ACO Name and Location

Physician Health Partners ACO
1125 17th Street, Suite 1000
Denver, CO 80222

ACO Primary Contact

Glenn Smith
720-612-6700

Media Contact

Abby Brookover
720-612-6600

ACO Participants

PHP ACO participants include physicians from both strategic partner IPAs, Primary Physician Partners and South Metro Primary Care, representing more than 60 medical practices. We also have a large representation of participants on the PHP Board of Directors, as denoted in their individual bios.

No participants are involved in a joint venture between ACO professionals and hospitals.

ACO Governing Body

The PHP Board of Directors also serves as the PHP ACO Governing Body. Beneficiary engagement is maintained through the Patient Advisory Committee as outlined in the ACO organizational chart via the link below.

ACO Committees and Key ACO Clinical and Administrative Leadership Personnel

Click here to view the PHP ACO organizational chart, which shows the structure of our ACO leadership and committees.

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.

Types of ACO Participants, or Combinations of Participants that Formed the ACO

Effective January 2014, Physician Health Partners (PHP), along with its strategic partner Independent Practice Associations (IPAs), became 1 of 123 new Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program established by the Centers for Medicare & Medicaid Services (CMS). These IPAs are comprised of a network of individual practices of ACO professionals.

In January 2012, PHP and its affiliated primary care physicians began as an ACO through the CMS Innovation Center Pioneer ACO model. As one in a diverse group of leading-edge health care organizations from around the country, PHP was chosen specifically by CMS to test the effectiveness of several payment models to help health care providers make a rapid transition to higher quality care at a lower cost to Medicare. The Shared Savings Program is a different Medicare ACO program that bears less financial risk for the ACO, while still offering more services to patients.

The goals remain the same – to improve the patient care experience and outcomes while lowering associated costs.

ACOs will continue to be evaluated by CMS on 33 quality performance measures in the areas of patient and caregiver experience of care, care coordination and patient safety, appropriate use of preventive health services, and improved care for at-risk populations. PHP and its participating providers will continue to collaborate with hospital systems, like-minded specialists and community resources to achieve these goals. Any savings achieved through improving care coordination and providing appropriate, safe and timely care will be shared with Medicare. 

As a participating ACO, we will provide care for more than 31,821 Medicare fee-for-service beneficiaries in the Denver metro area. With PHP’s proven track record of effectively coordinating the quality and cost of care for Medicare patients, we are hopeful we can make even greater strides toward improved outcomes through participation in the Shared Savings Program. 

For more information about the Medicare Shared Savings Program, click here.

PHP ACO Performance

Physician Health Partners began participation as a Medicare Shared Savings Program ACO on January 1, 2014.

Aggregate Amount of Shared Savings/Losses

Physician Health Partners’ participation as a Medicare Shared Savings Program ACO began January 1, 2014.

  • Performance Year 1: Not in operations
  • 2014: $0 Shared Savings/Losses
  • 2015: $0 Shared Savings/Losses

How Shared Savings Are Distributed

Quality Performance Results

Measure numberPerformance measure2015 reporting period
ACO performance rateMean performance
rate (SSP ACOs)
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information  81.31 80.61
ACO-2 CAHPS: How Well Your Providers Communicate  91.80 92.65
ACO-3 CAHPS: Patients’ Rating of Provider  91.17 91.94
ACO-4 CAHPS: Access to Specialists  85.93 83.61
ACO-5 CAHPS: Health Promotion and Education 56.59 59.06
ACO-6 CAHPS: Shared Decision Making  76.96 75.17
ACO-7 CAHPS: Health Status/Functional Status  72.87 72.30
ACO-34 CAHPS: Stewardship of Patient Resources  29.98 26.87
ACO-8 [3] Risk Standardized, All Condition Readmission 13.10 14.86
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 15.95 18.07
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 38.20 54.60
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 50.41 76.96
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 42.10 62.92
ACO-9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 0.39 1.11
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 0.86 1.04
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 53.80% 76.22%
ACO-39 Documentation of Current Medications in the Medical Record 81.18% 84.07%
ACO-13 Falls: Screening for Future Fall Risk  30.52% 56.46%
ACO-14 Preventive Care and Screening: Influenza Immunization 68.94% 62.03%
ACO-15 Pneumonia Vaccination Status for Older Adults 72.07% 63.73%
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 71.86% 71.15%
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97.24% 90.16%
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 21.70% 45.25%
ACO-19 Colorectal Cancer Screening 52.60% 60.06%
ACO-20 Breast Cancer Screening 64.56% 65.67%
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented  47.92% 70.04%
ACO-40 Depression Remission at Twelve Months 12.50% 6.11%
Diabetes Composite Diabetes Composite (All or Nothing Scoring) 41.98% 35.38%
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control  11.11% 20.38%
ACO-41 Diabetes: Eye Exam 45.37% 41.05%
ACO-28 Hypertension: Controlling High Blood Pressure  75.99% 69.62%
ACO-30 Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic 80.70% 83.82%
ACO-31 Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 85.88% 87.22%
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 74.88% 77.73%

Measure numberPerformance measure2012 reporting period2013 reporting period2014 reporting period
ACO performance rateMean performance
rate for all ACOs
ACO performance rateMean performance
rate for all ACOs
ACO performance rateMean performance
rate for all ACOs
ACO #1 Getting Timely Care, Appointments, and Information (ACO-1) not in operations not in operations not in operations not in operations 82.96% 80.13%
ACO #2 How Well Your Doctors Communicate (ACO-2) not in operations not in operations not in operations not in operations 93.18% 92.39%
ACO #3 Patients’ Rating of Doctor (ACO-3) not in operations not in operations not in operations not in operations 92.36% 91.58%
ACO #4 Access to Specialists (ACO-4) not in operations not in operations not in operations not in operations 84.59% 83.97%
ACO #5 Health Promotion and Education (ACO-5) not in operations not in operations not in operations not in operations 53.66% 58.29%
ACO #6 Shared Decision Making (ACO-6) not in operations not in operations not in operations not in operations 74.98% 74.60%
ACO #7 Health Status/Functional Status (ACO-7) not in operations not in operations not in operations not in operations 71.56% 71.10%
ACO #8 Risk Standardized, All Condition Readmissions (ACO-8) * not in operations not in operations not in operations not in operations 13.22% 15.15%
ACO #9 ASC Admissions: COPD or Asthma in Older Adults (ACO-9) * not in operations not in operations not in operations not in operations 0.39% 1.08%
ACO #10 ASC Admission: HF (ACO-10) * not in operations not in operations not in operations not in operations 0.82% 1.19%
ACO #11 Percent of PCPs who Qualified for EHR Incentive Payment (ACO-11) not in operations not in operations not in operations not in operations 73.18% 76.71%
ACO #12 Medication Reconciliation (ACO-12) not in operations not in operations not in operations not in operations 92.29% 82.61%
ACO #13 Falls: Screening for Fall Risk (ACO-13) not in operations not in operations not in operations not in operations 37.01% 45.60%
ACO #14 Influenza Immunization (ACO-14) not in operations not in operations not in operations not in operations 66.99% 57.51%
ACO #15 Pneumococcal Vaccination (ACO-15) not in operations not in operations not in operations not in operations 69.18% 55.03%
ACO #16 Adult Weight Screening and Follow-up (ACO-16) not in operations not in operations not in operations not in operations 90.09% 66.75%
ACO #17 Tobacco Use Assessment and Cessation Intervention (ACO-17) not in operations not in operations not in operations not in operations 96.94% 86.79%
ACO #18 Depression Screening (ACO-18) not in operations not in operations not in operations not in operations 23.00% 39.27%
ACO #19 Colorectal Cancer Screening (ACO-19) not in operations not in operations not in operations not in operations 59.83% 56.14%
ACO #20 Mammography Screening (ACO-20) not in operations not in operations not in operations not in operations 67.80% 61.41%
ACO #21 Proportion of Adults who had blood pressure screened in past 2 years (ACO-21) not in operations not in operations not in operations not in operations 85.77% 60.24%
ACO #22 Hemoglobin A1c Control (HbA1c) (<8 percent) (ACO-22) not in operations not in operations not in operations not in operations 69.87% N/A
ACO #23 Low Density Lipoprotein (LDL) (< 100 mg/dL) (ACO-23) not in operations not in operations not in operations not in operations N/A N/A
ACO #24 Blood Pressure (BP) < 140/90 (ACO-24) not in operations not in operations not in operations not in operations 80.75% N/A
ACO #25 Tobacco Non-Use (ACO-25) not in operations not in operations not in operations not in operations 86.82% N/A
ACO #26 Aspirin Use (ACO-26) not in operations not in operations not in operations not in operations 89.58% N/A
ACO #27 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) (ACO-27) * not in operations not in operations not in operations not in operations 18.45% 20.35%
ACO #28 Percent of beneficiaries with hypertension whose BP < 140/90 (ACO-28) not in operations not in operations not in operations not in operations 79.28% 68.02%
ACO #29 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl  (ACO-29) not in operations not in operations not in operations not in operations N/A N/A
ACO #30 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic (ACO-30) not in operations not in operations not in operations not in operations 91.34% 80.79%
ACO #31 Beta-Blocker Therapy for LVSD (ACO-31) not in operations not in operations not in operations not in operations 90.60% 82.71%
ACO #32 Drug Therapy for Lowering LDL-Cholesterol (ACO-32) not in operations not in operations not in operations not in operations N/A N/A
ACO #33 (ACE) Inhibitor or (ARB) Therapy for Patients with CAD and Diabetes and/or (LVSD) (ACO-33) not in operations not in operations not in operations not in operations 78.21% N/A

* For ACO-8, ACO-9, ACO-10, and ACO-27, a lower performance rate indicates better performance.