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St. Luke’s Medicare ACO

ACO Name and Location

St. Luke’s Shared Savings Plan, LLC
Previous Names: N/A
801 Ostrum Street
Bethlehem, PA 18015

ACO Primary Contact

Christina Lewis
484-658-0713
christina.lewis@sluhn.org


Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

Camille Eyvazzadeh, MD, PC

N

Darell Covington, MD, PC

N

David Bub, MD, PC

N

East Penn Rheumatology, PC

N

Easton Family Practice

N

Ellen Rubbo, MD

N

Gastroenterology Associates, LTD

N

GSLPG, INC

N

Integrated Health Solutions, PC

N

Jolanta Zelaznicka, MD

N

Joseph Bacak, MD

N

Mark Grusso, DPM, PC

N

Northeastern Anesthesia Physicians, PC

N

Om Sharma, MD, PC

N

Otorhinolaryngology Associates, PC

N

Penn Foundation, INC

N

Pocono Adult & Pediatric Medical Group, LLC

N

Progressive Physician Associates, INC

N

Specialty Physician Associates, LLC

N

St. Luke’s Warren Physician Group, PC

N

St. Luke’s Physician Group, INC

N

Whitehall Medical Associates, LLC

N

 

ACO Governing Body:

Member

Last Name

Member

First Name

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

Brinker

John

Member

8%

ACO Participant

St. Luke’s Physician Group, INC

Carmona

Aldo

Chair

8%

ACO Participant

St. Luke’s Physician Group, INC

Evans

Dean

Member

8%

Medicare Beneficiary

N/A

Fagerstrom

Joel

Member

8%

Stakeholder Representative

N/A

Fournier

Robert

Member

8%

ACO Participant

Progressive Physician Associates, INC

Gayner

Robert

Member

8%

ACO Participant

St. Luke’s Physician Group, INC

Keeler

Jarrod

Member

8%

ACO Participant Representative

Specialty Physician Associates, LLC

McGorry

Dennis

Member

8%

ACO Participant

St. Luke’s Physician Group, INC

Minahan

Joseph

Member

8%

ACO Participant

St. Luke’s Physician Group, INC

Perry

Lisa

Member

8%

ACO Participant

St. Luke’s Physician Group, INC

Psaila

Justin

Member

8%

ACO Participant

St. Luke’s Physician Group, INC

Sabol

Donna

Member

8%

Stakeholder Representative

N/A

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Scott Wolfe
Medical Director: Robert Gayner MD
Compliance Officer: Linda Gately
Quality Assurance/Improvement Officer: Donna Sabol

 

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

 Value Based Committee 

Donna Sabol, Chair

 

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

  • Network of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • First Agreement Period
    • Performance Year 2021, $7,454,113
    • Performance Year 2020, $9,087,692
    • Performance Year 2019, $ 0
    • Performance Year 2018, $ 0

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: 12%
      • Proportion invested in redesigned care processes/resources: 34%
      • Proportion of distribution to ACO participants: 54%
    • Performance Year 2020
      • Proportion invested in infrastructure: 23%
      • Proportion invested in redesigned care processes/resources: 10%
      • Proportion of distribution to ACO participants: 58%


Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure Number

Measure Name Name

Rate

ACO Mean

Quality ID #318

Falls: Screening for Future Fall Risk

93.62

87.03

Quality ID #110

Preventive Care and Screening: Influenza

80.78

80.52

Quality ID #226

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

89.47

80.97

Quality ID #134

Preventive Care and Screening: Screening for Depression and Follow-up Care

83.14

74.38

Quality ID #113

Colorectal Cancer Screening

80.58

73.63

Quality ID #112

Breast Cancer Screening

78.28

75.11

Quality ID #438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81.01

84.24

Quality ID #001

Hemoglobin A1C Poor Control

6.45

12.46

Quality ID #236

Controlling High Blood Pressure

77.9

74.87

Quality ID #479

Hospital Wide, 30 day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups

0.1594

0.1540

MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)

43.41

33.94

CAHPS 1

Getting Timely Care, Appointments, and Information

86.75

84.67

CAHPS 2

How Well Providers Communicate

94.64

93.56

CAHPS 3

Patient’s Rating of Provider

93.38

92.19

CAHPS 4

Access to Specialists

75.49

78.80

CAHPS 5

Health Promotion and Education

66.00

61.61

CAHPS 6

Shared Decision Making

63.20

60.89

CAHPS 7

Health Status and Functional Status

73.83

71.78

CAHPS 8

Care Coordination

89.02

85.66

CAHPS 9

Courteous and Helpful Office Staff

93.57

91.88

CAHPS 11

Stewardship of Patient Resources

26.68

24.71

Please note, the Quality ID #370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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


Fraud and Abuse Waivers

None


Fraud and Abuse Waivers

  • ACO Participation Waiver:

    The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement. 

    • Parties to the arrangement: St. Luke’s Shared Savings, LLC and the following ACO participants:
      Ellen Rubbo MD 07/1/2021
      Gastroenterology Associates, LTD 10/22/2019
      Otorhinolaryngology Associates, PC 03/20/2019
      Specialty Physician Associates, LLC 02/20/2019
      Whitehall Medical Associates 08/12/2019

    • Date of arrangement: 02/20/2018 – current
    • Items, services, goods, or facility provided: Electronic Health Record
    • Date and nature of any amendments to the arrangement, if applicable: 1/1/2022 Amended with new agreement years

    •