Shared Savings Program

Shared Savings Program Public Reporting

ACO Name and Location

Bellin Health Partners, Inc.

PO Box 1683

744 S. Webster Ave.

Green Bay, WI 54305-1683

ACO PrimaryContact

Naomi Wedin, Executive Director

920-436-8693

[email protected]

Organizational Information

ACO Participants:

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
Pathology Consultants, SC of Green Bay	N
Peninsula Podiatry LLC	N
Radiology Chartered	N
Thomas R Komp	N
Tower Clock Eye Center SC	N
Unity Supportive Care Management	N
Unity Limited Partnership	N
Urology Associates of Green Bay SC	N

ACO Governing Body:

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
Bhosekar	Chitra	MD, Director	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%	Non-ACO Participant Representative	Radiology Oncology Specialists
Woleske	Chris	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%	Non-ACO Participant Representative	N/A
Elfner	Chris	VP Clinically Integrated Network	0%	Non-ACO Participant Representative	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: Emily Bochniak

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

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

ACO professionals in a group practice arrangement
Networks of individual practices of ACO professionals
Hospital employing ACO professionals
Critical Access Hospital (CAH) billing under Method II
Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses:

Second Agreement Period
- PerformanceYear 2023, $ N/A
First Agreement Period
- PerformanceYear 2022,$ 8,272,368.55

Shared Savings Distribution:

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: 0%
  - Proportion invested in redesigned care processes/resources: 0%
  - Proportion of distribution to ACO participants:100%

2022 Quality Performance Results

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

Measure #	Measure Name	Type	Rate	ACO Mean
Quality ID# 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]	CMS Web Interface	4.40	10.71
Quality ID# 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	91.39	76.97
Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	86.24	76.16
Quality ID# 318	Falls: Screening for Future Fall Risk	CMS Web Interface	96.53	87.83
Quality ID# 110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	85.38	77.34
Quality ID# 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	97.06	79.27
Quality ID# 113	Colorectal Cancer Screening	CMS Web Interface	88.00	75.32
Quality ID# 112	Breast Cancer Screening	CMS Web Interface	90.67	78.07
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	94.30	86.37
Quality ID# 370	Depression Remission at Twelve Months	CMS Web Interface	23.30	16.03
Quality ID# 321	CAHPS for MIPS [3]	CMS Web Interface	N/A	N/A
Measure# 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]	Administrative Claims	0.1335	0.1510
Measure# 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	Administrative Claims	23.73	30.97
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	84.93	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	93.72	93.47
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	91.05	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	83.46	77.00
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	69.85	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	63.25	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	73.23	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	84.63	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	93.91	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	35.25	25.62

Quality Performance Results

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

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.

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.