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MSSPA3302 · PY2024 · serves 4 states
Aledade Accountable Care 12, LLC
★★★☆☆
quality 74.6/100 (XSPAN star)
Lives (aligned)
17,912
CMS revenue (total spend)
$184.7M
Benchmark
$200.2M
Shared savings earned
$11.4M
paid to the ACO by CMS (PY2024)
Savings generated
$15.5M
gross vs benchmark
Per-capita spend
$10,578
Acute admits /1k
275
ED visits /1k
728
30-day readmit rate
n/a (REACH)
Service area KY, MD, OH, WVOperator Ashley Austin
Shared savings you retain / yr
$7.6M
4.1% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$5.2M
2.8% of CMS revenue
Combined XSpan impact / yr
$12.8M
6.9% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $11.7M/yr.
Avoidable acute admits reduced15%
$7.7M/yr
30-day readmissions reduced20%
14% national avg (not in REACH PUF)$1.7M/yr
ED visits deflected10%
$1.7M/yr
SNF admits reduced8%
$623.7K/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%$6.4M/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
$1.2M/yr
Care-management codes
$2.7M
Enrollment (of eligible)30%
$/member/month$62
~3,654 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$2.5M
Enrollment (of eligible)25%
$/member/month$91
~2,239 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 2-ACO family run by Ashley Austin
combined: 26,031 lives · $22M earned · 4 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.