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

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

  • Fourth Agreement Period
    • Performance Year 2025, N/A
    • Performance Year 2024, N/A
  • 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, N/A
    • Performance Year 2013, 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

2023 Quality Performance Reviews

Q uality 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 Control1
CMS Web Interface
8.25

9.84

134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
CMS Web Interface
90.33
80.97
236
Controlling High Blood Pressure
CMS Web Interface
82.27
77.80
318
Falls: Screening for Future Fall Risk
CMS Web Interface
90.85
89.42
110
Preventative Care and Screening: Influenza Immunization
CMS Web Interface
81.96
70.76
226
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
CMS Web Interface
74.36
79.29
113
Colorectal Cancer Screening
CMS Web Interface
76.99
77.14
112
Breast Cancer Screening
CMS Web Interface
86.12
80.36
438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
CMS Web Interface
91.47
87.05
370
Depression Remission at Twelve Months
CMS Web Interface
1.89
16.58
321
CAHPS for MIPS3
CAHPS for MIPS Survey
6.45
6.25
479
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups1

Administrative Claims

0.1624
0.1553
CAHPS-1
Getting Timely Care, Appointments, and Information
CAHPS for MIPS Survey
80.05
83.68
CAHPS-2
How Well Providers Communicate
CAHPS for MIPS Survey
94.82
93.69
CAHPS-3
Patient’s Rating of Provider
CAHPS for MIPS Survey
92.77
92.14
CAHPS-4
Access to Specialists
CAHPS for MIPS Survey
76.99
75.97
CAHPS-5
Health Promotion and Education
CAHPS for MIPS Survey
66.42
63.93
CAHPS-6
Shared Decision Making
CAHPS for MIPS Survey
58.81
61.60
CAHPS-7
Health Status and Functional Status
CAHPS for MIPS Survey
74.26
74.12
CAHPS-8
Care Coordination
CAHPS for MIPS Survey
85.51
85.77
CAHPS-9
Courteous and Helpful Office Staff
CAHPS for MIPS Survey
94.40
92.31
CAHPS-11
Stewardship of Patient Resources
CAHPS for MIPS Survey
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.