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MSSPA5444 · PY2024 · serves 1 state
Northwestern Medicine Health Network ACO LLC
★★★★☆
quality 88.5/100 (XSPAN star)
Lives (aligned)
44,625
CMS revenue (total spend)
$537.8M
Benchmark
$578.3M
Shared savings earned
$15.9M
paid to the ACO by CMS (PY2024)
Savings generated
$40.5M
gross vs benchmark
Per-capita spend
$12,267
Acute admits /1k
246
ED visits /1k
547
30-day readmit rate
14.5%
Service area ILOperator Jessica Walradt
Shared savings you retain / yr
$17.8M
3.3% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$13M
2.4% of CMS revenue
Combined XSpan impact / yr
$30.8M
5.7% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $27.4M/yr.
Avoidable acute admits reduced15%
$18.2M/yr
30-day readmissions reduced20%
on 14.48% measured rate$4.1M/yr
ED visits deflected10%
$3.1M/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%$15.1M/yr
Better care → higher rating → bonus
This ACO: 4★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$2.7M/yr
Care-management codes
$6.8M
Enrollment (of eligible)30%
$/member/month$62
~9,104 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$6.2M
Enrollment (of eligible)25%
$/member/month$91
~5,578 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 Jessica Walradt
combined: 78,247 lives · $15.9M earned · 1 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.