Silver State ACO LLC

What Silver State ACO LLC does

Silver State ACO LLC is a physician-led, CMS-approved Accountable Care Organization operating in the Medicare Shared Savings Program (MSSP) Enhanced Track. Founded in 2013 and effective January 1, 2014, the ACO serves Medicare fee-for-service beneficiaries across Southern and Northern Nevada through a network of 52 participating primary care practices and 400+ PCPs, with over 31,000 attributed beneficiaries as of 2024. Its core product is a care coordination platform encompassing Annual Wellness Visits, Chronic Care Management, Transitional Care Management, HCC risk adjustment coding, and quality measures reporting, supported by dedicated Quality Coordinators assigned to each practice and real-time acute facility discharge notifications.

The organization's business model is outcome-based: it earns shared savings from CMS when total cost-of-care for attributed beneficiaries falls below established benchmarks while quality scores are maintained. In 2024, Silver State ACO generated $28.6M+ in CMS savings and earned over $21M in shared savings, ranking #1 in Nevada and in the top 8% of ACOs nationally. The ACO has achieved shared savings earnings for ten consecutive years (2015-2024), placing it among only 11 ACOs in the program's history to do so. Cumulative CMS savings over the decade exceed $290M.

Distribution is through direct provider recruitment and three core hospital system partnerships—Valley Health System, Northern Nevada Health System, and ScionHealth—along with preferred provider networks of specialists and skilled nursing facilities. The SNF 3-Day Rule Waiver program, operated with USHS as Care Management Partner, enables direct admissions to affiliated SNFs without the standard 3-day hospitalization requirement. The ACO is overseen by a physician-majority board (over 80% physicians) and led by a management team with over 100 years of combined healthcare experience. Pricing is not applicable in the traditional sense, as the organization is funded through CMS shared savings rather than direct customer billing.

Name

Silver State ACO LLC

Legal name

Silver State ACO LLC

Website

https://silverstateaco.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

11–50 employees

Short description

Silver State ACO LLC is a CMS-approved Medicare Shared Savings Program ACO serving 31,000+ Medicare beneficiaries across Nevada through 52 primary care practices, earning shared savings via outcome-based care coordination. Founded in 2013, it has produced shared savings for ten consecutive years.

Ownership category

akta.pro rank

Product category

Accountable Care Organization (Medicare Shared Savings)

NAICS

Nursing and Residential Care Facilities (623), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Primary Care Networks, Groups & MSOs (HLAFAGAE)

akta.pro secondary industries

Post-Acute Care Networks & Care Management Organizations (HLAFAFAN), Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ)

Keywords

• Accountable care organization
• Medicare shared savings program
• Care coordination services
• Chronic care management
• Transitional care management

Headquarters

HQ city

Las Vegas

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Medicare Shared Savings Program (MSSP) Revenue: Silver State ACO participates in the CMS Medicare Shared Savings Program (MSSP), specifically the Enhanced Track. The ACO earns shared savings when it successfully reduces Medicare costs while achieving high quality care standards. Revenue is earned based on performance against CMS benchmarks for quality and cost savings. In 2024, SSACO saved CMS over $28.6 million and earned more than $21 million in shared savings. Cumulatively over ten years, the ACO has saved CMS more than $290 million.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Silver State ACO is a CMS-approved Medicare Shared Savings Program (MSSP) Enhanced Track Accountable Care Organization that coordinates care for Medicare fee-for-service beneficiaries across Nevada through a network of 52 participating primary care practices and preferred specialty/SNF providers. The ACO delivers care coordination, chronic care management, transitional care management, annual wellness visits, HCC risk adjustment coding, quality reporting, and the SNF 3-Day Rule Waiver program, earning shared savings from CMS when total Medicare cost and quality benchmarks are met.

Product overview

Silver State ACO is a Medicare Shared Savings Program (MSSP) Accountable Care Organization that operates as a unified healthcare coordination platform rather than a traditional software product. The organization's service portfolio centers on care management programs including Care Coordination, Chronic Care Management Services, Transitional Care Management Services, Annual Wellness Visits, HCC Coding for risk adjustment, and Quality Measures reporting. As a participant in the MSSP Enhanced Track, Silver State ACO also offers the SNF 3-Day Rule Waiver program for eligible beneficiaries. The organization provides these services through affiliated physician practices and a preferred provider network across Southern and Northern Nevada, serving Medicare fee-for-service beneficiaries.

Differentiator

Problem solved

Functional benefit

Products and services

• Care Coordination
• Chronic Care Management Services
• Transitional Care Management Services
• Annual Wellness Visit
• HCC Coding
• Quality Measures
• SNF 3-Day Rule Waiver

Quantifiable outcome

• Saved CMS over $28.6 million in 2024; cumulative savings of $290+ million over 10 years
• +4 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature5 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• Valley Health SystemcoreStrategic or Co-development PartnerValley Health System is a major corporate sponsor of Silver State ACO. They provide hospital system partnership enabling smooth transitions across the continuum of care for ACO beneficiaries. Valley Health System facilities include Centennial Hills, Henderson, Spring Valley, Summerlin, and Valley Hospitals.
• Northern Nevada Health SystemcoreStrategic or Co-development PartnerNorthern Nevada Health System is a corporate sponsor of Silver State ACO, providing hospital system partnership for the Northern Nevada region including Northern Nevada Medical Center in Sparks and Northern Nevada Sierra Medical Center in Reno.
• ScionHealthcoreStrategic or Co-development PartnerScionHealth is a corporate sponsor of Silver State ACO. ScionHealth's Senior Vice President, Linn Billingsley, serves on the ACO's Governing Board as Vice-Chair.
• Kindred HealthcareminorStrategic or Co-development PartnerKindred Healthcare was mentioned as a corporate partner in earlier years (2019-2021 announcements). Kindred became a strategic owner and partner in the ACO in May 2014. The partnership focused on post-acute care and rehabilitation services. Note: ScionHealth acquired Kindred's hospital division in 2022, and the corporate partner reference changed to ScionHealth.
• USHS (Universal Health Services Holdings)coreStrategic or Co-development PartnerUSHS serves as Silver State ACO's Care Management Partner for the SNF 3-Day Rule Waiver program. They assist in reviewing eligibility and directing the admission process under the waiver program. Contact: 833-208-0588.
• Southern Nevada Preferred Providers NetworkcoreChannel Partner/ Reseller/ DistributorNetwork of contracted specialists, skilled nursing facilities, and other healthcare providers in Southern Nevada who accept referrals from Silver State ACO participating primary care providers.
• Northern Nevada Preferred Providers NetworkcoreChannel Partner/ Reseller/ DistributorNetwork of contracted specialists, skilled nursing facilities, and other healthcare providers in Northern Nevada who accept referrals from Silver State ACO participating primary care providers.

Scale indicators8 records

Recent moves11 records

Expansion highlights3 records

Direct peers

• Cano Health: Cano Health operates value-based primary care centers for seniors, primarily under Medicare Advantage full-risk contracts. Comparable in target population (Medicare seniors) and emphasis on coordinated, capitated care.
• Oak Street Health (CVS Health): Oak Street Health, acquired by CVS Health, operates senior-focused primary care clinics under full-risk Medicare contracts. Comparable as a value-based, senior-focused primary care operator with extensive care coordination infrastructure.
• ChenMed: ChenMed operates senior-focused primary care clinics under full-risk arrangements with Medicare Advantage plans. Comparable as a value-based primary care operator for elderly Medicare patients with a focus on chronic care management.
• Aledade: Aledade partners with independent PCPs to form and operate MSSP, ACO REACH, and other value-based care ACOs. Most directly comparable as a PCP-network ACO operating in the Medicare Shared Savings Program with similar shared-savings revenue model.
• VillageMD: VillageMD (backed by Walgreens Boots Alliance and Cigna) operates value-based primary care clinics serving seniors under risk-bearing contracts. Comparable as a senior-focused, risk-bearing primary care model.
• Privia Health Group: Privia is a national physician enablement and MSO platform with ACOs and value-based care arrangements, including MSSP participation. Comparable as a multi-state, multi-payer network of independent PCPs capturing shared savings and capitation.
• Agilon Health: Agilon partners with primary care physicians in long-term risk-bearing relationships focused on Medicare Advantage and ACO REACH. Highly comparable in its focus on senior value-based primary care and shared-savings/full-risk economics.
• Astrana Health (formerly Apollo Medical Holdings): Astrana operates managed care and ACO organizations serving Medicare Advantage and ACO REACH patients through affiliated PCPs. Directly comparable as a physician-led ACO/MSO in value-based care.
• P3 Health Partners: P3 Health Partners operates value-based care networks focused on Medicare Advantage seniors across multiple states, including Nevada. Directly comparable target market (senior Medicare beneficiaries) and shared-savings/capitation model.

Emerging players

• Arkos Health: Arkos Health is referenced on the Silver State ACO SNF waiver page and provides care management services to ACOs and risk-bearing providers. Comparable as a care-coordination partner serving value-based care organizations.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/silver-state-aco-llc

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Silver State ACO LLC