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MSSPA3250 · PY2024 · serves 3 states
Piedmont Clinic ACO LLC
★★★★☆
quality 83.3/100 (XSPAN star)
Lives (aligned)
78,716
CMS revenue (total spend)
$857.6M
Benchmark
$919.8M
Shared savings earned
$24.4M
paid to the ACO by CMS (PY2024)
Savings generated
$62.1M
gross vs benchmark
Per-capita spend
$11,114
Acute admits /1k
229
ED visits /1k
502
30-day readmit rate
15.3%
Service area AL, GA, SCOperator Christopher Lloyd
Shared savings you retain / yr
$27.8M
3.2% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$22.9M
2.7% of CMS revenue
Combined XSpan impact / yr
$50.6M
5.9% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $42.7M/yr.
Avoidable acute admits reduced15%
$29.1M/yr
30-day readmissions reduced20%
on 15.29% measured rate$7M/yr
ED visits deflected10%
$5M/yr
SNF admits reduced8%
$1.6M/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%$23.5M/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
$4.3M/yr
Care-management codes
$11.9M
Enrollment (of eligible)30%
$/member/month$62
~16,058 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$10.9M
Enrollment (of eligible)25%
$/member/month$91
~9,840 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.