ACO Name and Location

Froedtert & the Medical College of Wisconsin ACO, LLC
8701 Watertown Plank Rd.
Milwaukee, WI 53226

ACO Primary Contact

Caitlin Dunn
Caitlin.Dunn@froedtert.com
414-805-9924

Organizational Information

  • ACO Participants
    • Froedtert & the Medical College of Wisconsin Community Physicians, Inc.
       
  • ACO Participant in Joint Venture
    • N
       
  • ACO Governing Body
     
  • Key ACO Clinical and Administrative Leadership:
    1. ACO Executive: Ian Schwartz, MD
    2. Medical Director: Mark Lodes, MD
    3. Compliance Officer: Nancy Schallert
    4. Quality Assurance/Improvement Officer: Mark Lodes, MD
       
  • Associated Committees and Committee Leadership:
    1. Clinical Integration Committee - Mark Lodes, MD, chair
    2. Finance & Operations Committee - Mark Lodes, MD, co-chair; Scott Hawig, co-chair
    3. Health Care Services Review Committee – Mark Lodes, MD, chair
       
  • Types of ACO participants or combinations of participants that formed the ACO:
    1. ACO professionals in a group practice arrangement

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2022, $0
    • Performance Year 2021, $0
    • Performance Year 2020, $269,169.43

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2022
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
         
    • Performance Year 2021
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
         
    • Performance Year 2020
      • Proportion invested in infrastructure, 4%
      • Proportion invested in redesigned care processes/resources: 96%
      • Proportion of distribution to ACO participants: 0%

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface Measure Set.

Measure Number Measure Name Collection Type Rate ACO Mean
Measure #: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 8.51 10.71
Measure #: 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 82.96 76.97
Measure #: 236 Controlling High Blood Pressure CMS Web Interface 82.08 76.16
Measure #: 318 Falls: Screening for Future Fall Risk CMS Web Interface 82.63 87.83
Measure #: 110 Preventive Care and Screening: Influenza Immunization CMS Web Interface 83.87 77.34
Measure #: 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 47.37 79.27
Measure #: 113 Colorectal Cancer Screening CMS Web Interface 85.10 75.32
Measure #: 112 Breast Cancer Screening CMS Web Interface 88.51 78.07
Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 78.95 86.37
Measure #: 370 Depression Remission at Twelve Months CMS Web Interface 29.63 16.03
Measure #: 321 CAHPS for MIPS N/A N/A N/A
Measure #: 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 CMS Web Interface .1479 0.1510
Measure #: 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface 39.50 30.97
CAHPS-1 Getting Timely Care, Appointments, and information CAHPS for MIPS Survey 77.12 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.32 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 92.28 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 73.58 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 63.36 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 57.16 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 75.83 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 87.20 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 94.58 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 23.04 25.62

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.