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 

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

Bruce Brown

N

Central Otologic, LTD

N

CJ Hussussian, MD, SC

N

D Strong, Inc 

N

Doenier Family Medicine, SC

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

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 Care Medical Associates, Inc.

N

Radiology Waukesha, SC

N

Richard Neils

N

Thomas G Korkos, MD, SC 

N

Timothy G McAvoy, 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:

Member first name

Member last name

Member title or position

Member's voting power (expressed as a percentage)

Membership type

ACO participant legal business name, if applicable

Chris

Davies

Chairperson

9%

ACO participant representative

Waukesha Surgical Specialists, SC

Vicki

Dallmann-Papke

Vice chairperson

9%

ACO participant representative

ProHealth Care Medical Associates, Inc.

Susan

Edwards

President

9%

ACO participant representative

ProHealth Care Medical Associates, Inc.

Rick

Papandrea

Vice president

9%

ACO participant representative

Orthopaedic Associates of Wisconsin, SC

Ellen

Comiskey

Secretary

9%

ACO participant representative

Moreland OB-GYN Associates, SC

Peter

Bacon

Board member

9%

ACO participant representative

ProHealth Care Medical Associates, Inc.

Mary

Baer

Medicare beneficiary representative and consumer advocate

0%

Medicare beneficiary representative

N/A

Matt

Biebel

Board member

9%

Other

N/A

Andy

Gutierrez

Treasurer

9%

ACO participant representative

ProHealth Care Medical Associates, Inc.

Ken

Price

Board member

9%

ACO participant representative

ProHealth Care Medical Associates, Inc.

Brad

Treichel

Board member

9%

ACO participant representative

ProHealth Care Medical Associates, Inc.

Tim

Westlake

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 (SNF) 3-day rule waiver: Yes

Our ACO uses the SNF 3-Day rule waiver, pursuant to 42 CFR § 425.612

Upcoming events

Quick Access Links