Shared Savings Program

Shared Savings Program Public Reporting

Bellin Health Partners, Inc.

PO Box 1683

744 S. Webster Ave.

Green Bay, WI 54305-1683

Naomi Wedin, Executive Director

920-436-8693

Naomi.wedin@bellin.org

Organizational Information

ACO Participants	ACO Participant in Joint Venture
Apogee Medical Group	N
Bellin Anesthesia Associates SC	N
Bellin Memorial Hospital Inc	N
Bellin Psychiatric Center Inc	N
Daniel G Koster MD SC	N
Elite Foot & Ankle Clinic SC	N
Eye Associates of Green Bay SC	N
Green Bay Emergency Services SC	N
Green Bay Plastic Surgical Assoc	N
Michigan-Wisconsin Family Practice Associates, P.C.	N
NEW Dermatology Group Ltd	N
Oconto Hospital & Medical Center Inc	N
Peninsula Podiatry LLC	N
Radiology Chartered	N
Thomas R Komp	N
Tower Clock Eye Center SC	N
Unity Limited Partnership	N
Unity Supportive Care Management	N
Urology Associates of Green Bay SC	N

Member LastName	Member FirstName	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
Assef	Saied	MD, President	10%	ACO Participant Representative	Bellin Anesthesia Associates SC
Blom	Tammy	Clinic Manager, director	10%	ACO Participant Representative	Green Bay Plastic Surgical Assoc
Woleske	Chris	President, Bellin Health	10%	ACO Participant Representative	Bellin Memorial Hospital Inc
Hodulik	Michael	MD, Secretary BHP	10%	ACO Participant Representative	Bellin Memorial Hospital Inc
Landrum	Michael	MD, director	10%	ACO Participant Representative	Bellin Memorial Hospital Inc
Lasecki	Cynthia	MD, Vice President BHP	10%	ACO Participant Representative	Bellin Memorial Hospital
Mortara	Kevin	MD, director	10%	ACO Participant Representative	Bellin Memorial Hospital Inc
Pan	Charlie	MD, director	0%	ACO Participant Representative	N/A
Bhosekar	Chitra	MD, director	10%	ACO Participant Representative	Bellin Memorial Hospital Inc
Wozney	Brad	MD, director	10%	ACO Participant Representative	Bellin Memorial Hospital
Wedin	Naomi	Executive Director	0%	Other	N/A
Elfner	Chris	VP Clinically Integrated Network	0%	Other	N/A
Parmentier	Karla	Medicare Beneficiary	10%	Medicare Beneficiary Representative	N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive: Naomi Wedin

Medical Director: Saied Assef, MD

Compliance Officer: Randy Ronsman

Quality Assurance/Improvement Officer: Sue Raduenz

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Clinical Integration Committee	Saied Assef, MD, President BHP
Business Integration Committee	Naomi Wedin, Executive Director

Amount of Shared Savings/Losses:

Second Agreement Period
- Performance Year 2023
  - Proportion invested in infrastructure: N/A
  - Proportion invested in redesigned care processes/resources:N/A
  - Proportion of distribution to ACO participants: N/A
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

Our ACO did not participate in the Shared Savings Program in the [2021] performance year, therefore this section is not applicable at this time.

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- 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.