← All ACOs
MSSPA3509 · PY2024 · serves 1 state
OneHealth Nebraska ACO, LLC
★★★★★
quality 91.6/100 (XSPAN star)
Lives (aligned)
10,477
CMS revenue (total spend)
$111.8M
Benchmark
$123.2M
Shared savings earned
$5.6M
paid to the ACO by CMS (PY2024)
Savings generated
$11.5M
gross vs benchmark
Per-capita spend
$10,838
Acute admits /1k
187
ED visits /1k
407
30-day readmit rate
15.0%
Service area NEOperator Steve Kros
Shared savings you retain / yr
$3.1M
2.8% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$3M
2.7% of CMS revenue
Combined XSpan impact / yr
$6.2M
5.5% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $4.8M/yr.
Avoidable acute admits reduced15%
$3.1M/yr
30-day readmissions reduced20%
on 15.02% measured rate$735K/yr
ED visits deflected10%
$545.6K/yr
SNF admits reduced8%
$423.7K/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%$2.7M/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
$482.3K/yr
Care-management codes
$1.6M
Enrollment (of eligible)30%
$/member/month$62
~2,137 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.5M
Enrollment (of eligible)25%
$/member/month$91
~1,310 enrolled (50% eligible × 25%). Device supply + 20-min treatment mgmt. Concurrent with CCM allowed.
—
—
CY2024 national-average code rates — editable. In MSSP, care-management billing also counts toward ACO expenditures; net effect depends on your model.