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MSSPA2500 · PY2024 · serves 2 states
York Health Plan
★★★★☆
quality 82.7/100 (XSPAN star)
Lives (aligned)
49,018
CMS revenue (total spend)
$630.8M
Benchmark
$668.3M
Shared savings earned
$27.5M
paid to the ACO by CMS (PY2024)
Savings generated
$37.5M
gross vs benchmark
Per-capita spend
$13,134
Acute admits /1k
283
ED visits /1k
599
30-day readmit rate
14.8%
Service area MD, PAOperator Brandon Danz
Shared savings you retain / yr
$24.1M
3.8% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$14.2M
2.3% of CMS revenue
Combined XSpan impact / yr
$38.4M
6.1% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $37.1M/yr.
Avoidable acute admits reduced15%
$25.6M/yr
30-day readmissions reduced20%
on 14.85% measured rate$5.9M/yr
ED visits deflected10%
$3.7M/yr
SNF admits reduced8%
$1.8M/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%$20.4M/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
$3.7M/yr
Care-management codes
$7.4M
Enrollment (of eligible)30%
$/member/month$62
~10,000 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$6.8M
Enrollment (of eligible)25%
$/member/month$91
~6,127 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.