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MSSPA2729 · PY2024 · serves 1 state
Cleveland Clinic Medicare ACO, LLC
★★★★☆
quality 89.5/100 (XSPAN star)
Lives (aligned)
75,120
CMS revenue (total spend)
$969.8M
Benchmark
$1B
Shared savings earned
$33.6M
paid to the ACO by CMS (PY2024)
Savings generated
$45.7M
gross vs benchmark
Per-capita spend
$13,139
Acute admits /1k
296
ED visits /1k
658
30-day readmit rate
15.7%
Service area OHOperator Robert Jones, Jr
Shared savings you retain / yr
$34.1M
3.5% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$21.8M
2.3% of CMS revenue
Combined XSpan impact / yr
$55.9M
5.8% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $52.4M/yr.
Avoidable acute admits reduced15%
$33.7M/yr
30-day readmissions reduced20%
on 15.66% measured rate$8.3M/yr
ED visits deflected10%
$6.3M/yr
SNF admits reduced8%
$4.1M/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%$28.8M/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
$5.2M/yr
Care-management codes
$11.4M
Enrollment (of eligible)30%
$/member/month$62
~15,324 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$10.4M
Enrollment (of eligible)25%
$/member/month$91
~9,390 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.