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NorthShore Physician Associates Value Based Care, LLC.

Welcome to NorthShore Physician Associates Value Based Care, LLC.,
an Accountable Care Organization
NorthShore Physician Associates Value Based Care (NPA VBC) is an Accountable Care Organization (ACO) that was formed as a wholly owned subsidiary of NorthShore Physician Associates (NPA). The NPA is the population health oversight and operational vehicle for the broader NorthShore University HealthSystem (NorthShore).

NorthShore Physician Associates Value Based Care's Mission is to drive the highest level of value for the patients of our community through clinically integrated care. More specifically, the mission is to develop and deliver care delivery models for the patients we serve that result in:
  • Equitable quality of care and health outcomes
  • Efficient and cost-effective care
  • High levels of engagement between NorthShore University HealthSystem and its physician partners
What is an ACO?
An Accountable Care Organization (ACO) is a group of doctors and other healthcare providers who agree to work together with Medicare to give you the best possible care. ACOs may take different approaches to giving you coordinated care. Some ACOs may have special nurses that help you set up appointments or make sure your medications are in order when you enter or leave a hospital. Other ACOs may help your doctors get you equipment for monitoring your medical conditions better at home, if you need it. Most ACOs use advanced systems that let them more carefully coordinate your care, and make sure your doctor has the most up-to-date information about your health.

The goal of the ACO is to support your doctor in caring for you by making sure they have the most up-to-date information about your health and your care. For you, this means your doctors communicate better with each other, and you avoid having duplicate tests or answering the same questions over and over. Working together, your doctors can do more to follow your health, make sure you get the best possible care, and may hire additional staff to help meet your unique care needs, depending on what works best for you.

Doctors and other healthcare providers choose to participate in an ACO because they're committed to providing you with a better care experience. They may also be financially rewarded for offering you better, more coordinated care. If your doctor chooses to participate in an ACO, you'll see a poster with information displayed in the office or hospital.

An ACO isn't a Medicare Advantage Plan or Health Maintenance Organization (HMO). You're still in Original Medicare, and your Medicare benefits, services, rights and protections won't change. And you still have the right to use any doctor or hospital that accepts Medicare at any time, the same way you do now.
ACO Name and Location
NorthShore Physician Associates Value Based Care, LLC
1301 Central Street
Suite 301
Evanston, Illinois 60201
ACO Primary Contact

Primary Contact Name

Diane Montanez

Primary Contact Phone Number

847-982-4103

Primary Contact Email Address

DMontanez@northshore.org


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).
Organizational Information
ACO Participants
ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)

Anuj Lal, MD, Ltd

N

C.J. Ireland, DO, SC

N

Covenant Medical Group, LLC

N

Deerfield Medical Associates, SC

N

Denenberg Medical, SC

N

Dangremond & Jaharis, LLC (DBA Winnetka Family Medicine)

N

Dr. Kathy Fisher, MD

N

Family Doctors of Round Lake, PC

N

Family Medical, Ltd (DBA Dr. Elena Edwards)

N

First Clinic, SC

N

Glen Medical Associates, SC

N

Gregory Kaczmarek, MD, LLC

N

Jack Morgan, MD

N

Joseph P. Wyse, MD, Ltd

N

Matthew Fischer, MD

N

Mohammad Siddiqui, MD, Ltd

N

NorthShore University HealthSystem

N

NorthShore University HealthSystem Faculty Practice Associates (DBA NorthShore Medical Group)

N

North Shore Associates in Gynecology and Obstetrics, SC

N

Robin Wind, MD, SC (DBA Wind Medical Group)

N

Sheilendr Khipple, MD

N

Stephen Kashian, MD

N

Vandana Jain, MD, SC

N

Winnetka Family Medicine

N

ACO Governing Body
MemberMember's Voting PowerMembership TypeACO Participant TIN Legal Business Name/DBA, if Applicable
Last NameFirst NameTitle/Position

Gutmann

Norman

NPA VBC Medical Director

1

ACO Participant Representative

NorthShore Medical Group

Murtos

Kristen

ACO Executive; Chief Administrative and Strategy Officer

1

ACO Participant Representative

NorthShore University HealthSystem

Fisk

Benjamin

NPA VBC Executive Director

1

Other

 

Halasyamani

Mahalakshmi

Chief Quality and Care Transformation Officer

1

ACO Participant Representative

NorthShore Medical Group

Weiss

Gary

Chief Financial Officer

1

ACO Participant Representative

NorthShore University HealthSystem

Boyle

Christopher

Utilization Management Physician Lead

1

ACO Participant Representative

NorthShore Medical Group

Chon

Chris

Affiliate Physician

1

ACO Participant Representative

First Clinic, SC

Denham

Ervin

Employed Physician

1

ACO Participant Representative

NorthShore Medical Group

Kaul

Karen

Clinical Chairman

1

ACO Participant Representative

NorthShore Medical Group

Revis

John

Employed Physician

1

ACO Participant Representative

NorthShore Medical Group

Wallman

Gregory

Affiliate Physician

1

ACO Participant Representative

Covenant Medical Group, LLC

MacGregor

Scott

Employed Physician

1

ACO Participant Representative

NorthShore Medical Group

Kirkorsky

Deborah

VP, Medical Group

1

ACO Participant Representative

NorthShore Medical Group

Grabowy

James

 

1

Medicare Beneficiary Representative

 

Hensing

Thomas

Associate Chief Quality Officer for Ambulatory Care

0

ACO Participant Representative

NorthShore Medical Group

Oshman

Lauren

Employed Physician

0

ACO Participant Representative

NorthShore Medical Group

Bauer

Tyler

VP, Medical Group

0

ACO Participant Representative

NorthShore Medical Group

Rahija

David

President, Skokie Hospital

0

ACO Participant Representative

NorthShore University HealthSystem

Smith

Steven

NPA VBC Information Technology Executive

0

Other

 

Jones

Harry

NPA VBC Compliance Officer

0

Other

 

Eminger

Tricia

NBA VBC Operations Executive

0

Other

 

Key ACO Clinical and Administrative Leadership

Kristen Murtos

ACO Executive

Norman Gutmann, MD

Medical Director

Harry Jones

Compliance Officer

Mahalakshmi Halasyamani, MD

Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership
Committee NameCommittee Leader Name and Position

Quality Committee

Mahalakshmi K. Halasyamani, MD, Chief Quality and Transformation Officer

Ambulatory Care Quality Council

Thomas A. Hensing, MD, Associate Chief Quality Officer for Ambulatory Care
Norman Gutmann, MD, NPA VBC Medical Director

Hospitals Quality Council

Gregory A. Wallman, DO, NPA VBC Participant & Board Member
Mahalakshmi K. Halasyamani, MD, Chief Quality and Transformation Officer
Mary Keegan, Chief Nursing Officer

Operations Committee

Benjamin Fisk, NPA VBC Executive Director

Finance Committee

Ervin Woody Denham, MD, ACO Participant

Compliance Committee

Harry Jones, NPA VBC Compliance Officer

Types of ACO Participants or Combinations of Participants that Formed the ACO
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
  • N/A
Shared Savings Distribution
  • N/A
Quality Performance Results
Our ACO did not participate in the Shared Savings Program in the previous performance year, therefore this section is not applicable at this time.
Payment Rule Waivers
  • No, our ACO does not use the SNF 3-Day Rule Waiver
 
ACO Participation Waiver Protection Arrangements

NorthShore University HealthSystem (NS), an ACO participant, has entered into agreements with certain primary care physician practices participating in the NorthShore Physician Associates Value Based Care ACO (NPA VBC) commencing on or after August 1, 2018, pursuant to which NS furnishes certain electronic medical record (EMR) and practice management software and support to primary care physicians in an effort to achieve a more consolidated EMR platform amongst the ACO participants. NPA VBC’s governing body made a bona fide determination that the furnishing of such EMR and practice management software and support will allow all ACO participating primary care physicians and the ACO to utilize an interconnected EMR, which are reasonably related to, and will continue to further, the purposes of the Medicare Shared Savings Program by:

  • Promoting accountability for the quality, cost, and overall care for Medicare beneficiaries;
  • Allowing for the managing and coordinating of care for Medicare fee-for service beneficiaries through the ACO; and
  • Encouraging investment in infrastructure and redesigned care processes for high quality and efficient service delivery for patients, including Medicare beneficiaries.