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MSSPA3319 · PY2024 · serves 6 states
Mid-Atlantic Collaborative Care, LLC
★★★★☆
quality 88.1/100 (XSPAN star)
Lives (aligned)
5,228
CMS revenue (total spend)
$60.5M
Benchmark
$64.7M
Shared savings earned
$3M
paid to the ACO by CMS (PY2024)
Savings generated
$4.1M
gross vs benchmark
Per-capita spend
$11,774
Acute admits /1k
184
ED visits /1k
492
30-day readmit rate
15.5%
Service area CT, DC, MD, NY, RI, VAOperator Shawn Bassett
Shared savings you retain / yr
$2.2M
3.6% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$1.5M
2.5% of CMS revenue
Combined XSpan impact / yr
$3.7M
6.2% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $3.4M/yr.
Avoidable acute admits reduced15%
$2.3M/yr
30-day readmissions reduced20%
on 15.51% measured rate$565.6K/yr
ED visits deflected10%
$328.9K/yr
SNF admits reduced8%
$192.4K/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%$1.9M/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
$339.8K/yr
Care-management codes
$793.8K
Enrollment (of eligible)30%
$/member/month$62
~1,067 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$726.6K
Enrollment (of eligible)25%
$/member/month$91
~654 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.