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MSSPA4889 · PY2024 · serves 1 state
WellMed Texas Medicare ACO, LLC
★★★☆☆
quality 79.5/100 (XSPAN star)
Lives (aligned)
15,344
CMS revenue (total spend)
$174.1M
Benchmark
$179.4M
Shared savings earned
$2.6M
paid to the ACO by CMS (PY2024)
Savings generated
$5.3M
gross vs benchmark
Per-capita spend
$11,502
Acute admits /1k
247
ED visits /1k
570
30-day readmit rate
15.7%
Service area TXOperator Carter Rieser
Shared savings you retain / yr
$6.2M
3.6% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$4.5M
2.6% of CMS revenue
Combined XSpan impact / yr
$10.7M
6.1% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $9.6M/yr.
Avoidable acute admits reduced15%
$6.4M/yr
30-day readmissions reduced20%
on 15.65% measured rate$1.6M/yr
ED visits deflected10%
$1.1M/yr
SNF admits reduced8%
$419.6K/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%$5.3M/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
$958.3K/yr
Care-management codes
$2.3M
Enrollment (of eligible)30%
$/member/month$62
~3,130 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$2.1M
Enrollment (of eligible)25%
$/member/month$91
~1,918 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.