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. 
1701 West Golf Road, Suite 2-1100 
Rolling Meadows, IL 60008

ACO Primary contact

Dan Fisher
804-380-1174
daniel.fisher@aah.org
 
For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/providers-services/coordinating-care or call 800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048

2025 Performance Year Participants

ACO Governing Body

Key ACO Clinical and Administrative Leadership

Mike Barbati, ACO Executive
Amanpreet Sethi, MD, Medical Director
Melissa Pollock, Compliance Officer
Shital Tanna, MD, FAAFP, Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Quality Improvement Committee, Shital Tanna, MD, FAAFP, Chair
Compliance Committee, Melissa Pollock, Chair
Finance Committee, Salvatore Vittore, 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

  • Third Agreement Period
    • Performance Year 2023, $37,097,941
    • Performance Year 2022, $38,033,599
    • Performance Year 2021, $27,884,292
    • Performance Year 2020, $37,595,221
    • Performance Year 2019, $22,748,457
  • Second Agreement Period
    • Performance Year 2018, $15,673,670
    • Performance Year 2017, $0
    • Performance Year 2016, $28,924,272
  • First Agreement Period
    • Performance Year 2015, $33,537,591
    • Performance Year 2014, $0
    • Performance Year 2013, $0
Shared Savings Distributions
  • 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

Quality Performance Results

2023 Quality Performance Reviews

Quality performance results are based on CMS Web Interface Measure set.

Measure #
Measure Name
 Rate
 ACO Mean
001
Diabetes: Hemoglobin A1c (HbA1c) Poor Control1
8.25

9.84

134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
90.33
80.97
236
Controlling High Blood Pressure
82.27
77.80
318
Falls: Screening for Future Fall Risk
90.85
89.42
110
Preventative Care and Screening: Influenza Immunization
81.96
70.76
226
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
74.36
79.29
113
Colorectal Cancer Screening
76.99
77.14
112
Breast Cancer Screening
86.12
80.36
438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
91.47
87.05
370
Depression Remission at Twelve Months
1.89
16.58
321
CAHPS for MIPS3
6.45
6.25
479
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups1
0.1624
0.1553
484
Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions1
---
35.39
CAHPS-1
Getting Timely Care, Appointments, and Information
80.05
83.68
CAHPS-2
How Well Providers Communicate
94.82
93.69
CAHPS-3
Patient’s Rating of Provider
92.77
92.14
CAHPS-4
Access to Specialists
76.99
75.97
CAHPS-5
Health Promotion and Education
66.42
63.93
CAHPS-6
Shared Decision Making
58.81
61.60
CAHPS-7
Health Status and Functional Status
74.26
74.12
CAHPS-8
Care Coordination
85.51
85.77
CAHPS-9
Courteous and Helpful Office Staff
94.40
92.31
CAHPS-11
Stewardship of Patient Resources
24.28
26.69

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.