Loyola Physician Partners
Loyola University Health System has formed a clinically integrated network, which is a physician-led effort where participants collaborate on value-based contracts. These contracts reward the network based on performance on quality and utilization goals. Our integrated network, Loyola Physician Partners (LPP), is a limited liability company with more than 1,000 participants. Together, we form a network that includes a major academic medical center, community hospitals, home health agencies, inpatient rehabilitation facilities, skilled nursing facilities, and community agencies. This collaboration allows our primary care physicians and specialists—both employed and independent—to respond to new health reforms by working together on the Triple Aim. We refer to this effort as Better Care, Better Quality, and Lower Overall Cost of Care.
Together, we participate in activities that will position our network for success under new payment and care models and seek payor partnerships and incentives that align with our goals of improving the overall health of our patient population. Some of the ways we strive to achieve the Triple Aim include the use of evidence-based medicine, ensuring that our patients receive timely care in the most appropriate setting, providing personalized care coordination across the continuum, and forging preferred provider relationships with others who share our goals.
Care Coordination Services
Our care coordination team manages the care of the patient across the continuum of care settings. This includes inpatient, outpatient, post-acute and home-based care. Our team consists of registered nurses (RNs) , licensed clinical social workers (LCSWs), and pharmacists who work closely with patients to develop a comprehensive care plan that focuses on managing complex and/or chronic health needs. Attention is centered on providing comprehensive and individualized access to physical health, behavioral health and community and social services to ensure that the patient receives appropriate care.
Our team empowers patients, their families and their caregivers to be active participants in their care through patient-friendly education and informed shared decision-making that is based on cooperation, trust and respect for each individual’s healthcare knowledge and health literacy, values, beliefs and cultural background.
Loyola Physician Partners (LPP) is committed to excellence in patient care. We believe that thoughtful stewardship, learning and constant reflection on experience improve all we do as we strive to provide high-quality healthcare. We believe in God’s presence in all our work. Through our care, concern, respect and cooperation, we demonstrate this belief to our patients and families and each other. To fulfill our mission we foster an environment that encourages innovation, embraces diversity, respects life, and values human dignity. We are committed to going beyond the treatment of disease. We also treat the human spirit.®
Loyola Physician Partners Board
- Chairman of the Board – Paul Prinz, MD, Special Care Orthopaedics & Hand Surgery LTD
- President – Keith Veselik, MD, vice president and chief medical officer, LUHS, Population Health, and president, Loyola Physician Partners
- Treasurer – Ellyn Chin, vice president, Payor Strategies and Contracting, Loyola University Health System
- Secretary – Meghan Kieffer, associate counsel, Trinity Health
- Joseph Abraham, MD , Mercy Quality Health Partners
- Charles Bower, MD , Mercy Quality Health Partners
- Mark Cichon, DO, emergency medical services, Loyola University Medical Center
- David Hecht, MD, executive vice president of clinical affairs, Loyola University Medical Center
- Charles Lawler, MD, Mercy Quality Health Partners
- John Morgan, community representative
- Dilip Patel, MD, Gottlieb Memorial Hospital
- Blaine Petersen, executive vice president and chief financial officer, Loyola University Health System
- Dan Post, executive vice president, network development and system integration, Loyola University Medical Center
- Lori Price, FACHE, MSA, RN, president, Gottlieb Memorial Hospital
- Murali Rao, MD, Loyola University Medical Center
- Rodney Schainis, Gottlieb Memorial Hospital
- Carol Schneider, president, Mercy Hospital and Medical Center
- Anita Varkey, MD, associate chief medical officer for primary care, Loyola University Medical Center
- Chad Whelan, MD, president, Loyola University Medical Center
- Quality and Care Management Committee – Keith Veselik, MD, chair
- Credentialing and Standards Committee – Rodney Schainis, MD, chair
- Finance Committee – Ellyn Chin, chair
- Compliance Committee – John Hart, chair
Accountable Care Organization (ACO)
Loyola University Health System is a member of Trinity Health, a national Catholic healthcare system. Loyola Physician Partners is one of five Trinity Health organizations participating in the Center for Medicare & Medicaid Innovation (CMMI) new accountable care organization model called the Next Generation ACO Model (NGACO Model), advancing the Administration’s health-care system goals and building on experience from the Pioneer ACO Model and the Medicare Shared Savings Program.
Through this new model, CMS partners with Trinity Health and other ACOs that are experienced in coordinating care for populations of patients, and whose provider groups are ready to assume higher levels of financial risk and reward. This is in accordance with the Department of Health and Human Services’ goal of tying 30 percent of traditional, or fee-for-service, Medicare payments to alternative payment models, such as ACOs, by the end of 2016, and tying 50 percent of payments to these models by the end of 2018.
Accountable Care Entities (ACE) (formerly Loyola Family Care)
Our ACE program, formerly known as Loyola Family Care, has joined Molina Healthcare of Illinois. As of January 1, 2016, members who were enrolled in Loyola Family Care program will be transitioned to Molina Healthcare of Illinois. Loyola Physician Partners and Molina Healthcare are collaborating to provide services to our Cook County Medicaid patients. Molina Healthcare is a managed care organization whose mission is to provide quality health services to financially vulnerable families and individuals covered by government programs. Learn more about Molina Healthcare.
Will and DuPage County members may have received an enrollment packet from the Illinois Department of Healthcare and Family Services requiring enrollment in a new Health Plan. Members who want to continue to see a Loyola Physician Partners physician will need to contact the state’s Illinois Client Enrollment Services at 877-912-8880 (TTY: 866-565-8576) and ask about health plan choices that include Loyola Physician Partners physicians.
2160 South First Ave.
Maywood, IL 60153
For more information, please contact:
Executive director, Clinical Integration Network
Program manager, Population Health