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MSSPA4888 · PY2024 · serves 1 state
WellMed Network Medicare ACO, LLC
★★★☆☆
quality 76.5/100 (XSPAN star)
Lives (aligned)
8,364
CMS revenue (total spend)
$120M
Benchmark
$131.2M
Shared savings earned
$3.4M
paid to the ACO by CMS (PY2024)
Savings generated
$11.2M
gross vs benchmark
Per-capita spend
$14,758
Acute admits /1k
312
ED visits /1k
630
30-day readmit rate
15.7%
Service area TXOperator Carter Rieser
Shared savings you retain / yr
$4.3M
3.6% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$2.4M
2.0% of CMS revenue
Combined XSpan impact / yr
$6.7M
5.6% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $6.6M/yr.
Avoidable acute admits reduced15%
$4.2M/yr
30-day readmissions reduced20%
on 15.68% measured rate$1.1M/yr
ED visits deflected10%
$666.1K/yr
SNF admits reduced8%
$599.5K/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%$3.6M/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
$656.2K/yr
Care-management codes
$1.3M
Enrollment (of eligible)30%
$/member/month$62
~1,706 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.2M
Enrollment (of eligible)25%
$/member/month$91
~1,046 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 3-ACO family run by Carter Rieser
combined: 37,722 lives · $13.7M earned · 2 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.