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MSSPA1001 · PY2024 · serves 6 states
PBACO Holding, LLC
Met CMS quality standard
CMS assigned a default reporting score (shared by ~35 ACOs) — not individually star-rated.
Lives (aligned)
116,175
CMS revenue (total spend)
$1.5B
Benchmark
$1.7B
Shared savings earned
$107.9M
paid to the ACO by CMS (PY2024)
Savings generated
$146.8M
gross vs benchmark
Per-capita spend
$13,198
Acute admits /1k
248
ED visits /1k
561
30-day readmit rate
16.5%
Service area DC, FL, GA, NC, SC, TXOperator David Klebonis
Shared savings you retain / yr
$44.9M
3.0% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$33.8M
2.2% of CMS revenue
Combined XSpan impact / yr
$78.7M
5.2% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $69.1M/yr.
Avoidable acute admits reduced15%
$45.2M/yr
30-day readmissions reduced20%
on 16.47% measured rate$11.9M/yr
ED visits deflected10%
$8.3M/yr
SNF admits reduced8%
$3.7M/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%$38M/yr
Better care → higher rating → bonus
This ACO: not individually rated. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$6.9M/yr
Care-management codes
$17.6M
Enrollment (of eligible)30%
$/member/month$62
~23,700 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$16.1M
Enrollment (of eligible)25%
$/member/month$91
~14,522 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 David Klebonis
combined: 141,949 lives · $150M earned · 8 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.