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MSSPA2272 · PY2024 · serves 2 states
SSM ACO, LLC
★★★☆☆
quality 75.6/100 (XSPAN star)
Lives (aligned)
15,288
CMS revenue (total spend)
$197.5M
Benchmark
$209.2M
Shared savings earned
$8.6M
paid to the ACO by CMS (PY2024)
Savings generated
$11.7M
gross vs benchmark
Per-capita spend
$13,120
Acute admits /1k
319
ED visits /1k
665
30-day readmit rate
14.4%
Service area IL, MOOperator Mark Webber
Shared savings you retain / yr
$7.4M
3.8% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$4.4M
2.3% of CMS revenue
Combined XSpan impact / yr
$11.9M
6.0% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $11.5M/yr.
Avoidable acute admits reduced15%
$7.8M/yr
30-day readmissions reduced20%
on 14.44% measured rate$1.7M/yr
ED visits deflected10%
$1.3M/yr
SNF admits reduced8%
$638.9K/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%$6.3M/yr
Better care → higher rating → bonus
This ACO: 3★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$1.1M/yr
Care-management codes
$2.3M
Enrollment (of eligible)30%
$/member/month$62
~3,119 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$2.1M
Enrollment (of eligible)25%
$/member/month$91
~1,911 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.
Part of a 2-ACO family run by Mark Webber
combined: 20,759 lives · $11M earned · 2 states
CMS reports each ACO separately by legal entity. This operator's Medicare-FFS footprint spans the ACOs below — Medicare Advantage / commercial lives are not in the CMS PUFs and are not shown.
