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Shared Savings Program Public Reporting Template

Shared Savings Program Public Reporting Template

ACO Name and Location                                     

Gundersen Health Accountable Care Organization, LLC

1836 South Avenue

La Crosse, WI 54601

 

ACO Primary Contact

  Dawn Thorsten

  (608) 775-9174

  [email protected]

 

Organizational Information

ACO Participants

ACO Participants

ACO Participant in Joint Venture

Gundersen Clinic, Ltd.

N

Gundersen Lutheran Medical Center, Inc.

N

Tri-County Memorial Hospital, Inc.

N

St. Joseph's Health Services, Inc.

N

Palmer Lutheran Health Center, Inc.

N

Memorial Hospital of Boscobel

N

Moundview Memorial Hospital and Clinics, Inc.

N

Saint Elizabeths Hospital of Wabasha, Inc.

N

 

ACO Governing Body

Member

First Name

Member

Last Name

Member

Title/Position

Member's Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name, if applicable

Lynn

Blakely

Voting Member

11.1%

Medicare Beneficiary Representative

N/A

Marilu

Bintz

ACO Executive Voting Member

11.1%

Participant Representative

Gundersen Lutheran Medical Center, Inc.

Bill

Farrell

Voting Member

11.1%

Participant Representative

Gundersen Lutheran Medical Center, Inc.

Joe

Fee

Voting Member

11.1%

Participant Representative

Gundersen Lutheran Medical Center, Inc.

Todd

Kowalski

Medical Director

Voting Member

11.1%

Participant Representative

Gundersen Lutheran Medical Center, Inc.

Jerry

Oetzel

Voting Member

11.1%

Participant Representative

Gundersen Lutheran Medical Center, Inc.

Heather

Schimmers

Voting Member

11.1%

Participant Representative

Gundersen Lutheran Medical Center, Inc.

Lisa

Sheldon

Voting Member

11.1%

Participant Representative

Gundersen Lutheran Medical Center, Inc.

Dawn

Thorsten

Quality Assurance / Improvement Officer

Voting Member

11.1%

Participant Representative

Gundersen Lutheran Medical Center, Inc.

Dan

Lilly

Non-Voting Member

0%

Participant Representative

Gundersen Lutheran Medical Center, Inc.

Maria

Ludwigson

Non-Voting Member

0%

Participant Representative

Gundersen Lutheran Medical Center, Inc.

 

Key ACO Clinical and Administrative Leadership

ACO Executive: Marilu Bintz, MD

Medical Director: Todd Kowalski, MD

Compliance Officer: Kari Adank

Quality Assurance/Improvement Officer: Dawn Thorsten

 

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

QPI Committee

Marilu Bintz, MD; Chief Population Health Officer

Finance Committee

Jerry Oetzel; Chief Financial Officer

 

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

§   Networks of individual practices of ACO professionals

§   CAH’s that bill under Method II

§   RHC’s

Shared Savings and Losses

Amount of Shared Savings/Losses:

§   Second Agreement Period

o    N/A; 2023 will be the second performance year and any Shared Savings earned will not be reported until 2024

§   First Agreement Period

o    N/A; 2022 will be the first performance year and any Shared Savings earned will not be reported until 2023

 

Shared Savings Distribution:

§   Second Agreement Period

o    N/A; 2023 will be the second performance year and any Shared Savings earned will not be reported until 2024

§   First Agreement Period

o    N/A; 2022 will be the first performance year and any Shared Savings earned will not be reported until 2023

 

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.

1900 South Ave.
La Crosse, WI 54601

(608) 782-7300

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