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MSSPA2342 · PY2024 · serves 5 states
Health Connect Partners, LLC
★★★★☆
quality 84.3/100 (XSPAN star)
Lives (aligned)
154,409
CMS revenue (total spend)
$2B
Benchmark
$2.2B
Shared savings earned
$122.7M
paid to the ACO by CMS (PY2024)
Savings generated
$166.9M
gross vs benchmark
Per-capita spend
$13,372
Acute admits /1k
208
ED visits /1k
604
30-day readmit rate
13.9%
Service area AK, CA, MT, OR, WAOperator Craig Enge
Shared savings you retain / yr
$67.3M
3.3% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$44.9M
2.2% of CMS revenue
Combined XSpan impact / yr
$112.2M
5.5% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $103.5M/yr.
Avoidable acute admits reduced15%
$67.2M/yr
30-day readmissions reduced20%
on 13.86% measured rate$14.4M/yr
ED visits deflected10%
$11.9M/yr
SNF admits reduced8%
$10M/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%$56.9M/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
$10.4M/yr
Care-management codes
$23.4M
Enrollment (of eligible)30%
$/member/month$62
~31,499 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$21.4M
Enrollment (of eligible)25%
$/member/month$91
~19,301 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.