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MSSPA3560 · PY2024 · serves 2 states
St. Luke's Shared Savings Plan, LLC
★★★★☆
quality 82.3/100 (XSPAN star)
Lives (aligned)
41,356
CMS revenue (total spend)
$570.4M
Benchmark
$616.1M
Shared savings earned
$17.9M
paid to the ACO by CMS (PY2024)
Savings generated
$45.8M
gross vs benchmark
Per-capita spend
$14,062
Acute admits /1k
328
ED visits /1k
719
30-day readmit rate
16.8%
Service area NJ, PAOperator Scott Wolfe
Shared savings you retain / yr
$21.3M
3.7% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$12M
2.1% of CMS revenue
Combined XSpan impact / yr
$33.3M
5.8% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $32.8M/yr.
Avoidable acute admits reduced15%
$20.9M/yr
30-day readmissions reduced20%
on 16.82% measured rate$5.6M/yr
ED visits deflected10%
$3.8M/yr
SNF admits reduced8%
$2.5M/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%$18M/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
$3.3M/yr
Care-management codes
$6.3M
Enrollment (of eligible)30%
$/member/month$62
~8,437 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$5.7M
Enrollment (of eligible)25%
$/member/month$91
~5,170 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.