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MSSPA1737 · PY2024 · serves 3 states
The Premier HealthCare Network LLC
★★★☆☆
quality 79.8/100 (XSPAN star)
Lives (aligned)
7,097
CMS revenue (total spend)
$69.1M
Benchmark
$74.7M
Shared savings earned
$2.8M
paid to the ACO by CMS (PY2024)
Savings generated
$5.6M
gross vs benchmark
Per-capita spend
$9,930
Acute admits /1k
196
ED visits /1k
440
30-day readmit rate
15.0%
Service area GA, MD, TNOperator John Woods
Shared savings you retain / yr
$2.1M
3.0% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$2.1M
3.0% of CMS revenue
Combined XSpan impact / yr
$4.2M
6.0% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $3.2M/yr.
Avoidable acute admits reduced15%
$2.1M/yr
30-day readmissions reduced20%
on 15.02% measured rate$496.5K/yr
ED visits deflected10%
$398.1K/yr
SNF admits reduced8%
$217.2K/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%$1.8M/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
$321.9K/yr
Care-management codes
$1.1M
Enrollment (of eligible)30%
$/member/month$62
~1,448 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$985.5K
Enrollment (of eligible)25%
$/member/month$91
~887 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 2-ACO family run by John Woods
combined: 14,313 lives · $6M earned · 10 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.