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MSSPA2205 · PY2024 · serves 2 states
St Vincents Accountable Care Organization LLC
Met CMS quality standard
CMS assigned a default reporting score (shared by ~35 ACOs) — not individually star-rated.
Lives (aligned)
10,504
CMS revenue (total spend)
$145.5M
Benchmark
$149.9M
Shared savings earned
$2.1M
paid to the ACO by CMS (PY2024)
Savings generated
$4.4M
gross vs benchmark
Per-capita spend
$14,064
Acute admits /1k
287
ED visits /1k
765
30-day readmit rate
n/a (REACH)
Service area FL, GAOperator Laura Behr
Shared savings you retain / yr
$4.9M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$3.1M
2.1% of CMS revenue
Combined XSpan impact / yr
$8M
5.5% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $7.5M/yr.
Avoidable acute admits reduced15%
$5M/yr
30-day readmissions reduced20%
14% national avg (not in REACH PUF)$1.1M/yr
ED visits deflected10%
$1M/yr
SNF admits reduced8%
$454.1K/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%$4.2M/yr
Better care → higher rating → bonus
This ACO: not individually rated. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$754.6K/yr
Care-management codes
$1.6M
Enrollment (of eligible)30%
$/member/month$62
~2,143 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.5M
Enrollment (of eligible)25%
$/member/month$91
~1,313 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 Laura Behr
combined: 25,271 lives · $2.1M earned · 3 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.