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MSSPA1061 · PY2024 · serves 1 state
Ascension Care Management Health Partners Tennessee
Met CMS quality standard
CMS assigned a default reporting score (shared by ~35 ACOs) — not individually star-rated.
Lives (aligned)
34,901
CMS revenue (total spend)
$409.2M
Benchmark
$422.6M
Shared savings earned
$9.8M
paid to the ACO by CMS (PY2024)
Savings generated
$13.3M
gross vs benchmark
Per-capita spend
$11,917
Acute admits /1k
251
ED visits /1k
538
30-day readmit rate
15.2%
Service area TNOperator Joyce Colton
Shared savings you retain / yr
$13.5M
3.3% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$10.1M
2.5% of CMS revenue
Combined XSpan impact / yr
$23.7M
5.8% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $20.8M/yr.
Avoidable acute admits reduced15%
$13.2M/yr
30-day readmissions reduced20%
on 15.23% measured rate$3.2M/yr
ED visits deflected10%
$2.4M/yr
SNF admits reduced8%
$2.1M/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%$11.5M/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
$2.1M/yr
Care-management codes
$5.3M
Enrollment (of eligible)30%
$/member/month$62
~7,120 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$4.8M
Enrollment (of eligible)25%
$/member/month$91
~4,363 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 Joyce Colton
combined: 64,076 lives · $11.5M earned · 5 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.