ACO Public Reporting Information for Wisconsin
ACO Name & Location
SSM WI ACO, LLC
1808 W Beltline Hwy
Madison, WI 53589
ACO Primary Contact
Michelle Walker
608-280-4495
Email: michelle.walker@ssmhealth.com
Organizational Information
ACO Participants
| ACO Participants | ACO Participant in Joint Venture |
| Dean Health Systems Inc. | N |
| Agnesian Healthcare Inc. | N |
| The Monroe Clinic Inc. | N |
| Wildwood Family Clinic SC | N |
ACO Governing Body
| Member First Name | Member Last Name | Member Title/Position | Member's Voting Power (Expressed as as a Percentage) | Membership Type | ACO Participant Legal Business Name, if Applicable |
| Brent | Meier, MD | Voting Member & Chair | 14.3% | Other | N/A |
| Mike | Drees | Voting Member | 14.3% | ACO Participant Representative | Agnesian Healthcare Inc. |
| Darren | Pipp, MD | Voting Member | 14.3% | ACO Participant Representative | The Monroe Clinic Inc. |
| Ghulam | Murtaza, MD | Voting Member | 14.3% | ACO Participant Representative | Dean Medical Group |
| Frank | Byrne, MD | Voting Member | 14.3% | Medicare Beneficiary Representative | N/A |
| Paula | Hardgrove, MD | Voting Member | 14.3% | ACO Participant Representative | Dean Health Systems Inc. |
| Sheryl | Green | Voting Member | 14.3% | ACO Participant Representative | Wildwood Family Clinic SC |
Key ACO Clinical & Administrative Leadership Personnel
- ACO Executive: Brent Meier, MD
- Medical Director: Brent Meier, MD
- Compliance Officer: Angela Distler, RN, BSN, CHC
- Quality Assurance/Improvement Officer: Michelle Walker, MSN, RN
Associated Committees and Committee Leadership
| Committee Name | Committee Leader Name and Position |
| Finance Committee | Matt Kinsella, CFO, Regional Vice President of Finance |
| Quality Initiatives and Improvement Committee | Michelle Walker, Value Based Contracts Director, Quality Assurance/Improvement Officer |
| Compliance Committee | Angela Distler, RN, BSN, CHC, Director Corporate Responsibility, Compliance Officer |
Types of ACO Participants, or Combinations of Participants, that Formed the ACO:
- Partnerships or joint venture arrangements between hospitals and ACO professionals
- ACO in a group practice arrangement
Shared Savings and Losses
Amount of Shared Savings / Losses:
- First Agreement Period
- Performance Year 2022, $5,030,630.23
Shared Savings Distribution:
- First Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 15%
- Proportion of distribution to ACO participants: 70%
- Performance Year 2022
Quality Performance Results
2022 Quality Performance Results
| Measure # | Measure Name | Collection Type | Rate | ACO Mean |
| 001 | Diabetes: Hemoglobin A1C (HbA1c) Poor Control | CMS Web Interface | 9.02 | 10.71 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 84.78 | 76.97 |
| 236 | Controlling High Blood Pressure | CMS Web Interface | 75.60 | 76.16 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 92.95 | 87.83 |
| 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 84.30 | 77.34 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 87.18 | 79.27 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 85.19 | 75.32 |
| 112 | Breast Cancer Screening | CMS Web Interface | 85.81 | 78.07 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 90.91 | 86.37 |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | 28.57 | 16.03 |
| 321 | CAHPS for MIPS | CAHPS for MIPS Survey | N/A | N/A |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.1438 | 0.1510 |
| 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions | Administrative Claims | 35.28 | 30.97 |
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.
Payment Rule Waivers
- Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to pursuant to 42 CFR §425.612.
- Waiver for Payment for Telehealth Services:
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.