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
Joyce Colton, MPH, RN, MSN
rushhealthaco@rush-health.com
312-942-4061

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
Anthony Del Rio, ACO President
Brian Stein, MD, Chief Quality Officer
Ardag Hajinazarian, 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

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%

Quality Performance Results
2020 Quality Performance Results:

ACO #	Measure Name	Rate	ACO Mean
ACO-8	Risk Standardized, All Condition Readmission	15.86	15.07
ACO-13	Falls: Screening for Future Fall Risk	88.51	84.97
ACO-14	Preventive Care and Screening: Influenza Immunization	83.82	76.03
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	78.57	81.67
ACO-18	Preventive Care and Screening: Screening for Depression and Follow-up Plan	87.15	71.46
ACO-19	Colorectal Cancer Screening	58.80	72.59
ACO-20	Breast Cancer Screening	76.61	74.05
ACO-27	Diabetes: Hemoglobin A1c Poor Control (>9%)	14.00	14.70
ACO-28	Controlling High Blood Pressure	78.80	72.89
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	54.65	49.50
ACO-40	Depression Remission at Twelve Months	1.25	13.99
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	1.00	0.95

• For previous years' Quality Performance Results please visit: https://data.cms.gov/

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
No, our ACO does not use the SNF 3-Day Rule Waiver.