herovector

Medicare ACO

Medical professional going over paper work with patients

ACO Name and Location

St. Luke’s Shared Savings Plan, LLC
dba St. Luke’s Medicare ACO
801 Ostrum Street
Bethlehem, PA 18015

ACO Primary Contact

Kimberly Kuznet
484-658-1128
Kimberly.Kuznet@sluhn.org

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
GSLPG, Inc N
Otorhinolaryngology Associates, P.C. N
Penn Foundation, INC N
Progressive Physicians Associates, INC N
Specialty Physicians Associates, LLC N
St. Luke’s Physician Group, INC N
St. Luke’s Warren Physician Group, PC N
Whitehall Medical Associates, LLC N

ACO Governing Body:

Member First Name Member Last Name Member Title / Position Member's Voting Power (expressed as a %) Membership Type ACO Participant Legal Business Name, if applicable
John Brinker Member 8% ACO Participant St. Luke’s Physician Group, Inc
Aldo Carmona Chair 8% ACO Participant St. Luke’s Physician Group, Inc
Dean Evans Member 8% Medicare Beneficiary N/A
Joel Fagerstrom Member 8% Stakeholder Representative N/A
Robert Fournier Member 8% ACO Participant Progressive Physician Associates, Inc
Robert Gayner Member 8% ACO Participant St. Luke’s Physician Group, Inc
Jarrod Keeler Member 8% ACO Participant Specialty Physician Associates, LLC
Dennis McGorry Member 8% ACO Participant St. Luke’s Physician Group, LLC
Jared King Member 8% ACO Participant St. Luke’s Physician Group, LLC
Lisa Perry Member 0% Other St. Luke’s Physician Group, LLC
Justin Psaila Member 8% ACO Participant St. Luke’s Physician Group, LLC
Donna Sabol Member 8% Stakeholder Representative N/A
Douglas Lundy Member 8% ACO Participant St. Luke’s Physician Group, LLC
Linda Gately Member 0% Other St. Luke’s Physician Group, LLC
Francine Botek Member 0% Other St. Luke’s Physician Group, LLC

Due to rounding, ‘Member’s Voting Power’ may not equal 100%.


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:

  • Second Agreement Period
    • Performance Year 2024, $17,943,497.03
    • Performance Year 2023, $15,636,199
    • Performance Year 2022, $15,029,934
  • 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:

  • Second Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: 21%
      • Proportion invested in redesigned care processes/resources: 43%
      • Proportion of distribution to ACO participants: 36%
    • Performance Year 2023
      • Proportion invested in infrastructure: 19%
      • Proportion invested in redesigned care processes/resources: 45%
      • Proportion of distribution to ACO participants: 36%
    • Performance Year 2022
      • Proportion invested in infrastructure: 17%
      • Proportion invested in redesigned care processes/resources: 47%
      • Proportion of distribution to ACO participants: 36%
  • 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%
    • Performance Year 2019
      • N/A
    • Performance Year 2018
      • N/A

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the CMS Interface collection type.

Measure # Measure Name Collection Type Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
Measure #1 Diabetes: Hemoglobin A1CPoor Control (>9%) CMS Web Interface 7.86 9.44
Measure #134 Preventive Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 93.88 81.46
Measure #236 Controlling High Blood Pressure CMS Web Interface 80.14 79.49
Measure #318 Falls: Screening for Future Fall Risk CMS Web Interface 96.94 88.99
Measure #110 Preventive Care and Screening: Influenza Immunization CMS Web Interface 76.47 68.60
Measure #226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 100 79.98
Measure #113 Colorectal Cancer Screening CMS Web Interface 87.29 77.81
Measure #112 Breast Cancer Screening CMS Web Interface 83.50 80.93
Measure #438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 89.22 86.50
Measure #370 Depression Remission at Twelve Months CMS Web Interface 28.23 17.35
Measure # 321 CAHPS for MIPS CAHPS for MIPS Survey 8.73 6.67
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 86.05 83.70
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 97.10 93.69
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 94.69 92.43
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 74.68 75.76
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 67.72 65.48
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 70.23 62.31
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 75.77 74.14
CAHPS-8 Care Coordination CAHPS for MIPS Survey 87.59 85.89
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 96.57 92.89
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 27.65 26.98
Measure #479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups CMS Web Interface 0.1682 0.1517
Measure #484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface 43.61 37.00

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

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:
    Otorhinolaryngology Associates, PC 03/20/2019
    Specialty Physicians 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: 01/01/2022 amended with new agreement years