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Medicare ACO

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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

Linda Gately
484-658-6840
Linda.Gately@sluhn.org

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Gastroenterology Associates, LTD N
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
Joseph Minahan Member 8% ACO Participant St. Luke’s Physician Group, LLC
Lisa Perry Member 8% ACO Participant 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

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 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 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

2023 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 7.90 9.84
Measure #134 Preventive Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 93.97 80.97
Measure #236 Controlling High Blood Pressure CMS Web Interface 78.97 77.80
Measure #318 Falls: Screening for Future Fall Risk CMS Web Interface 97.26 89.42
Measure #110 Preventive Care and Screening: Influenza Immunization CMS Web Interface 74.64 70.76
Measure #226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 95.24 79.29
Measure #113 Colorectal Cancer Screening CMS Web Interface 87.80 77.14
Measure #112 Breast Cancer Screening CMS Web Interface 88.41 80.36
Measure #438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 89.45 87.05
Measure #370 Depression Remission at Twelve Months CMS Web Interface 27.03 16.58
Measure # 321 CAHPS for MIPS CAHPS for MIPS Survey 7.61 6.25
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 87.23 83.68
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.52 93.69
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 92.53 92.14
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 71.91 75.97
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 67.58 63.93
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 66.56 61.60
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 74.02 74.12
CAHPS-8 Care Coordination CAHPS for MIPS Survey 87.23 85.77
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 93.61 92.31
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 24.20 26.69
Measure #479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups CMS Web Interface 0.1719 0.1553
Measure #484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface 45.59 35.39

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:
    Gastroenterology Associates, LTD 10/22/2019
    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