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MSSPA2620 · PY2024 · serves 1 state
Northwestern Medicine ACO, LLC
★★★★☆
quality 83.1/100 (XSPAN star)
Lives (aligned)
33,622
CMS revenue (total spend)
$492.1M
Benchmark
$484.1M
Shared savings earned
$0
paid to the ACO by CMS (PY2024)
Savings generated
$0
gross vs benchmark
Per-capita spend
$14,831
Acute admits /1k
269
ED visits /1k
573
30-day readmit rate
15.1%
Service area ILOperator Jessica Walradt
Shared savings you retain / yr
$15.4M
3.1% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$9.8M
2.0% of CMS revenue
Combined XSpan impact / yr
$25.1M
5.1% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $23.6M/yr.
Avoidable acute admits reduced15%
$15.9M/yr
30-day readmissions reduced20%
on 15.14% measured rate$3.8M/yr
ED visits deflected10%
$2.5M/yr
SNF admits reduced8%
$1.5M/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%$13M/yr
Better care → higher rating → bonus
This ACO: 4★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$2.4M/yr
Care-management codes
$5.1M
Enrollment (of eligible)30%
$/member/month$62
~6,859 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$4.7M
Enrollment (of eligible)25%
$/member/month$91
~4,203 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 Jessica Walradt
combined: 78,247 lives · $15.9M earned · 1 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.