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Advocate Physician Partners Accountable Care, Inc

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 Physician Partners Accountable Care, Inc.'s (APPAC, Inc.) compliance with program requirements. This page provides important information for the public about APPAC, Inc.

Advocate Physician Partners Accountable Care, Inc.
2025 Windsor Dr.
Oak Brook, IL 60523

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
Daniel Fisher, Melissa Pollock, Compliance Officer
Pranjal Shah, 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

  • 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: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • 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.

Quality Performance Results

2024 Quality Performance Reviews

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

Measure #
Measure Name
Collection Type
 Rate
 ACO Mean
001
Diabetes: Hemoglobin A1c (HbA1c) Poor Control
CMS Web Interface
6.55
9.44
110
Preventative Care and Screening: Influenza Immunization
CMS Web Interface
81.4
68.6
112
Breast Cancer Screening
CMS Web Interface
84.19
80.93
001
Diabetes: Hemoglobin A1c (HbA1c) Poor Control1
CMS Web Interface
8.25

9.84

113
Colorectal Cancer Screening
CMS Web Interface
80.44
77.81
134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
CMS Web Interface
93.41
81.46
226
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
CMS Web Interface
93.33
79.98
236
Controlling High Blood Pressure
CMS Web Interface
85.15
79.49
134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
CMS Web Interface
90.33
80.97
318
Falls: Screening for Future Fall Risk
CMS Web Interface
93.11
88.99
370
Depression Remission at Twelve Months
CMS Web Interface
2.33
17.35
236
Controlling High Blood Pressure
CMS Web Interface
82.27
77.80
438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
CMS Web Interface
91.9
86.5
318
Falls: Screening for Future Fall Risk
CMS Web Interface
90.85
89.42
479
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups1

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
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
321
CAHPS for MIPS3
CAHPS for MIPS Survey
6.45
6.25
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

Payment rule waivers

  • 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.
  • Waiver for payment for telehealth services:
    • Yes, our ACO clinicians do provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.
  • 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.
  • ACO shared savings distribution methodology:
    • Shared savings and ACO operating expenses will be allocated to ACO Participants on a state-by-state basis, such that ACO operating expenses allocable to ACO Participants in a state (calculated on a per-beneficiary per-year basis) will be deducted from any shared savings allocable to ACO Participants in that state.