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MSSPA2311 · PY2024 · serves 1 state
JFK Population Health Company, LLC
★★★★☆
quality 86.9/100 (XSPAN star)
Lives (aligned)
58,633
CMS revenue (total spend)
$890.9M
Benchmark
$938.8M
Shared savings earned
$18.8M
paid to the ACO by CMS (PY2024)
Savings generated
$47.9M
gross vs benchmark
Per-capita spend
$15,435
Acute admits /1k
263
ED visits /1k
559
30-day readmit rate
15.3%
Service area NJOperator WIlliam Oser
Shared savings you retain / yr
$30.7M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$17M
1.9% of CMS revenue
Combined XSpan impact / yr
$47.7M
5.4% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $47.2M/yr.
Avoidable acute admits reduced15%
$30.1M/yr
30-day readmissions reduced20%
on 15.27% measured rate$7.2M/yr
ED visits deflected10%
$4.2M/yr
SNF admits reduced8%
$5.6M/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%$25.9M/yr
Better care → higher rating → bonus
This ACO: 4★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$4.7M/yr
Care-management codes
$8.9M
Enrollment (of eligible)30%
$/member/month$62
~11,961 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$8.1M
Enrollment (of eligible)25%
$/member/month$91
~7,329 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.