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MSSPA2671 · PY2024 · serves 9 states
USMM ACCOUNTABLE CARE PARTNERS, LLC
★☆☆☆☆
quality 54.1/100 (XSPAN star)
Lives (aligned)
8,838
CMS revenue (total spend)
$238.4M
Benchmark
$292M
Shared savings earned
$39.4M
paid to the ACO by CMS (PY2024)
Savings generated
$53.5M
gross vs benchmark
Per-capita spend
$28,318
Acute admits /1k
744
ED visits /1k
1,408
30-day readmit rate
17.1%
Service area FL, IL, MI, OH, PA, TX, VA, WA, WIOperator William Robinson
Shared savings you retain / yr
$10.3M
4.3% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$2.6M
1.1% of CMS revenue
Combined XSpan impact / yr
$12.9M
5.4% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $15.9M/yr.
Avoidable acute admits reduced15%
$9.9M/yr
30-day readmissions reduced20%
on 17.11% measured rate$2.7M/yr
ED visits deflected10%
$1.5M/yr
SNF admits reduced8%
$1.7M/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%$8.7M/yr
Better care → higher rating → bonus
This ACO: 1★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$1.6M/yr
Care-management codes
$1.3M
Enrollment (of eligible)30%
$/member/month$62
~1,803 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.2M
Enrollment (of eligible)25%
$/member/month$91
~1,105 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.