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MSSPA3273 · PY2024 · serves 2 states
Nebraska Health Network, LLC
★★★★★
quality 90.3/100 (XSPAN star)
Lives (aligned)
35,290
CMS revenue (total spend)
$436.1M
Benchmark
$446M
Shared savings earned
$7.3M
paid to the ACO by CMS (PY2024)
Savings generated
$9.9M
gross vs benchmark
Per-capita spend
$12,571
Acute admits /1k
246
ED visits /1k
576
30-day readmit rate
15.5%
Service area IA, NEOperator Lee Handke
Shared savings you retain / yr
$14.1M
3.2% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$10.3M
2.4% of CMS revenue
Combined XSpan impact / yr
$24.4M
5.6% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $21.7M/yr.
Avoidable acute admits reduced15%
$13.6M/yr
30-day readmissions reduced20%
on 15.53% measured rate$3.3M/yr
ED visits deflected10%
$2.6M/yr
SNF admits reduced8%
$2.2M/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%$12M/yr
Better care → higher rating → bonus
This ACO: 5★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$2.2M/yr
Care-management codes
$5.4M
Enrollment (of eligible)30%
$/member/month$62
~7,199 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$4.9M
Enrollment (of eligible)25%
$/member/month$91
~4,411 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.