Accountable Care Organization

ACO Name and Location                               

ThedaCare ACO, LLC

1 Neenah Center, Neenah, WI 54956 (Corporate)

3 Neenah Center, Neenah, WI 54956 (Office)

ACO Primary Contact

  David Krueger MD, Medical Director

  (920) 454-4242

  david.krueger@thedacare.org

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 Wesner, DPM SC	N
Digestive Healthcare Specialists SC	N
Ear Nose & Throat Specialists of Wisconsin SC	N
Ear Nose & Throat Surgical Associates	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	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	N
Neuroscience Group of NE WI	N
Northeast Wisconsin Foot & Ankle Associates SC	N
Northeast Wisconsin Retina Associates SC	N
North Shore Foot & Ankle	N
Pain Relief 1 LLC	N
Primary Care Associates of Appleton LTD	N
Radiology Associates of Appleton	N
Radiology Associates of the Fox Valley	N
Renard Foot and Ankle LLC	N
Sherman Counseling Management LLC	N
Surgical Associates of Neenah SC	N
ThedaCare Inc.	N
The Center for Aesthetics and Plastic Surgery	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
Meier	Brenton	MD	9.1%	ACO participant representative	ThedaCare Orthopedic Care
Dernlan	Stephen	MD	9.1%	ACO participant representative	Primary Care Associates of Appleton LTD
Grunwald	Nathan	MD	9.1%	ACO participant representative	ThedaCare Physicians – Menasha
Cockley	Mark	MD	9.1%	ACO participant representative	ThedaCare, Inc.
Poola	Harsha	MD	9.1%	ACO participant representative	ThedaCare Cancer Care
Marquardt	Sara	VP	9.1%	ACO participant representative	ThedaCare, Inc.
Schneider	Marvin	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: David Krueger, MD

Medical Director: David Krueger, MD

Compliance Officer: Robert Reed

Quality Assurance/Improvement Officer: Heidi Gustafson

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
ThedaCare ACO Quality Committee	David Krueger, MD, Medical Director
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
  
  

Shared Savings and Losses

N/A

Quality Performance Results

N/A

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.