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MSSPA1494 · PY2024 · serves 2 states
Indiana Lakes ACO, LLC
★★★★★
quality 91.3/100 (XSPAN star)
Lives (aligned)
5,946
CMS revenue (total spend)
$61.1M
Benchmark
$62.7M
Shared savings earned
$1.2M
paid to the ACO by CMS (PY2024)
Savings generated
$1.7M
gross vs benchmark
Per-capita spend
$10,509
Acute admits /1k
197
ED visits /1k
515
30-day readmit rate
15.0%
Service area IN, MIOperator Margaret Franger
Shared savings you retain / yr
$1.9M
3.1% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$1.7M
2.8% of CMS revenue
Combined XSpan impact / yr
$3.6M
5.9% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $2.9M/yr.
Avoidable acute admits reduced15%
$1.8M/yr
30-day readmissions reduced20%
on 14.99% measured rate$419.4K/yr
ED visits deflected10%
$389K/yr
SNF admits reduced8%
$322.3K/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%$1.6M/yr
Better care → higher rating → bonus
This ACO: 5★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$291.5K/yr
Care-management codes
$902.5K
Enrollment (of eligible)30%
$/member/month$62
~1,213 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$825.5K
Enrollment (of eligible)25%
$/member/month$91
~743 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.