Accountable Care Organization of Advocate Aurora Health

ACO Name and Location

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

ACO Participants:

• ACO Reach Facility and Institutional Preferred Providers [PDF]
• ACO Reach Individual Participant Providers [PDF]
• ACO Reach Individual Preferred Providers [PDF]
• ACO Reach Organizational Participant Providers [PDF]
• ACO Reach Organizational Preferred Providers [PDF]

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

Shared Savings and Losses

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.

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 Waivers

• Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
  • Our ACO uses 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.