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MSSPA2029 · PY2024 · serves 1 state
Scottsdale Health Partners, LLC
★★★★★
quality 90.3/100 (XSPAN star)
Lives (aligned)
37,510
CMS revenue (total spend)
$501.1M
Benchmark
$497.7M
Shared savings earned
-$1.4M
paid to the ACO by CMS (PY2024)
Savings generated
-$3.4M
gross vs benchmark
Per-capita spend
$13,645
Acute admits /1k
249
ED visits /1k
555
30-day readmit rate
14.0%
Service area AZOperator Tiffany Nelson
Shared savings you retain / yr
$15.7M
3.1% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$10.9M
2.2% of CMS revenue
Combined XSpan impact / yr
$26.6M
5.3% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $24.1M/yr.
Avoidable acute admits reduced15%
$16.8M/yr
30-day readmissions reduced20%
on 13.97% measured rate$3.6M/yr
ED visits deflected10%
$2.6M/yr
SNF admits reduced8%
$1.1M/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%$13.3M/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
$2.4M/yr
Care-management codes
$5.7M
Enrollment (of eligible)30%
$/member/month$62
~7,652 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$5.2M
Enrollment (of eligible)25%
$/member/month$91
~4,689 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.