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Accountable Care Organization

Medicare ACOs (Accountable Care Organizations) are groups of doctors, hospitals and other health care providers who come together to provide coordinated, high-quality care at lower costs to Medicare patients.

Existing ACO Members

Access to contracting, reporting and other information for ACO members.

New ACO Users

ACO members who need access to the secure ‘For ACO Members’ area.

ACO Name and Location                               

ThedaCare ACO, LLC

1 Neenah Center, Neenah, WI 54956 (Corporate)

3 Neenah Center, Neenah, WI 54956 (Office)

ACO Primary Contact

Jennifer Glasheen

(920) 454-4212

Organizational Information

ACO Participants:

ACO ParticipantsACO Participant in Joint Venture
Appleton Emergency Services SCN
Association of Hospital Anesthesiologists SCN
Corey W Wesner, DPM SCN
Ear Nose & Throat Specialists of Wisconsin SCN
Family Care of the Fox Cities SCN
Farrar and Associates Mental Health SCN
Fox Valley Emergency Medicine SCN
Fox Valley Nephrology Partners SCN
Fox Valley Pathologists SCN
Fox Valley Perinatology SCN
Fox Valley Pulmonary Medicine SCN
Fox Valley Surgical Associates LTDN
Greenville Foot & Ankle Center LLCN
Hand to Shoulder Center of Wisconsin LTDN
Integrative Pain Management SCN
Kaukauna Clinic SCN
Neal Diabetic Foot & Ankle Center LLCN
North Shore Foot & Ankle SCN
Pain Relief 1 LLCN
Primary Care Associates of Appleton LTDN
Radiology Associates of Appleton SCN
Radiology Associates of the Fox Valley SCN
Surgical Associates of Neenah SCN
ThedaCare Inc.N
ThedaCare Regional Medical Center-Appleton IncN
ThedaCare Medical Center-Berlin IncN
ThedaCare Regional Medical Center-Neenah IncN
ThedaCare Medical Center-New London IncN
ThedaCare Medical Center-Shawano IncN
ThedaCare Medical Center-Waupaca IncN
ThedaCare Medical Center-Wild Rose IncN
The Neuroscience Group of Northeast Wisconsin SCN
Torhorst Foot and Ankle Clinic SCN
Valley Eye Associates N
Wisconsin Institute of Urology SCN
Women’s Care of Wisconsin SCN
Women’s Health Specialists SCN

ACO Governing Body:

Member First NameMember Last NameMember Title/PositionMember’s Voting Power (Expressed as a percentage)Membership TypeACO Participant Legal Business Name, if applicable
BethKriegerMD9.09%ACO participant representativeFox Valley Surgical Associates LTD
CynthiaFisherDO9.09%ACO participant representativeThedaCare Inc.
MichaelWernerMD9.09%ACO participant representativePrimary Care Associates of Appleton LTD
NathanGrunwaldMD9.09%ACO participant representativeThedaCare Inc.
MarkCockleyMD9.09%ACO participant representativeThedaCare Inc.
HarshaPoolaMD9.09%ACO participant representativeThedaCare Inc.
SaraMarquardtVP9.09%ACO participant representativeThedaCare Inc.
JeannetteMcDonaldMedicare Beneficiary9.09%Medicare beneficiary representativeN/A
EricEbertsMD9.09%ACO participant representativeWomen’s Care of Wisconsin SC
TannerLangMD9.09%ACO participant representativeAssociation of Hospital Anesthesiologists SC
MiraIliescu-LevineMD9.09%ACO participant representativeThedaCare Inc.

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive: Jennifer Glasheen

Medical Director: Mira Iliescu-Levine, MD

Compliance Officer: Robert Reed

Quality Assurance/Improvement Officer: Shelah Bechtel

Associated Committees and Committee Leadership:

Committee NameCommittee Leader Name and Position
ThedaCare Strategy Business CommitteeJennifer Glasheen, Committee Chair

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • Networks of individual practices of ACO professionals
  • Hospitals employing ACO professionals
  • CAHs that bill under Method II
  • RHCs

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • First Agreement Period
    • Performance Year 2022, $3,305,105.02

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2022
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 100%

Quality Performance Results

2022 Quality Performance Results:

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

Measure #Measure NameCollection TypeReported Performance RateCurrent Year Mean Performance Rate (SSP ACOS)
Measure #: 001Diabetes: Hemoglobin A1c (HbA1c) Poor ControlCMS Web Interface3.8210.71
Measure #: 134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface90.5976.97
Measure #: 236Controlling High Blood PressureCMS Web Interface86.1576.16
Measure #: 318Falls: Screening for Future Fall RiskCMS Web Interface95.4087.83
Measure #: 110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface90.1677.34
Measure #: 226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface90.9179.27
Measure #: 113Colorectal Cancer ScreeningCMS Web Interface88.4575.32
Measure #: 112Breast Cancer ScreeningCMS Web Interface88.6178.07
Measure #: 438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface91.2386.37
Measure #: 370Depression Remission at Twelve MonthsCMS Web Interface16.2216.03
Measure #: 479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsAdministrative Claims0.11930.1510
Measure #: 484Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic ConditionsAdministrative Claims26.5530.97
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey84.3483.96
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey90.9793.47
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey90.0992.06
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey79.0977.00
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey66.2362.68
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey63.5160.97
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey72.1773.06
CAHPS-8Care CoordinationCAHPS for MIPS Survey86.7185.46
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey92.3891.97
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey21.9125.62

For previous years’ Financial and Quality Performance Results, please visit:

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.