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

 Ambulatory Care 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

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
  •