Ascension Wisconsin Accountable Care Organizations

ACO name and location

Ascension Care Management Health Partners Wisconsin, LLC
400 W. River Woods Pkwy.
Glendale, WI 53212

ACO primary contact

Ryan Mackman
1-855-288-6747
acmmembers@ascension.org

Organizational information

ACO Participants

ACO Participants	ACO Participant in Joint Venture
Ascension Medical Group- Fox Valley Wisconsin INC	N
Ascension Medical Group- Southeast Wisconsin INC	N
Columbia St. Mary's Hospital Milwaukee INC	N
Madison Medical Affiliates 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 / DBA, if Applicable
Chintan	Desai	Voting Member	8.333%	Medicare Beneficiary Representative	Ascension Medical Group Southeast Wisconsin
Michael	McCullough	Voting Member	8.333%	ACO Participant Representative	Ascension Medical Group Southeast Wisconsin
Patricia	Golden	Chairperson and Chief Medical Officer	8.333%	ACO Participant Representative	Ascension Medical Group Southeast Wisconsin
Andrew	Ohl	Voting Member	8.333%	ACO Participant Representative	Ascension Medical Group Southeast Wisconsin
Ken	Schellhase	Voting Member	8.333%	ACO Participant Representative	Ascension Medical Group - Fox Valley Wisconsin
Daniel	Wright	Voting Member	8.333%	ACO Participant Representative	Columbia St. Mary's Hospital Milwaukee Inc.
Stephanie	Momper	Voting Member	8.333%	ACO Participant Representative	Columbia St. Mary's Hospital Milwaukee Inc.
Rachelle	Van Winkle	Voting Member	8.333%	ACO Participant Representative	Ascension Medical Group - Southeast Wisconsin
Jon	Zlabek	Internal Medicine	8.333%	ACO Participant Representative	Columbia St. Mary's Hospital Milwaukee Inc.
Ryan	Mackman	Voting Member	0%	ACO Participant Representative	N/A
Brian	Meuler	Voting Member	8.333%	ACO Participant Representative	Madison Medical Affiliates
Matthew	Connolly	Voting Member	8.333%	ACO Participant Representative	Madison Medical Affiliates
Susan	Dawicke	Voting Member	8.333%	Medicare Beneficiary Representative	N/A
Craig	Carroll	Community Stakeholder	0%	Community Stakeholder	N/A

Due to rounding, "Member's Voting Power" may not equal 100 percent.

Key ACO Clinical and Administrative Leadership

ACO Executive	Joyce Colton
Chief Medical Officer	Patricia Golden
Compliance Officer	Kathryn Yurkovich
Quality Assurance/Improvement Officer	Tracy Dorlack

Associated Committees and Committee Leadership

Committee Name	Committee Leader Name and Position
IT Governance Committee	Christine Bullerdick, Regional Technology Office
Value Based Steering Committee	Ryan Mackman, Population Health
Quality & Patient Safety Committee	Dr. Beth Griffin, President, Emergency Medicine Specialists
Finance Committee	Ted Balistreri, Finance Committee Chair

Types of ACO Participants, or Combinations of Participants, that Formed the ACO

ACO professionals in a group practice arrangement
Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:
- Our ACO has not yet received financial reconciliation results; therefore, this section is not applicable at this time.
Shared Savings Distribution:
- Our ACO has not yet received financial reconciliation results; therefore, this section is not applicable at this time. at this time.

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the eCQMs/MIPS CQMs/Medicare CQMs collection type.

ACO Quality Measure Number	Measure Name	Collection Type	Rate	ACO Mean
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	84.75	83.7
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	94.41	93.96
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	92.56	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	78.24	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	69	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	58.45	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	74.39	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	87.29	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	93.92	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	24.25	26.98
Measure #: 001*	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	-	-	-
Measure #: 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	-	-	-
Measure #:484*	Clinician and Clinician Group Risk - standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)	Administrative Claims	40.8	37
Measure #: 318	Falls: Screening for Future Fall Risk	CMS Web Interface	-	-
Measure #: 110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	-	-
Measure #: 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	-	-
Measure #: 113	Colorectal Cancer Screening	CMS Web Interface	-	-
Measure #: 112	Breast Cancer Screening	CMS Web Interface	-	-
Measure #: 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	-	-
Measure #: 370	Depression Remission at Twelve Months	CMS Web Interface	-	-
Measure #: 236	Controlling High Blood Pressure	-	-	-
Measure #: 321	CAHPS for MIPS	CAHPS for MIPS Survey	7.2	6.67
Measure #: 479*	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	.1444	.1517

Our ACO was affected by an Extreme and Uncontrollable Circumstance (EUC) in PY 2024 and was unable to report all of the
quality measures for PY 202

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

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

page updated February 2026