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MSSPA3289 · PY2024 · serves 2 states
OSF Healthcare System
★★★☆☆
quality 77.4/100 (XSPAN star)
Lives (aligned)
46,924
CMS revenue (total spend)
$497M
Benchmark
$541M
Shared savings earned
$32.3M
paid to the ACO by CMS (PY2024)
Savings generated
$44M
gross vs benchmark
Per-capita spend
$10,820
Acute admits /1k
247
ED visits /1k
648
30-day readmit rate
16.1%
Service area IL, MIOperator Robert Sehring
Shared savings you retain / yr
$18.7M
3.8% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$13.6M
2.7% of CMS revenue
Combined XSpan impact / yr
$32.4M
6.5% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $28.8M/yr.
Avoidable acute admits reduced15%
$18.3M/yr
30-day readmissions reduced20%
on 16.09% measured rate$4.7M/yr
ED visits deflected10%
$3.9M/yr
SNF admits reduced8%
$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%$15.9M/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
$2.9M/yr
Care-management codes
$7.1M
Enrollment (of eligible)30%
$/member/month$62
~9,572 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$6.5M
Enrollment (of eligible)25%
$/member/month$91
~5,866 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.