← All ACOs
MSSPA3030 · PY2024 · serves 2 states
North Shore-LIJ MSSP ACO, LLC
★★★☆☆
quality 79.8/100 (XSPAN star)
Lives (aligned)
80,410
CMS revenue (total spend)
$1.2B
Benchmark
$1.3B
Shared savings earned
$18.3M
paid to the ACO by CMS (PY2024)
Savings generated
$46.6M
gross vs benchmark
Per-capita spend
$15,296
Acute admits /1k
255
ED visits /1k
530
30-day readmit rate
15.2%
Service area CT, NYOperator Matt Jelavic
Shared savings you retain / yr
$41.4M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$23.4M
1.9% of CMS revenue
Combined XSpan impact / yr
$64.7M
5.4% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $63.6M/yr.
Avoidable acute admits reduced15%
$41.6M/yr
30-day readmissions reduced20%
on 15.17% measured rate$9.9M/yr
ED visits deflected10%
$5.4M/yr
SNF admits reduced8%
$6.7M/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%$35M/yr
Better care → higher rating → bonus
This ACO: 3★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$6.4M/yr
Care-management codes
$12.2M
Enrollment (of eligible)30%
$/member/month$62
~16,404 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$11.2M
Enrollment (of eligible)25%
$/member/month$91
~10,051 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.