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

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

Organizational Information

ACO Participants:

ACO Governing Body:

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

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:

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 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 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

  2022 Quality Performance Results:

  Quality performance results are based on CMS Web Interface

  Measure #	Measure Name	Collection Type	Rate	ACO Mean
  Quality ID #001	Diabetes: Hemoglobin A1C (HbA1C) Poor Control	CMS Web Interface	6.99	10.71
  Quality ID# 134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	CMS Web Interface	91.26	76.97
  Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	74.56	76.16
  Quality ID# 318	Falls Screening for Future Fall Risk	CMS Web Interface	96.59	87.83
  Quality ID# 110	Preventive Care and Screening: Influenza Immunization	CMS Web Interface	76.36	77.34
  Quality ID# 226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	96.43	79.27
  Quality ID# 113	Colorectal Cancer Screening	CMS Web Interface	83.16	75.32
  Quality ID# 112	Breast Cancer Screening	CMS Web Interface	82.17	78.07
  Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	87.92	86.37
  Quality ID# 370	Depression Remission at Twelve Months	CMS Web Interface	20.72	16.03
  CAHPS -1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	88.18	83.96
  CAHPS -2	How Well Providers Communicate	CAHPS for MIPS Survey	94.27	93.47
  CAHPS -3	Patient’s Rating of Provider	CAHPS for MIPS Survey	92.27	92.06
  CAHPS -4	Access to Specialists	CAHPS for MIPS Survey	75.74	77.00
  CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	65.98	62.68
  CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	64.70	60.97
  CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	75.44	73.06
  CAHPS-8	Care Coordination	CAHPS for MIPS Survey	86.10	85.46
  CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	92.96	91.97
  CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	28.55	25.62
  Measure 479	Hospital Wide, 30 day, All Cause Unplanned Admission Rate for MIPS Groups	Administrative Claims	0.1645	0.1510
  Measure 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	Administrative Claims	40.77	30.97

  
  
  

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

  
  

  Payment Rule 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