Accountable Care Organization and Direct Contracting Entity

What is St. Luke’s Health Partners Accountable Care Organization (SLHP ACO)?

A Next Generation Accountable Care Organization is a type of ACO program implemented through CMS's Center for Medicare and Medicaid Innovation (CMMI). ACOs are groups of doctors, hospitals, and other health care providers that come 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. The Next Generation model offers different methodologies and financial arrangements with higher levels of risk and reward than current Medicare ACO initiatives.

Please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227 (TTY users should call 1-877-486-2048)) for questions or additional information about Next Generation Accountable Care Organizations.

 

What is St. Luke's Health Partners Direct Contracting Entity (SLHP DCE)?

The Global and Professional Direct Contracting (GPDC) Model is a program implemented through CMS's Center for Medicare and Medicaid Innovation (CMMI). Under GPDC, groups of doctors, hospitals, and other health care providers agree to come together to form a Direct Contracting Entity (DCE) 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. The GPDC model offers different methodologies and financial arrangements with higher levels of risk and reward than current Medicare initiatives.

Please visit https://innovation.cms.gov/innovation-models/gpdc-model or call 1-800-MEDICARE (1-800-633-4227 (TTY users should call 1-877-486-2048)) for questions or additional information about the Global and Professional Direct Contracting Model and Direct Contracting Entities.

 

Public Reporting Information

 

Participating and Preferred Providers

 

Definitions for Participating and Preferred Provider Types

 

SLHP ACO and DCE Participating and Preferred Provider Joint Ventures

 

SLHP ACO and DCE Governing Body

Name  Title Role  Member Type Name of Employer 
Christine Neuhoff St. Luke's Health System VP, Legal Counsel Chair At-large: SLHP ACO, DCE Participant Director Designated Representative St. Luke's Health System
Robert Ohlensehlen Retired Beneficiary Representative At-large: Beneficiary Representative Retired
Matt Wolff St. Luke's Health Partners VP, Network Operations President President w/vote, SLHP ACO, DCE Participant Director, Designated Representative St. Luke's Health Partners
Jeff Taylor St. Luke's Health System Chief Financial Officer   At-large: SLHP ACO, DCE Participant Director, Designated Representative St. Luke's Health System
Cynthia York Division of Healthcare Policy, State of Idaho Consumer Advocate At-large: Consumer Advocate Idaho Department of Health & Welfare
Aaron Brown, MD St. Luke's Family Medicine Physician   At-large: SLHP ACO, DCE Participant Director St. Luke's Clinic
Gary Fletcher Retired St. Luke's Health System Executive   At-large Retired
John Kaiser, MD President, Southern Idaho Health Partners, LLC (Saltzer)   At-large: SLHP ACO, DCE Participant Director Southern Idaho Health Partners
Robert Cavagnol, MD St. Luke's Health System Executive Medical Director    At-large: SLHP ACO, DCE Participant Director
St. Luke's Health System
Daniel Reed, MD
Alliance Medical Group (Primary Health Medical Group)   At-large: SLHP ACO, DCE Participant Director
Alliance Medical Group
Jim Souza, MD St. Luke's Health System Chief Medical Officer   At-large: SLHP ACO, DCE Participant Director,
St. Luke's Health System
Amy Gonzalez St. Luke's Health Partners Director, Finance Treasurer At-large: SLHP ACO, DCE Participant Director, Designated Representative
St. Luke's Health Partners
Ben Keith St. Luke's Health System Managing Counsel Secretary At-large: SLHP ACO, DCE Participant Director, Designated Representative
St. Luke's Health System

 

Key Clinical and Administrative Leadership

Jonathan Schott, MD, SLHP ACO Medical Director
Matt Wolff, President, St.Luke’s Health Partners, SLHP ACO, DCE President
Ben Gagnon, Compliance Director, 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)

 

SLHP DCE Shared Savings and Losses

 

SLHP ACO Quality Performance Results

 

SLHP DCE Quality Performance Results