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 ParticipantsACO Participant in Joint Venture
Dean Health Systems Inc.N
Agnesian Healthcare Inc.N
The Monroe Clinic Inc.N
Wildwood Family Clinic SCN

ACO Governing Body

Member First NameMember Last NameMember Title/PositionMember's Voting Power (Expressed as as a Percentage)Membership TypeACO Participant Legal Business Name, if Applicable
BrentMeier, MDVoting Member & Chair14.3%OtherN/A
MikeDreesVoting Member14.3%ACO Participant RepresentativeAgnesian Healthcare Inc.
DarrenPipp, MDVoting Member14.3%ACO Participant RepresentativeThe Monroe Clinic Inc.
GhulamMurtaza, MDVoting Member14.3%ACO Participant RepresentativeDean Medical Group
FrankByrne, MDVoting Member14.3%Medicare Beneficiary RepresentativeN/A
PaulaHardgrove, MDVoting Member14.3%ACO Participant RepresentativeDean Health Systems Inc.
Sheryl GreenVoting Member14.3%ACO Participant RepresentativeWildwood 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 NameCommittee Leader Name and Position
Finance CommitteeMatt Kinsella, CFO, Regional Vice President of Finance
Quality Initiatives and Improvement CommitteeMichelle Walker, Value Based Contracts Director, Quality Assurance/Improvement Officer
Compliance CommitteeAngela 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%

Quality Performance Results

2022 Quality Performance Results

Measure #Measure NameCollection TypeRateACO Mean
001Diabetes: Hemoglobin A1C (HbA1c) Poor ControlCMS Web Interface9.0210.71
134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface84.7876.97
236Controlling High Blood PressureCMS Web Interface75.6076.16
318Falls: Screening for Future Fall RiskCMS Web Interface92.9587.83
110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface84.3077.34
226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface87.1879.27
113Colorectal Cancer ScreeningCMS Web Interface85.1975.32
112Breast Cancer ScreeningCMS Web Interface85.8178.07
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface90.9186.37
370Depression Remission at Twelve MonthsCMS Web Interface28.5716.03
321CAHPS for MIPSCAHPS for MIPS SurveyN/AN/A
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsAdministrative Claims0.14380.1510
484Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic ConditionsAdministrative Claims35.2830.97

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.

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