St. Luke’s Health Partners (SLHP) is an Accountable Care Organization (ACO). ACOs are groups of doctors, hospitals, and other health care professionals that work together to provide coordinated, high-quality care to their Medicare Fee-for-Service beneficiaries. Coordinated care helps ensure beneficiaries, especially the chronically ill or those who are hospitalized, get the right care at the right time, and avoid unneeded duplication of services such as lab tests and x-rays. SLHP ACO is a non-profit organization that has agreements with doctors and professionals.
In 2022, SLHP participated in the Global and Professional Direct Contracting (GPDC) Model. Under GPDC, groups of doctors, hospitals, and other health care providers agree to come together to form a Direct Contracting Entity (DCE).
ACO Realizing Equity, Access, and Community Health (REACH)
The Centers for Medicare & Medicaid Services (CMS) has redesigned the Global and Professional Direct Contracting Model (GPDC) Model in response to their commitment to advancing health equity, stakeholder feedback, and participant experience. CMS is renaming the model the ACO Realizing Equity, Access, and Community Health (REACH) Model. SLHP began participation in the model on
January 1, 2023. Under ACO REACH groups of doctors, hospitals, and other health care professionals work together to improve the quality of care for Medicare Fee-for-Service beneficiaries through care coordination with health care providers and beneficiaries.
For additional information or questions on ACOs, GPDC and ACO REACH please call 1-800-MEDICARE (1-800-633-4227 (TTY users should call 1-877-486-2048)) or visit the following websites:
Coordinating your care | Medicare for information on ACOs
Global and Professional Direct Contracting (GPDC) Model | CMS Innovation Center for information on Global and Professional Direct Contracting Model and Direct Contracting Entities.
ACO REACH | CMS Innovation Center information on ACO REACH
Public Reporting Information
St. Luke's Clinic Coordinated Care, Ltd (SLCCC)
PO Box 1556
Boise, ID 83706
Email (general inquiries): SLHealthPartners@slhs.org
Email (feedback or complaints): SLHPFeedback@slhs.org
View our CMS Participation Agreement
Jonathan Schott, MD, Medical Director, SLHP
Participating and Preferred Providers
There are no joint ventures between or among the ACO and any of its ACO Preferred Providers and Participant Providers.
Definitions for Participating and Preferred Provider Types
The ACO REACH model features two categories of Medicare providers. The two primary categories are Participants and Preferred Providers.
- Participating Providers are the core group of providers that form the ACO. Participants are typically primary care physicians. They are bound to specific requirements under and are responsible for reporting quality and committing to beneficiary care improvement. They are used for beneficiary (patient) alignment.
- Preferred Providers are typically specialists/facilities/ancillary services which are defined as "in-network" and qualify for beneficiary enhancement and waivers. Preferred Providers contribute to ACO goals by extending and facilitating valuable care relationships. Preferred providers are not used for beneficiary alignment.
SLCCC Governing Body
|Name||Title||Role||Member Type||Name of Employer|
|Jim Giuffre||Retired President/CEO, Healthwise||Chair||At-large||Retired|
|Robert Cavagnol, MD||President, St. Luke's Clinic||At-large: SLHP ACO Designated Representative||St. Luke's Clinic|
|Jason Bronner, MD||Physician, SLMV||At-large: SLHP ACO Participant Director||St. Luke's Clinic|
|Brian Fortuin, MD||Physician, SLMV||At-large: SLHP ACO Participant Director||St. Luke's Magic Valley|
|Robert Ohlensehlen||Owner, A&O Associates, Twin Falls, ID||Beneficiary Representative||At-large: Beneficiary Representative||A&O Associates|
|Cynthia York||Self-employed, Healthcare Delivery Consultant||Consumer Advocate||At-large: Consumer Advocate||Self-employed|
|Amy Gonzalez||Vice President, SLHP||President||At-large: SLHP ACO Designated Representative||St. Luke's Health Partners|
|Sandee Gehrke||Sr. Vice President, Chief Operating Officer, SLHS||At-large: SLHP ACO Designated Representative||St. Luke's Health System|
Key Clinical and Administrative Leadership
Jonathan Schott, MD, Medical Director, St. Luke’s Health Partners
Amy Gonzalez, Vice President, St. Luke’s Health Partners
Caitlin Reicks, Senior Compliance Program Manager, St. Luke’s Health System
Steven Pitts, Chief Compliance Officer, St. Luke’s Health System
SLHP ACO Shared Savings and Losses
Shared savings are distributed to participating and preferred providers according to the board-approved distribution methodology. (Download Chart)
- Shared Savings and Losses for PY2022 will be reported in January 2024