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MSSPA1501 · PY2024 · serves 1 state
AMITA Health Accountable Care Organization, LLC
Met CMS quality standard
CMS assigned a default reporting score (shared by ~35 ACOs) — not individually star-rated.
Lives (aligned)
41,314
CMS revenue (total spend)
$552M
Benchmark
$566.6M
Shared savings earned
$7.2M
paid to the ACO by CMS (PY2024)
Savings generated
$14.6M
gross vs benchmark
Per-capita spend
$13,588
Acute admits /1k
281
ED visits /1k
583
30-day readmit rate
n/a (REACH)
Service area ILOperator David Hurter
Shared savings you retain / yr
$19.2M
3.5% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$12M
2.2% of CMS revenue
Combined XSpan impact / yr
$31.3M
5.7% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $29.6M/yr.
Avoidable acute admits reduced15%
$19.4M/yr
30-day readmissions reduced20%
14% national avg (not in REACH PUF)$4.2M/yr
ED visits deflected10%
$3.1M/yr
SNF admits reduced8%
$2.9M/yr
ED cost per visit$1,300
2 · How MSSP pays you
FFS shared savings + separately-billable care-management codes.
Shared-savings rate you keep55%
BASIC 40% → ENHANCED 75%$16.3M/yr
Better care → higher rating → bonus
This ACO: not individually rated. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$3M/yr
Care-management codes
$6.3M
Enrollment (of eligible)30%
$/member/month$62
~8,428 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$5.7M
Enrollment (of eligible)25%
$/member/month$91
~5,164 enrolled (50% eligible × 25%). Device supply + 20-min treatment mgmt. Concurrent with CCM allowed.
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CY2024 national-average code rates — editable. In MSSP, care-management billing also counts toward ACO expenditures; net effect depends on your model.