← All ACOs
MSSPA1557 · PY2024 · serves 1 state
MCM ACCOUNTABLE CARE ORGANIZATION, LLC
★★★★★
quality 93.5/100 (XSPAN star)
Lives (aligned)
6,318
CMS revenue (total spend)
$88.6M
Benchmark
$102.4M
Shared savings earned
$10.2M
paid to the ACO by CMS (PY2024)
Savings generated
$13.8M
gross vs benchmark
Per-capita spend
$14,303
Acute admits /1k
281
ED visits /1k
636
30-day readmit rate
16.9%
Service area FLOperator Mazin Shikara
Shared savings you retain / yr
$2.9M
3.3% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$1.8M
2.1% of CMS revenue
Combined XSpan impact / yr
$4.8M
5.4% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $4.5M/yr.
Avoidable acute admits reduced15%
$3M/yr
30-day readmissions reduced20%
on 16.93% measured rate$804.1K/yr
ED visits deflected10%
$512.1K/yr
SNF admits reduced8%
$213.3K/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%$2.5M/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
$448.9K/yr
Care-management codes
$959K
Enrollment (of eligible)30%
$/member/month$62
~1,289 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$877.7K
Enrollment (of eligible)25%
$/member/month$91
~790 enrolled (50% eligible × 25%). Device supply + 20-min treatment mgmt. Concurrent with CCM allowed.
—
—
CY2024 national-average code rates — editable. In MSSP, care-management billing also counts toward ACO expenditures; net effect depends on your model.