Accountable Care Organization

Northwestern Medicine ACO, LLC, is an Accountable Care Organization (ACO). This recognizes our ability to work together with CMS and participating physicians to provide high-quality service to our Medicare Fee-for-Service beneficiaries, ensuring they receive the right care at the right time in the right setting. As an organization, we work closely with physicians and other healthcare providers participating in the ACO to promote seamless, coordinated care.

Northwestern Medicine Physician Network ACO helps providers to track a Medicare Fee-for-Service beneficiary’s services across multiple care settings to ensure that each healthcare provider who has a role in a Medicare Fee-for-Service beneficiary’s care can have a complete picture—providing an improved care experience for each patient. This section describes important information for the public about Northwestern Medicine Physician Network ACO.


ACO Name and Location

Northwestern Medicine ACO, LLC
541 North Fairbanks Court, Suite 1500
Chicago, Illinois 60611


ACO Primary Contact

Jessica Walradt
312.926.5637
Jessica.Walradt@nm.org

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Aagaard 5, LLC N
Advanced Center for Internal Medicine N
Algimantas S Kerpe MD, SC N
Allergy & Asthma Medical Associates N
Anjali Mehta, MD N
Anne Marie Kudelka, MD, FACC, Center for Heart Health LLC N
Armbrust 7, LLC N
Associated General Surgeons, SC N
Central DuPage Emergency Physicians, PC N
Central DuPage Hospital Association N
Central DuPage Physician Group N
David K Zich, MD, SC N
David Manuel, MD, SC N
Dermatology and Aesthetics of Wicker Park, LLC N
Diane L. Ozog, MD, SC N
DuPage Foot and Ankle, LLC N
DuPage Gynecology, SC N
Family Podiatry of DeKalb, Inc. N
Fox Valley Ear, Nose and Throat, Assoc., SC N
Genesis Orthopedics & Sports Medicine, LLC N
Geneva Eye Clinic, LTD N
Grayslake Medical Group, LLC N
Grosskopf Orthopedic, SC N
Illinois Regional Cancer Center, LLP N
Illinois Urological Institute N
Instep Podiatry, PC N
Internal Medicine Associates, LLC N
JeeYoon Park, MD N
John Carroll N
John Vanarsdale N
Kishwaukee Physician Group, Inc. N
Lakeshore Obstetrics and Gynecology, LLC N
Mary Fausone N
Mass Medical, SC N
Melinda Lukens N
Midwest Sports and Pain Specialists, PC N
North Shore Medical Associates, LTD N
North Shore Primary Care, SC N
North Suburban Family Physicians, SC N
Northwest Podiatry Center N
Northwestern Medical Faculty Foundation N
Northwestern Specialists In Plastic Surgery, SC N
Northwestern Surgical Associates N
Oak Dermatology, LLC N
Oncology MDs, Inc. N
Patricia Katz N
Perry L Kamel, MD, SC N
Personalized Physicians Group, LTD N
Radiology Subspecialists of Northern Illinois, LLC N
Rehabilitation Medicine Clinic, Inc. N
Robin Pastore, DPM, PC N
Ronald W Riegelhaupt N
Sean D O'Connor, MD, SC N
Sharon L Horton, MD, PC N
Shelly L Betman, MD, SC N
Steven J Stryker, MD, SC N
Suburban Neurology Group, LLC N
Surgery Group, SC N
Thakkar, SC N
Timothy C Hain, MD, PC N
Valley Emergency Care Management, Inc. N
West Suburban Dermatology & Cosmetic Surgery N
Wheaton Eye Clinic, LTD N
Wheaton Orthopaedics, LTD N

ACO governing body:

Member Member's Voting Power (Expressed as a percentage or number) Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Burandt Steven DO/Chair 1 Physician Representative Central DuPage Physician Group
Armbrust Steve MD/Voting Member 1 Physician Representative Armbrust 7, LLC
Amstadt Christine DO/Voting Member 1 Physician Representative Central DuPage Physician Group
Vaikutis John DO/Voting Member 1 Physician Representative Central DuPage Physician Group
Ambler Doug MD/Voting Member 1 Physician Representative Central DuPage Physician Group
Larson Michael Voting Member 1 Medicare Beneficiary Representative N/A
Walsh Brian Voting Member 1 System Representative Central DuPage Hospital Association
Aagaard Jon MD/Voting Member 1 Physician Representative Aagaard 5, LLC
Roemer Phillip MD/Voting Member 1 Physician Representative Northwestern Medical Faculty Foundation

Key ACO clinical and administrative leadership:

ACO Executive Brian Walsh
Medical Director Doug Ambler
Compliance Officer Justine Dover
Quality Assurance/Improvement Officer Bushra Khan

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Physician and Patient Engagement Committee Dr. Doug Ambler, Medical Director
Quality Improvement Committee Bushra Khan, Director of Quality

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Hospital employing ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2020, $0
    • Performance Year 2019, $0
    • Performance Year 2018, $0
  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $0
    • Performance Year 2015, $0

    Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2020
      • 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 2019
      • 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 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • 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: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2015
      • 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

    2020 Quality Performance Results:

    CMS waived the CAHPS for ACOs reporting requirement for Performance Year 2020 and will assign all ACOs automatic credit for each of the CAHPS survey measures within the patient/caregiver experience domain (85 FR 84472).

    ACO # Measure Name Rate ACO Mean
    ACO-8 Risk Standardized, All Condition Readmission 14.38 15.07
    ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 51.52 49.50
    ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 0.77 0.95
    ACO-13 Falls: Screening for Future Fall Risk 97.77 84.97
    ACO-14 Preventive Care and Screening: Influenza Immunization 91.64 76.03
    ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 87.88 84.21
    ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 76.92 71.46
    ACO-19 Colorectal Cancer Screening 77.95 72.59
    ACO-20 Breast Cancer Screening 77.29 74.05
    ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.97 83.37
    ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 8.12 14.70
    ACO-28 Controlling High Blood Pressure 73.33 72.87

    Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

    For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.