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MSSPA1033 · PY2024 · serves 4 states
Advocate Physician Partners Accountable Care, Inc.
★★★★☆
quality 85.4/100 (XSPAN star)
Lives (aligned)
134,269
CMS revenue (total spend)
$1.8B
Benchmark
$1.8B
Shared savings earned
$52M
paid to the ACO by CMS (PY2024)
Savings generated
$70.7M
gross vs benchmark
Per-capita spend
$13,408
Acute admits /1k
288
ED visits /1k
634
30-day readmit rate
15.4%
Service area GA, IL, NC, WIOperator Michael Barbati
Shared savings you retain / yr
$61.6M
3.5% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$39M
2.2% of CMS revenue
Combined XSpan impact / yr
$100.6M
5.7% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $94.8M/yr.
Avoidable acute admits reduced15%
$61.3M/yr
30-day readmissions reduced20%
on 15.41% measured rate$14.9M/yr
ED visits deflected10%
$10.9M/yr
SNF admits reduced8%
$7.7M/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%$52.1M/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
$9.5M/yr
Care-management codes
$20.4M
Enrollment (of eligible)30%
$/member/month$62
~27,391 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$18.6M
Enrollment (of eligible)25%
$/member/month$91
~16,784 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.