ACO Name and Location
Froedtert & the Medical College of Wisconsin ACO, LLC
8701 Watertown Plank Rd.
Milwaukee, WI 53226
ACO Primary Contact
Caitlin Dunn
[email protected]
414-805-9924
Organizational Information
- ACO Participants
- Froedtert & the Medical College of Wisconsin Community Physicians, Inc.
- Froedtert Manitowoc Medical Group, LLC
- ACO Participant in Joint Venture
- N
- N
- ACO Governing Body
- Key ACO Clinical and Administrative Leadership:
- ACO Executive: Ian Schwartz, MD
- Medical Director: Mark Lodes, MD
- Compliance Officer: Nancy Schallert
- Quality Assurance/Improvement Officer: Mark Lodes, MD
- Associated Committees and Committee Leadership:
- Clinical Integration Committee - Mark Lodes, MD, chair
- Finance & Operations Committee - Mark Lodes, MD, co-chair; Scott Hawig, co-chair
- Health Care Services Review Committee – Mark Lodes, MD, chair
- Types of ACO participants or combinations of participants that formed the ACO:
- ACO professionals in a group practice arrangement
Shared Savings and Losses
Amount of Shared Savings/Losses
- First Agreement Period
- Performance Year 2023, -$117,389
- Performance Year 2022, $0
- Performance Year 2021, $0
- Performance Year 2020, $269,169.43
Shared Savings Distribution
- First 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
- 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
- Performance Year 2021
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2020
- Proportion invested in infrastructure, 4%
- Proportion invested in redesigned care processes/resources: 96%
- Proportion of distribution to ACO participants: 0%
- Performance Year 2023
Quality Performance Results
2023 Quality Performance Results:
Quality performance results are based on CMS Web Interface Measure Set collection type.
| Measure Number | Measure Name | Collection Type | Reported Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
| Measure #: 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | CMS Web Interface | 8.17 | 9.84 |
| Measure #: 134 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 84.28 | 80.97 |
| Measure #: 236 | Controlling High Blood Pressure | CMS Web Interface | 81.20 | 77.80 |
| Measure #: 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 88.31 | 89.42 |
| Measure #: 110 | Preventive Care and Screening: Influenza Immunization | CMS Web Interface | 73.96 | 70.76 |
| Measure #: 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 62.50 | 79.29 |
| Measure #: 113 | Colorectal Cancer Screening | CMS Web Interface | 76.09 | 77.14 |
| Measure #: 112 | Breast Cancer Screening | CMS Web Interface | 83.25 | 80.36 |
| Measure #: 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 88.41 | 87.05 |
| Measure #: 370 | Depression Remission at Twelve Months | CMS Web Interface | 27.54 | 16.58 |
| Measure #: 321 | CAHPS for MIPS | N/A | N/A | N/A |
| Measure #: 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 | CMS Web Interface | 0.1482 | 0.1553 |
| Measure #: 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions | CMS Web Interface | -- | 45.98 |
| CAHPS-1 | Getting Timely Care, Appointments, and information | CAHPS for MIPS Survey | 79.33 | 83.68 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 94.32 | 93.69 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 92.99 | 92.14 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 70.91 | 75.97 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 62.68 | 63.93 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 56.34 | 61.60 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 74.15 | 74.12 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 85.38 | 85.77 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 94.11 | 92.31 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 24.20 | 26.69 |
For previous years' financial and quality performance results, please visit data.cms.gov.
Payment Rule Waivers
- Skilled Nursing Facility (SNF) 3-day Rule Waiver: Yes
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
MSSP ACO Participation Waiver Disclosure
The Secretary of the U.S. Department of Health and Human Services has provided waivers of certain federal fraud and abuse laws that may otherwise limit innovation by ACOs participating in the Medicare Shared Savings Program ACO Model (see “Final Waivers in Connection With the Shared Savings Program” (80 Fed. Reg. 66,726 (Oct. 29, 2015))). Pursuant to that notice, Froedtert & The Medical College of Wisconsin ACO, LLC (“FMCW ACO”) seeks waiver protection for the arrangement described below:
FMCW ACO has entered into a dementia care management program agreement (the “Agreement”) with Ceresti Health, Inc. (“Ceresti”) pursuant to which Ceresti will provide care management, coordination and caregiver education and support using its technology-enabled caregiver-enabled dementia program to assist with the care of patients diagnosed with dementia in order to improve the quality and coordination of care for certain Medicare beneficiaries with dementia assigned to FMCW ACO. The Agreement was effective as of Aug. 1, 2025. (Posted Aug. 5, 2025)