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ACO Name and Location
ThedaCare ACO, LLC
1 Neenah Center, Neenah, WI 54956 (Corporate)
3 Neenah Center, Neenah, WI 54956 (Office)
ACO Primary Contact
Mark Wernicke, VP Managed Care
Organizational Information
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture |
| Allergy and Asthma Associates SC | N |
| Appleton Emergency Services SC | N |
| Appleton Plastic Surgery Center SC | N |
| Association of Hospital Anesthesiologists SC | N |
| C. Thomas DeRoche DPM LLC | N |
| Corey W Wesner, DPM SC | N |
| Digestive Healthcare Specialists SC | N |
| Ear Nose & Throat Specialists of Wisconsin SC | N |
| Ear Nose & Throat Surgical Associates SC | N |
| Family Care of the Fox Cities SC | N |
| Farrar and Associates Mental Health SC | N |
| Fox Cities Eye Clinic SC | N |
| Fox Valley Dermatology SC | N |
| Fox Valley Emergency Medicine SC | N |
| Fox Valley Nephrology Partners SC | N |
| Fox Valley Pathologists SC | N |
| Fox Valley Perinatology SC | N |
| Fox Valley Plastic Surgery SC | N |
| Fox Valley Pulmonary Medicine SC | N |
| Fox Valley Surgical Associates LTD | N |
| Greenville Foot & Ankle Center LLC | N |
| Hand to Shoulder Center of Wisconsin LTD | N |
| Integrative Pain Management SC | N |
| Kagen Dermatology Clinic SC | N |
| Kaukauna Clinic SC | N |
| Mary McDonald MD SC | N |
| Neal Diabetic Foot & Ankle Center LLC | N |
| Neuroscience Group of NE WI SC | N |
| Northeast Wisconsin Foot & Ankle Associates SC | N |
| Northeast Wisconsin Retina Associates SC | N |
| North Shore Foot & Ankle SC | N |
| Optivision Eye Care LLP | N |
| Pain Relief 1 LLC | N |
| Primary Care Associates of Appleton LTD | N |
| Radiology Associates of Appleton SC | N |
| Radiology Associates of the Fox Valley SC | N |
| Refresh Evolve LLC | N |
| Renard Foot and Ankle LLC | N |
| Sherman Counseling Management LLC | N |
| Surgical Associates of Neenah SC | N |
| ThedaCare Inc. | N |
| ThedaCare Regional Medical Center-Appleton Inc | N |
| ThedaCare Medical Center-Berlin Inc | N |
| ThedaCare Regional Medical Center-Neenah Inc | N |
| ThedaCare Medical Center-New London Inc | N |
| ThedaCare Medical Center-Shawano Inc | N |
| ThedaCare Medical Center-Waupaca Inc | N |
| ThedaCare Medical Center-Wild Rose Inc | N |
| The Center for Aesthetics and Plastic Surgery SC | N |
| The Kagen Allergy Clinic SC | N |
| Torhorst Foot and Ankle Clinic SC | N |
| Valley Eye Associates | N |
| Wisconsin Institute of Urology SC | N |
| Wisconsin Institute of Plastic Surgery SC | N |
| Women’s Care of Wisconsin SC | N |
| Women’s Health Specialists SC | N |
ACO Governing Body:
| Member Last Name | Member First Name | Member Title/Position | Member’s Voting Power (Expressed as a percentage or number) | Membership Type | ACO Participant Legal Business Name and D/B/A, if applicable |
| Bermas | Honnie | MD | 9.1% | ACO participant representative | Fox Valley Surgical Associates LTD |
| Fisher | Cynthia | DO | 9.1% | ACO participant representative | ThedaCare Inc. |
| Werner | Michael | MD | 9.1% | ACO participant representative | Primary Care Associates of Appleton LTD |
| Grunwald | Nathan | MD | 9.1% | ACO participant representative | ThedaCare Inc. |
| Cockley | Mark | MD | 9.1% | ACO participant representative | ThedaCare Inc. |
| Poola | Harsha | MD | 9.1% | ACO participant representative | ThedaCare Inc. |
| Marquardt | Sara | VP | 9.1% | ACO participant representative | ThedaCare Inc. |
| McDonald | Jeannette | Medicare Beneficiary | 9.1% | Medicare beneficiary representative | N/A |
| Eberts | Eric | MD | 9.1% | ACO participant representative | Women’s Care of Wisconsin SC |
| Lang | Tanner | MD | 9.1% | ACO participant representative | Association of Hospital Anesthesiologists SC |
| Wernicke | Mark | VP | 9.1% | ACO participant representative | ThedaCare Inc. |
Key ACO Clinical and Administrative Leadership:
ACO Executive: Mark Wernicke
Medical Director: Montgomery Elmer, MD
Compliance Officer: Robert Reed
Quality Assurance/Improvement Officer: Shelah Bechtel
Associated Committees and Committee Leadership:
| Committee Name | Committee Leader Name and Position |
| ThedaCare ACO Quality Committee | |
| ThedaCare Strategy Business Committee | Jennifer Glasheen, Director, Payer Contracting & Provider Relations |
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
- Networks of individual practices of ACO professionals
- Hospitals employing ACO professionals
- RHCs
Shared Savings and Losses
Amount of Shared Savings/Losses:
- Second Agreement Period
- N/A
- First Agreement Period
- N/A
Shared Savings Distribution:
- Second Agreement Period
- N/A
- First Agreement Period
- N/A
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.
Payment Rule Waivers
- Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
- Our ACO uses the SNF 3-Day Rule Waiver, 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.
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.
