← All ACOs
MSSPA2778 · PY2024 · serves 1 state
Physician Quality Partners, LLC
★★★★★
quality 98.7/100 (XSPAN star)
Lives (aligned)
18,476
CMS revenue (total spend)
$205.2M
Benchmark
$209.5M
Shared savings earned
$3.1M
paid to the ACO by CMS (PY2024)
Savings generated
$4.3M
gross vs benchmark
Per-capita spend
$11,343
Acute admits /1k
181
ED visits /1k
484
30-day readmit rate
13.3%
Service area NCOperator Bill Schiff
Shared savings you retain / yr
$5.8M
2.8% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$5.4M
2.6% of CMS revenue
Combined XSpan impact / yr
$11.2M
5.4% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $8.9M/yr.
Avoidable acute admits reduced15%
$6.1M/yr
30-day readmissions reduced20%
on 13.25% measured rate$1.2M/yr
ED visits deflected10%
$1.1M/yr
SNF admits reduced8%
$475.6K/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%$4.9M/yr
Better care → higher rating → bonus
This ACO: 5★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$893.7K/yr
Care-management codes
$2.8M
Enrollment (of eligible)30%
$/member/month$62
~3,769 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$2.6M
Enrollment (of eligible)25%
$/member/month$91
~2,310 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.