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MSSPA1490 · PY2024 · serves 2 states
Lahey Clinical Performance Accountable Care Organization, LLC
★★★☆☆
quality 76.6/100 (XSPAN star)
Lives (aligned)
40,862
CMS revenue (total spend)
$586.3M
Benchmark
$598.4M
Shared savings earned
$0
paid to the ACO by CMS (PY2024)
Savings generated
$0
gross vs benchmark
Per-capita spend
$14,618
Acute admits /1k
300
ED visits /1k
631
30-day readmit rate
16.1%
Service area MA, NHOperator Nicole DeVita
Shared savings you retain / yr
$21.3M
3.6% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$11.9M
2.0% of CMS revenue
Combined XSpan impact / yr
$33.1M
5.7% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $32.7M/yr.
Avoidable acute admits reduced15%
$21.7M/yr
30-day readmissions reduced20%
on 16.07% measured rate$5.5M/yr
ED visits deflected10%
$3.3M/yr
SNF admits reduced8%
$2.2M/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%$18M/yr
Better care → higher rating → bonus
This ACO: 3★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$3.3M/yr
Care-management codes
$6.2M
Enrollment (of eligible)30%
$/member/month$62
~8,336 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$5.7M
Enrollment (of eligible)25%
$/member/month$91
~5,108 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.