MSSPA2952 · PY2024 · state n/a

Alliance ACO, LLC

Met CMS quality standard

CMS assigned a default reporting score (shared by ~35 ACOs) — not individually star-rated.

Lives (aligned)

2,647

CMS revenue (total spend)

$34.9M

Benchmark

$40.8M

Shared savings earned

$2.3M

paid to the ACO by CMS (PY2024)

Savings generated

$5.9M

gross vs benchmark

Per-capita spend

$13,476

Acute admits /1k

239

ED visits /1k

499

30-day readmit rate

15.3%

Shared savings you retain / yr

$1.2M

3.4% of CMS revenue · keep 55%

FFS care-mgmt revenue / yr

$769.5K

2.2% of CMS revenue

Combined XSpan impact / yr

$2M

5.6% of CMS revenue

1 · Reduce avoidable utilization

From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $1.8M/yr.

Avoidable acute admits reduced15%

$1.2M/yr

30-day readmissions reduced20%

on 15.26% measured rate$287.1K/yr

ED visits deflected10%

$167.8K/yr

SNF admits reduced8%

$166.9K/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%$999.7K/yr

Better care → higher rating → bonus

This ACO: not individually rated. Improving quality lifts your captured shared-savings share.

Extra share from quality gains+10 pts

$181.8K/yr

Care-management codes

Chronic Care ManagementCPT 99490$401.8K

Enrollment (of eligible)30%

$/member/month$62

~540 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.

Remote Patient MonitoringCPT 99453 / 99454 / 99457$367.7K

Enrollment (of eligible)25%

$/member/month$91

~331 enrolled (50% eligible × 25%). Device supply + 20-min treatment mgmt. Concurrent with CCM allowed.

Remote Therapeutic MonitoringCPT 98977 / 98980—

Wearable Device ReimbursementCPT 99454 (device supply)—

CY2024 national-average code rates — editable. In MSSP, care-management billing also counts toward ACO expenditures; net effect depends on your model.