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MSSPA3454 · PY2024 · serves 8 states
Trinity Integrated Care, LLC
★★★★☆
quality 89/100 (XSPAN star)
Lives (aligned)
110,957
CMS revenue (total spend)
$1.4B
Benchmark
$1.5B
Shared savings earned
$12.8M
paid to the ACO by CMS (PY2024)
Savings generated
$17.4M
gross vs benchmark
Per-capita spend
$13,274
Acute admits /1k
271
ED visits /1k
627
30-day readmit rate
15.7%
Service area DE, ID, IL, IN, MI, NY, OH, PAOperator Victoria Bratcher
Shared savings you retain / yr
$50.7M
3.5% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$32.3M
2.2% of CMS revenue
Combined XSpan impact / yr
$83M
5.7% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $78.1M/yr.
Avoidable acute admits reduced15%
$50.5M/yr
30-day readmissions reduced20%
on 15.66% measured rate$12.5M/yr
ED visits deflected10%
$8.9M/yr
SNF admits reduced8%
$6.2M/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%$42.9M/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
$7.8M/yr
Care-management codes
$16.8M
Enrollment (of eligible)30%
$/member/month$62
~22,635 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$15.4M
Enrollment (of eligible)25%
$/member/month$91
~13,870 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.