Rush Health ACO Inc.


This page provides important information for the public about Rush Health ACO Inc. For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800 MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.


ACO Name and Location
Rush Health ACO Inc.
1645 W. Jackson Blvd., Suite 501
Chicago, IL 60612

ACO Primary Contact
Bryce Marable, Program Manager- Community Initiatives and Government Programs
rushhealthaco@rush-health.com
312.563.8776

Organizational Information
ACO Participants
Download the Participant List

ACO Participants in Joint Ventures between ACO Professionals and Hospitals
ACO participants involved in a joint venture are identified by a "Y" next to their names on the Participant List.

ACO Governing Body
Board of Directors
Robert DeCresce, MD, Voting Member and Chair, ACO Participant, University Pathologist Diagnostics SC
Bill Douglas, Voting Member, ACO Participant, Riverside Medical Center
Patti O’Neal, Voting Member, ACO Participant, Rush University Medical Center
Charles Bush-Joseph, MD, Voting Member, ACO Participant, Midwest Orthopaedics at Rush
Sanjay Chatrath, DO, Voting Member, ACO Participant, Riverside Health System
Don Childs, MD, Voting Member, ACO Participant, Rush Oak Park Physicians Group Family Medicine
Daniel Dunham, MD, MPH, Voting Member, ACO Participant, Rush University Medical Center
Stephen Kelanic, MD, FACS, Voting Member, ACO Participant, Rush Copley Medical Group, NFP
Richa Gupta, MBBS, Voting Member, ACO Participant, Rush University Medical Center
John Diederich, MA, MBA, FACHE, Voting Member, ACO Participant, Rush Copley Medical Center
Larry Goodman, MD, Voting Member, Interim Medicare Beneficiary Representative
Wayne Keathley, Voting Member, ACO Participant, Rush University Medical Center
Dino Rumoro, DO, Voting Member, ACO Participant, Rush Oak Park Hospital

ACO Key Clinical and Administrative Leadership
Doug O’Brien, Interim ACO President
Brian Stein, MD, Chief Quality Officer
Donna Morris, Compliance Officer
Catherine Koop, MD, Senior Medical Director

ACO Committees and Committee Leadership
Finance & Incentive Design Committee: Patricia O’Neal, Co-Chair and Patt Vilt, Co-Chair
Quality & Performance Standards Committee – Brian Stein, MD, Chair
Peer Review & Credentialing Committee – Brenda Fann, MD, Chair

Types of ACO Participants or Combinations of Participants that Formed the ACO
Networks of individual practices of ACO professionals
Partnerships or joint venture arrangements between hospitals and ACO professionals
Hospital employing ACO professionals

Shared Savings and Losses
Amount of Shared Savings/Losses
  • First Agreement Period
    • Performance Year 2018, $0.00
    • Performance Year 2019, $6,533,116
    • Performance Year 2020, $9,631,205
    • Performance Year 2021, $5,228,874
Shared Savings Distribution
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 38%
      • Proportion invested in redesigned care processes/resources: 31%
      • Proportion of distribution to ACO participants: 31%
    • Performance Year 2020
      • Proportion invested in infrastructure: 38%
      • Proportion invested in redesigned care processes/resources: 31%
      • Proportion of distribution to ACO participants: 31%
    • Performance Year 2021
      • Proportion invested in infrastructure: 21%
      • Proportion invested in redesigned care processes/resources: 34%
      • Proportion of distribution to ACO participants: 45%

Quality Performance Results
2021 Quality Performance Results:
Quality performance results are based on CMS Web Interface
ACO # Measure Name Rate ACO Mean
001
 
Diabetes: Hemoglobin A1c (HbA1c) Poor Control214.9212.46
134
 
Preventative Care and Screening: Screening for Depression and Follow-up Plan83.8774.38
236
 
Controlling High Blood Pressure79.0374.87
318
 
Falls: Screening for Future Fall Risk90.0087.03
226
 
Preventative Care and Screening: Influenza Immunization85.7180.52
110
 
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention88.8980.97
113
 
Colorectal Cancer Screening67.4773.63
112
 
Breast Cancer Screening73.4975.11
438
 
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease79.9184.24
370
 
Depression Remission at Twelve Months6.1215.50
479
 
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups0.16000.1540
MCC1
 
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)37.7033.99

Note: In the Quality Performance Results file(s) above, search for "Rush Health ACO Inc." to view the quality performance results. This ACO can also be found by using the ACO ID A3822 in the public use files on data.cms.gov.

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.