Advocate Health Enterprise ACO

Transparency is one important aspect of patient centeredness and patient engagement in the Medicare Shared Savings Program. We believe public reporting aids transparency and can promote more informed patient choice, provide feedback to stakeholders and providers, help improve quality and lower the cost of care, and improve oversight with respect to Advocate Health Enterprise ACO (Enterprise ACO) compliance with program requirements. This page provides important information for the public about Enterprise ACO.

Advocate Physician Partners Accountable Care, Inc.
Trade Name/DBA: Advocate Health Enterprise ACO
2025 Windsor Dr., Oak Brook, IL, 60523, U.S.A.

ACO Primary contact

Daniel Fisher
312-909-3962
daniel.fisher@aah.org

2026 Performance Year Participants

ACO Governing Body

Key ACO Clinical and Administrative Leadership

Mike Barbati, ACO Executive
Pranjal Shah, Medical Director
Melissa Pollock, Compliance Officer
Shital Tanna, MD, Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Compliance Committee, Melissa Pollock, Chair

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Amount of Shared Savings/Losses

  • Fifth Agreement Period
    • Performance Year 2026, N/A
  • Fourth Agreement Period
    • Performance Year 2025, N/A
    • Performance Year 2024, $50,643,583.00
  • Third Agreement Period
    • Performance Year 2023, $37,097,941.39
    • Performance Year 2022, $38,033,599.00
    • Performance Year 2021, $27,884,292.10
    • Performance Year 2020, $37,595,220.88
    • Performance Year 2019, $22,748,456.59
  • Second Agreement Period
    • Performance Year 2019, $22,748,456.59
    • Performance Year 2018, $15,673,669.88
    • Performance Year 2017, N/A
    • Performance Year 2016, $28,924,272.42
  • First Agreement Period
    • Performance Year 2015, $33,537,591.00
    • Performance Year 2014, N/A
    • Performance Year 2013, N/A
    • Performance Year 2012, N/A

Note: Our ACO participated in multiple performance years during Calendar Year 2019. The 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 Distributions
  • Fourth Agreement Period
    • Performance Year 2025
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2024
      • Proportion invested in infrastructure: 4%
      • Proportion invested in redesigned care processes/resources: 42%
      • Proportion of distribution to ACO participants: 54%
  • Third Agreement Period
    • Performance Year 2023
      • Proportion invested in infrastructure: 6%
      • Proportion invested in redesigned care processes/resources: 56%
      • Proportion of distribution to ACO participants: 38%
    • Performance Year 2022
      • Proportion invested in infrastructure: 1%
      • Proportion invested in redesigned care processes/resources: 32%
      • Proportion of distribution to ACO participants: 67%
    • Performance Year 2021
      • Proportion invested in infrastructure: 2%
      • Proportion invested in redesigned care processes/resources: 27%
      • Proportion of distribution to ACO participants: 71%
    • Performance Year 2020
      • Proportion invested in infrastructure: 1%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 74%
    • Performance Year 2019
      • Proportion invested in infrastructure: 1%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 69%
  • Second Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: 1%
      • Proportion invested in redesigned care process/resources: 32%
      • Proportion of distribution to ACO participants: 67%
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2016
      • Proportion invested in infrastructure: 2%
      • Proportion invested in redesigned care processes/resources: 48%
      • Proportion of distribution to ACO participants: 50%
  • First Agreement Period
    • Performance Year 2015
      • Proportion invested in infrastructure: 5%
      • Proportion invested in redesigned care processes/resources: 43%
      • Proportion of distribution to ACO participants: 52%
    • Performance Year 2014
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2013
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2012
      • 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. The 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.

ACO Governing Body:

Member First Name
Member Last Name
Member Title/ Position

Member's Voting Power
(Expressed as a
percentage)

Membership Type
ACO Participant Legal
Business Name, if
applicable
Amanpreet
Sethi
Voting Member
6.67%
ACO Participant Representative

AURORA MEDICAL
GROUP, INC.

Andrea
Fernandez
Voting Member
6.67%
ACO Participant Representative

WAKE FOREST
UNIVERSITY
HEALTH SCIENCES

Corlis
Lewis
Voting Member
6.67%
Medicare Beneficiary Representative
N/A
Deborah
Winiger
Voting Member
6.67%
ACO Participant Representative

North Suburban Family
Healthcare SC

Denise
Keefe
Voting Member
6.67%
ACO Participant Representative
AURORA HEALTH CARE METRO INC
Dia
Nichols
Voting Member
6.67%
ACO Participant Representative
Advocate Health and Hospitals Corporation
Emelie
Ilarde
Chair
6.67%
ACO Participant Representative
LAWN MEDICAL CENTER SC
Luis A.
Garcia
Voting Member
6.67%
ACO Participant Representative
AURORA MEDICAL GROUP, INC.
J. Michael
Parkerson
Voting Member
6.67%
ACO Participant Representative
AMG ILLINOIS LTD
Jennifer
Brady
Voting Member
6.67%
ACO Participant Representative
ATRIUM HEALTH NORTH MARKET NETWORK LLC
John
Yeatts
CEO
6.67%
Other
N/A
Kristine
Bruno
Voting Member
6.67%
ACO Participant Representative
AURORA ADVANCED HEALTHCARE INC
Lindsay
Durgin
Treasurer
6.67%
ACO Participant Representative
AURORA HEALTH CARE CENTRAL, INC.
Michael
Barbati
President
6.67%
Other
N/A
Robert
Martin
Voting Member
6.67%
ACO Participant Representative
Advocate Health and Hospitals Corporation
Rodney
Ball
Voting Member
6.67%
ACO Participant Representative
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Trushar
Naik
Voting Member
6.67%
ACO Participant Representative
Advocate Health and Hospitals Corporation

Member's voting power may have been rounded to reflect a total voting power of 100 percent.

Quality Performance Results

2024 Quality Performance Reviews

Quality performance results are based on the CMS Web Interface collection type.

Measure #
Measure Title
Collection Type
Performance Rate

Current Year Mean
Performance Rate (Shared
Savings Program ACOs)

321
CAHPS for MIPS
CAHPS for MIPS Survey
7.77

6.67

479

Hospital-Wide, 30-Day, All-Cause
Unplanned Readmission (HWR) Rate for
MIPS Groups

Administrative Claims

0.1541
0.1517
484

Clinician and Clinician Group Risk-
standardized Hospital Admission Rates
for Patients with Multiple Chronic
Conditions (MCC)

Administrative Claims

42.34
37.0
318
Falls: Screening for Future Fall Risk
CMS Web Interface
93.11
88.99
110
Preventative Care and Screening: Influenza Immunization
CMS Web Interface
81.4
68.6
226

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

CMS Web Interface
93.33
79.98
113
Colorectal Cancer Screening
CMS Web Interface
80.44
77.81
112
Breast Cancer Screening
CMS Web Interface
84.19
80.93
438

Statin Therapy for the Prevention and
Treatment of Cardiovascular Disease

CMS Web Interface
91.9
86.5
370
Depression Remission at Twelve Months
CMS Web Interface
2.33
17.35
001*
Diabetes: Hemoglobin A1c (HbA1c) Poor Control
CMS Web Interface
6.55
9.44
134

Preventative Care and Screening:
Screening for Depression and Follow-up Plan

CMS Web Interface
93.41
81.46
236
Controlling High Blood Pressure
CMS Web Interface
85.15
79.49
CAHPS-1

Getting Timely Care, Appointments, and
Information

CAHPS for MIPS Survey
82.99
83.70
CAHPS-2
How Well Providers Communicate
CAHPS for MIPS Survey
94.45
93.96
CAHPS-3
Patient’s Rating of Provider
CAHPS for MIPS Survey
92
92.43
CAHPS-4
Access to Specialists
CAHPS for MIPS Survey
78.75
75.76
CAHPS-5
Health Promotion and Education
CAHPS for MIPS Survey
67.82
65.48
CAHPS-6
Shared Decision Making
CAHPS for MIPS Survey
62.35
62.31
CAHPS-7
Health Status and Functional Status
CAHPS for MIPS Survey
74.57
74.14
CAHPS-8
Care Coordination
CAHPS for MIPS Survey
88.01
85.89
CAHPS-9
Courteous and Helpful Office Staff
CAHPS for MIPS Survey
93.15
92.89
CAHPS-11
Stewardship of Patient Resources
CAHPS for MIPS Survey
32.74
26.98

For previous years’ financial and quality performance results, please visit: data.cms.gov

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

Payment Rule

  • Skilled Nursing Facility (SNF) 3-day rule waiver:
    • Yes, our ACO does use the SNF 3-day rule waiver, pursuant to 42 CFR 425.612.
  • Fraud and Abuse Waivers:
    • Yes, our ACO is using waivers of federal fraud and abuse laws as described in 80 FR 66725. The required disclosures can be accessed here.

To report a potential compliance or privacy issue related to the ACO, call the Advocate Health Compliance and Integrity Hotline at 888-847-6331 or submit your concern online. The hotline is available 24 hours a day, 365 days a year and hosted by EthicsPoint, a third-party provider. Information provided through the hotline is sent to EthicsPoint confidentially and anonymously, unless you choose to provide your contact information

This is NOT a 911 or Emergency Service: Do not contact the ACO to report events presenting an immediate threat to life or property. If you require emergency assistance, please contact 911.