← All ACOs
MSSPA2490 · PY2024 · serves 3 states
CMG ACO, LLC
★★★★☆
quality 84.1/100 (XSPAN star)
Lives (aligned)
12,157
CMS revenue (total spend)
$163.6M
Benchmark
$172.8M
Shared savings earned
$6.8M
paid to the ACO by CMS (PY2024)
Savings generated
$9.2M
gross vs benchmark
Per-capita spend
$13,714
Acute admits /1k
242
ED visits /1k
612
30-day readmit rate
15.5%
Service area CT, NY, SCOperator Joseph Quaranta
Shared savings you retain / yr
$5.5M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$3.5M
2.2% of CMS revenue
Combined XSpan impact / yr
$9M
5.5% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $8.5M/yr.
Avoidable acute admits reduced15%
$5.5M/yr
30-day readmissions reduced20%
on 15.5% measured rate$1.3M/yr
ED visits deflected10%
$949K/yr
SNF admits reduced8%
$737.8K/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%$4.7M/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
$847.6K/yr
Care-management codes
$1.8M
Enrollment (of eligible)30%
$/member/month$62
~2,480 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.7M
Enrollment (of eligible)25%
$/member/month$91
~1,520 enrolled (50% eligible × 25%). Device supply + 20-min treatment mgmt. Concurrent with CCM allowed.
—
—
CY2024 national-average code rates — editable. In MSSP, care-management billing also counts toward ACO expenditures; net effect depends on your model.