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MSSPA3380 · PY2024 · serves 1 state
Mercy Health Network ACO, LLC
★★★★★
quality 91.8/100 (XSPAN star)
Lives (aligned)
21,913
CMS revenue (total spend)
$247.7M
Benchmark
$254M
Shared savings earned
$4.6M
paid to the ACO by CMS (PY2024)
Savings generated
$6.2M
gross vs benchmark
Per-capita spend
$11,517
Acute admits /1k
229
ED visits /1k
512
30-day readmit rate
13.6%
Service area IAOperator Andrea Harding
Shared savings you retain / yr
$7.8M
3.2% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$6.4M
2.6% of CMS revenue
Combined XSpan impact / yr
$14.2M
5.7% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $12M/yr.
Avoidable acute admits reduced15%
$7.9M/yr
30-day readmissions reduced20%
on 13.64% measured rate$1.7M/yr
ED visits deflected10%
$1.4M/yr
SNF admits reduced8%
$1.1M/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%$6.6M/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
$1.2M/yr
Care-management codes
$3.3M
Enrollment (of eligible)30%
$/member/month$62
~4,470 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$3M
Enrollment (of eligible)25%
$/member/month$91
~2,739 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 Andrea Harding
combined: 34,570 lives · $9.9M earned · 3 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.