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 
Jim Giuffre Retired President/CEO, Healthwise Chair At-large Retired
Robert Cavagnol, MD President, St. Luke's Clinic   At-large: SLHP ACO, DCE Participant Director,
Designated Representative
St. Luke's Clinic
Dick Armstrong Retired Director of IDHW   At-large Retired
Ern Blackwelder President & CEO Onsite Dental   At-large Onsite Dental
April Dillion, DO Physician, Primary Health Medical Group   At-large Primary Health Medical Group
Brian Fortuin, MD Physician, SLMV   At-large: SLHP ACO, DCE Participant Director St. Luke's Magic Valley
Dee Jay Mailer Retired CEO, Kamehameha Schools (Bishop Estate)   At-large Retired
Laura McGeorge, MD Medical Director, Primary Care Services, SLHS   At-large: SLHP ACO, DCE Participant Director St. Luke's Clinic
Robert Ohlensehlen Owner, A&O Associates, Twin Falls, ID Beneficiary Representative At-large: Beneficiary Representative A&O Associates
Randy Page, DO Retired Physician   At-large Retired
Jeff Taylor SVP, CFO SLHS   At-large: SLHP ACO, DCE Participant Director, Designated Representative St. Luke's Health System
Casi Wyatt, DO Infectious Disease Specialist, Sawtooth Epidemiology   At-large Sawtooth Epidemiology
Cynthia York Self-employed, Healthcare Delivery Consultant Consumer Advocate At-large: Consumer Advocate Self-employed
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