Important letters are mailed to medicare beneficiaries.

Attention Medicare Beneficiaries:

If you received a letter in the mail from CoxHealth Accountable Care with a Buffalo Grove, Ill., return address, please do not disregard this letter. This letter contains important information about benefits you may receive. Please note that both CoxHealth and the mailing vendor comply with all federal HIPAA laws and your information will be kept private.

What is the CoxHealth Next Generation Accountable Care Organization? 

A Next Generation Accountable Care Organization (ACO) is a type of ACO model implemented through the Centers for Medicare and Medicaid Services’s (CMS's) Innovation Center. ACOs are groups of doctors, hospitals, and other health care providers that come together to provide coordinated, high quality care to their Medicare Fee-for-Service beneficiaries. Coordinated care helps ensure beneficiaries, especially the chronically ill or those who are hospitalized, get the right care at the right time, and avoid unneeded duplication of services such as lab tests and x-rays. The Next Generation Model offers different methodologies and financial arrangements with higher levels of risk and reward than current Medicare ACO initiatives. Please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227 (TTY users should call 1-877-486-2048)) for questions or additional information about Next Generation Accountable Care Organizations.


Participating & Preferred Providers

downloadSee a List of our Providers

ACO Participants & Preferred Provider Joint Ventures 

CoxHealth is currently reviewing joint ventures with Next Generation Participants and Preferred Providers. As of 1/31/2018, there are no joint ventures.

Key Clinical & Administrative Leadership

David Raney, VP CoxHealth Network and Business Development
Tracy Mitchell, MSHS, RN, CPHQ System Administrative Director, Population Health
Timothy Jones, MD, Charmian, CoxHealth Joint Operations Committee
Bryan Finke, MD, Medical Director CoxHealth Accountable Care

ACO Governing Body

Bryan Finke, MD, CoxHealth Tim Jones, DO, CoxHealth
Julia Flax, MD, CoxHealth Shawn Usery, MD, CoxHealth
Frank Romero, MD, CoxHealth Jerry Jared, CoxHealth
Norm Mechlin, MD, CoxHealth Piper Schulte, CoxHealth
Louis Krenn, MD, CoxHealth Jake McWay, CoxHealth
James Ceaser, MD, CoxHealth David Raney, CoxHealth

Shared Savings & Losses

The ACO’s governing board will determine a methodology for the sharing of savings if and when any gains are achieved. CoxHealth Accountable Care has not received any Shared Savings payments to date. If we are able to receive any financial gains from this ACO initiative in the future, these gains would be used to cover the costs that we have already incurred and to support ongoing healthcare delivery. 

Aggregate Amount of Shared Savings/Losses
Aggregate Amount of Shared Savings/Losses Shared savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs of beneficiaries:
Aggregate Amount of Shared Savings/Losses Performance Year 1 (2018) TBD
Aggregate Amount of Shared Savings/Losses Performance Year 2 (2019) TBD
Aggregate Amount of Shared Savings/Losses Performance Year 3 (2020) TBD
How Shared Savings are Distributed
How Shared Savings are Distributed Shared Savings distributed to Next Generation Participants and Preferred Providers:
How Shared Savings are Distributed Performance Year 1 (2018) TBD
How Shared Savings are Distributed Performance Year 2 (2019) TBD
How Shared Savings are Distributed Performance Year 3 (2020) TBD

Quality Performance Results

Measure Description 2108 Results
Measure ACO-1 Description CAHPS: Getting Timely Care, Appointments, and Information 2108 Results TBD
Measure ACO-2 Description CAHPS: How Well Your Providers Communicate 2108 Results TBD
Measure ACO-3 Description CAHPS: Patients’ Rating of Provider 2108 Results TBD
Measure ACO-4 Description CAHPS: Access to Specialists 2108 Results TBD
Measure ACO-5 Description CAHPS: Health Promotion and Education 2108 Results TBD
Measure ACO-6 Description CAHPS: Shared Decision Making 2108 Results TBD
Measure ACO-7 Description CAHPS: Health Status/Functional Status 2108 Results TBD
Measure ACO-34 Description CAHPS: Stewardship of Patient Resources 2108 Results TBD
Measure ACO-8 Description Risk-Standardized, All Condition Readmission 2108 Results TBD
Measure ACO-35 Description Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 2108 Results TBD
Measure ACO-36 Description All-Cause Unplanned Admissions for Patients with Diabetes 2108 Results TBD
Measure ACO-37 Description All-Cause Unplanned Admissions for Patients with Heart Failure 2108 Results TBD
Measure ACO-38 Description Chronic Conditions 2108 Results TBD
Measure ACO-43 Description Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 2108 Results TBD
Measure ACO-12 Description Medication Reconciliation Post-Discharge 2108 Results TBD
Measure ACO-13 Description Falls: Screening for Future Fall Risk 2108 Results TBD
Measure ACO-44 Description Use of Imaging Studies for Low Back Pain 2108 Results TBD
Measure ACO-14 Description Preventive Care and Screening: Influenza Immunization 2108 Results TBD
Measure ACO-15 Description Pneumonia Vaccination Status for Older Adults 2108 Results TBD
Measure ACO-16 Description Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 2108 Results TBD
Measure ACO-17 Description Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 2108 Results TBD
Measure ACO-18 Description Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 2108 Results TBD
Measure ACO-19 Description Colorectal Cancer Screening 2108 Results TBD
Measure ACO-20 Description Breast Cancer Screening 2108 Results TBD
Measure ACO-42 Description Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 2108 Results TBD
Measure ACO-40 Description Depression Remission at Twelve Months 2108 Results TBD
Measure Diabetes Composite ACO-27 and- 41 Description ACO - 27: Hemoglobin A1c Poor Control ACO - 41: Diabetes—Eye Exam 2108 Results TBD
Measure ACO-28 Description Hypertension (HTN): Controlling High Blood Pressure 2108 Results TBD
Measure ACO-30 Description Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 2108 Results TBD