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MSSPA2684 · PY2024 · serves 1 state
Coastal Plains Network, LLC
★★★★☆
quality 82.4/100 (XSPAN star)
Lives (aligned)
18,694
CMS revenue (total spend)
$224.3M
Benchmark
$231.2M
Shared savings earned
$2.7M
paid to the ACO by CMS (PY2024)
Savings generated
$6.9M
gross vs benchmark
Per-capita spend
$12,263
Acute admits /1k
269
ED visits /1k
679
30-day readmit rate
16.5%
Service area NCOperator Pamela Cowin
Shared savings you retain / yr
$7.8M
3.5% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$5.4M
2.4% of CMS revenue
Combined XSpan impact / yr
$13.3M
5.9% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $12M/yr.
Avoidable acute admits reduced15%
$7.5M/yr
30-day readmissions reduced20%
on 16.47% measured rate$2M/yr
ED visits deflected10%
$1.6M/yr
SNF admits reduced8%
$933.4K/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%$6.6M/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
$1.2M/yr
Care-management codes
$2.8M
Enrollment (of eligible)30%
$/member/month$62
~3,814 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$2.6M
Enrollment (of eligible)25%
$/member/month$91
~2,337 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.