Shared savings program

ACO name and location

ProHealth Solutions, LLC
N17W24100 Riverwood Drive
Waukesha, WI 53118

ACO primary contact

Peter Bacon
262-696-0475
peter.bacon@phci.org

Organizational information

ACO participants:

ACO participant name

ACO participant in joint venture (Y/N)

Allergy Research & Care, SC

N

Alliance ENT and Hearing Center, SC

N

Anex, SC

N

Anthony Hoang, MD, SC

N

Apogee Medical Group Waukesha, SC

N

Central Otologic, LTD

N

CJ Hussussian, MD, SC

N

Doenier Family Medicine, SC

N

D Strong, Inc

N

Emergency Medical Associates, LLP

N

Foot and Ankle Associates of WI, LTD

N

Gastroenterology Specialists, SC

N

Infectious Disease Specialists of SE WI, SC

N

Jane Neumann, MD

N

Lake Country Emergency Physicians

N

Lake Country Pediatrics, SC

N

Lake Country Plastic and Hand Surgery, SC

N

Maple Medical, SC

N

Mary M Milbrath, MD, SC

N

Medical Eye Associates, SC

N

Midwest Nephrology Associates, SC

N

Milwaukee GI Specialists, SC

N

Moreland Ear Nose & Throat Group, LTD

N

Moreland OB-GYN Associates, SC

N

Nephrology Associates, SC

N

Nezih Z. Hasanoglu, DO, SC

N

Orthopaedic Associates of Wisconsin, SC

N

Padmaja Doniparthi, MD, SC

N

Paul B. Doenier, MD, SC

N

Philip M. Marden, MD, SC

N

Post Acute Care Specialists LLC

N

Professional Pain Management, SC

N

ProHealth Medical Group, Inc

N

Radiology Waukesha, SC

N

Richard Neils, MD

N

Timothy G. McAvoy, MD, SC

N

Thomas G. Korkos, MD, SC

N

Urology Associates, LTD, SC

N

Waukesha Surgical Specialists, SC

N

West Suburban Ctr For Arthritis

N

Womens Health Care, SC

N

ACO governing body:

Last name

First name

Title or position

Voting power

Membership type

ACO participant legal business name

Davies

Chris

Chairperson

9%

ACO participant representative

Waukesha Surgical Specialists, SC

Dallmann-Papke

Vicki

Vice chairperson

9%

ACO participant representative

ProHealth Medical Group, Inc

Edwards

Susan

President

9%

ACO participant representative

ProHealth Medical Group, Inc

Papandrea

Rick

Vice president

9%

ACO participant representative

Orthopaedic Associates of Wisconsin, SC

Comiskey

Ellen

Secretary

9%

ACO participant representative

Moreland OB-GYN Associates, SC

Bacon

Peter

Board member

9%

ACO participant representative

ProHealth Medical Group, Inc

Baer

Mary

Medicare beneficiary representative and consumer advocate

0%

Medicare beneficiary representative

N/A

Biebel

Matthew

Board member

9%

Other

N/A

Gutierrez

Andy

Treasurer

9%

ACO participant representative

ProHealth Medical Group, Inc

Price

Ken

Board member

9%

ACO participant representative

ProHealth Medical Group, Inc

Treichel

Brad

Board member

9%

ACO participant representative

ProHealth Medical Group, Inc

Westlake

Tim

Board member

9%

ACO participant representative

Lake Country Emergency Physicians

Key ACO clinical and administrative leadership:

ACO executive: Peter Bacon

Medical director: Arthur Coffey

Compliance officer: Lynn Wojnowski

Quality assurance and improvement officer: Vicki Dallmann-Papke


Associated committees and committee leadership:

Committee name

Committee leader name and position

ProHealth Solutions Board of Managers

Chris Davies, chairperson

ProHealth Solutions Finance

Andy Gutierrez, chairperson

Types of ACO participants or combinations of participants that formed the ACO:

ACO professionals in group practice arrangements

Shared savings and losses

Amount of shared savings and losses:

  • Second agreement period
    • Performance year: N/A

  • First agreement period
    • Performance year: N/A

Shared savings distribution:

  • Second agreement period
    • Performance year: N/A
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes and resources: N/A
      • Proportion of distribution to ACO participants: N/A

  • First agreement period
    • Performance year: N/A
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes and resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality performance results

2021 quality performance results:

Our ACO did not participate in the Shared Savings Program in the 2021 performance year, therefore this section is not applicable at this time.

For previous years’ financial and quality performance results, please visit data.cms.gov.

Payment rule waivers

Skilled nursing facility 3-day rule waiver: Yes

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