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MSSPA2809 · PY2024 · serves 2 states
AmpliPHY of Kentucky ACO LLC
★★★★★
quality 91.9/100 (XSPAN star)
Lives (aligned)
21,625
CMS revenue (total spend)
$241M
Benchmark
$272.7M
Shared savings earned
$23.4M
paid to the ACO by CMS (PY2024)
Savings generated
$31.8M
gross vs benchmark
Per-capita spend
$11,358
Acute admits /1k
233
ED visits /1k
527
30-day readmit rate
15.4%
Service area KY, PAOperator Jeffrey Mandel
Shared savings you retain / yr
$7.9M
3.3% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$6.3M
2.6% of CMS revenue
Combined XSpan impact / yr
$14.2M
5.9% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $12.1M/yr.
Avoidable acute admits reduced15%
$7.9M/yr
30-day readmissions reduced20%
on 15.38% measured rate$1.9M/yr
ED visits deflected10%
$1.5M/yr
SNF admits reduced8%
$863.3K/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%$6.7M/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
$1.2M/yr
Care-management codes
$3.3M
Enrollment (of eligible)30%
$/member/month$62
~4,412 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$3M
Enrollment (of eligible)25%
$/member/month$91
~2,703 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.
Part of a 3-ACO family run by Jeffrey Mandel
combined: 48,395 lives · $29.2M earned · 3 states
CMS reports each ACO separately by legal entity. This operator's Medicare-FFS footprint spans the ACOs below — Medicare Advantage / commercial lives are not in the CMS PUFs and are not shown.