligibility

Reduces potential care delivery to non-eligible patients

Staff Assistance

Act as the liasion for communicating contract information, policies, financial information and training to the physician office staff

Improves information flow affecting requirements and payments

Quality Reporting

Compile cumulative outcome data for reporting to payers and industry organizations

Demonstrates value of care provided

 

Back to the top

Caring for Your Patients - Patient Outreach

As part of our Medical Management services, Advocate Physician Partners offers a special Patient Outreach program, on your behalf, through our Disease Management team.

Our staff will reach out to eligible patients by mail and phone to educate them and encourage compliance with your treatment plans. Click here to learn more about the Patient Outreach program.

Back to the top

Clinical Integration and Pay-for-Performance

In an environment of increasing demand for performance data, cost savings and improved health outcomes, Advocate Physician Partners physician members are uniquely positioned to succeed.  Our nationally-recognized Clinical Integration Program provides the infrastructure and support physicians need to succeed in the post-reform world of medicine.

The Advocate Physician Partners' Clinical Integration Program is a nationally recognized model of care, uniting independent and employed physicians.  The Program is built on standards set by industry leadership groups like the Centers for Medicare and Medicaid Services (CMS), the National Quality Forum (NQF), the National Committee for Quality Assurance (NCQA) and the American Medical Association (AMA).  These measures serve as the gold standard for measuring provider performance and managing population health status.

Highlights of the Program include:

  • Data collection and analysis
  • Collaboration in clinical quality initiatives
  • Disease state management programs
  • Clinical protocols and shared best clinical practices

Benefits of the Program include:

  • Minimization of variations in care
  • Improvement in patient care outcomes
  • Reduced medical errors
  • Potential to share in millions of dollars in quality and performance incentives

Learn more about our Clinical Integration Program in the 2011 Value Report

Back to the top

Technological Support

Health care technology represents a tremendous investment for any practice.  Members have access to a suite of tools designed to streamline office processes and improve patient safety. 

Electronic Referral Management Application (ERMA) streamlines the referral process and helps ensure patients receive appropriate care based on clinical need and health care coverage. Embedded protocols provide clinical decision support rooted in evidence-based treatments and best practices. 

CIRRIS Point-of-Care® integrates three critical functions that previously were accessed through standalone applications: patient registries, generic prescribing data and physician progress reports. It enables physicians to track their progress in the Clinical Integration Program and make adjustments to improve performance. 

Electronic Medical Record (EMR) - recent health care reform legislation has created new urgency for the adoption of an EMR by all physicians.  As a physician member, you'll have access to a comprehensive system designed to improve patient safety and clinical outcomes. 

Electronic Intensive Care Unit (eICU®)- implemented in 2004 by Advocate Health Care, the eICU® harnesses cutting-edge technology for round-the-clock, real-time audio and video monitoring of intensive care unit patients in eight Advocate hospitals. Patients in Advocate's 18 adult ICUs receive care from highly trained Intensivist physicians based in a central command center.

Back to the top

Value-Added Services

Business expenses continue to rise and reduce profit margins further each year. Advocate Physician Partners is pleased to provide its physician members access to a portfolio of services with savings realized through group purchasing contracts. The table below provides an overview of these valuable member benefits.

Benefit

 Service

Group Dental Insurance

Two benefit levels are offered providing coverage for diagnostic, preventative and most specialty care.

Banking Services and Financial Counseling

Through J.P. Morgan's Private Client Service Division, physician members have access to complete banking services including investment management, private account management, non-financial asset management, loans, estate and tax strategies and insurance planning.

Office Supplies, Equipment and Furniture

Through Guy Brown, your practice can enjoy significant discounts with the convenience of next-day shipping and online ordering.

Auto and Homeowner Insurance

Purchase insurance at low, competitive rates for auto, homeowners, condominium, renters, flood, boat and yacht, personal liability (umbrella), valuable items and identity theft protection.

Vaccine Programs

Through Broadlane, Merck and CuraScript, physician members are eligible to receive discounted pricing for vaccines and pharmaceuticals from some of the best-known suppliers in the industry.

Medical Surgical Supplies

Discounted medical and surgical supplies are available.

Back to the top


quick links patient information health care professional information employer information connect with Advocate

About Advocate | Contact Us | Jobs | SiteMap | Terms of Use | Notice of privacy practices ®Advocate Health Care, Downers Grove, Illinois, USA | 1.800.3.ADVOCATE | TDD 312.528.5030