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MSSPA3507 · PY2024 · serves 1 state
UVA Community Health Accountable Care Organization, LLC
★★★☆☆
quality 75.8/100 (XSPAN star)
Lives (aligned)
6,420
CMS revenue (total spend)
$69.2M
Benchmark
$74.8M
Shared savings earned
$2.1M
paid to the ACO by CMS (PY2024)
Savings generated
$5.6M
gross vs benchmark
Per-capita spend
$10,987
Acute admits /1k
199
ED visits /1k
620
30-day readmit rate
16.3%
Service area VAOperator James Min
Shared savings you retain / yr
$2.2M
3.2% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$1.9M
2.7% of CMS revenue
Combined XSpan impact / yr
$4.1M
5.9% 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%
$2.2M/yr
30-day readmissions reduced20%
on 16.26% measured rate$557.6K/yr
ED visits deflected10%
$507.5K/yr
SNF admits reduced8%
$184.3K/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: 3★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$340.3K/yr
Care-management codes
$974.6K
Enrollment (of eligible)30%
$/member/month$62
~1,310 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$892.1K
Enrollment (of eligible)25%
$/member/month$91
~803 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.