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MSSPA3504 · PY2024 · serves 2 states
Novant Health Accountable Care Organization I, LLC
★★★★★
quality 94.5/100 (XSPAN star)
Lives (aligned)
53,594
CMS revenue (total spend)
$548.1M
Benchmark
$582.6M
Shared savings earned
$25.4M
paid to the ACO by CMS (PY2024)
Savings generated
$34.5M
gross vs benchmark
Per-capita spend
$10,432
Acute admits /1k
210
ED visits /1k
507
30-day readmit rate
13.9%
Service area NC, SCOperator Michael Hoben
Shared savings you retain / yr
$16.9M
3.1% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$15.6M
2.8% of CMS revenue
Combined XSpan impact / yr
$32.5M
5.9% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $26M/yr.
Avoidable acute admits reduced15%
$17.4M/yr
30-day readmissions reduced20%
on 13.9% measured rate$3.7M/yr
ED visits deflected10%
$3.5M/yr
SNF admits reduced8%
$1.5M/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%$14.3M/yr
Better care → higher rating → bonus
This ACO: 5★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$2.6M/yr
Care-management codes
$8.1M
Enrollment (of eligible)30%
$/member/month$62
~10,933 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$7.4M
Enrollment (of eligible)25%
$/member/month$91
~6,699 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.