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MSSPA3588 · PY2024 · serves 1 state
Treasure Coast Integrated Healthcare, LLC
★★★★☆
quality 80.2/100 (XSPAN star)
Lives (aligned)
31,948
CMS revenue (total spend)
$473.4M
Benchmark
$497.5M
Shared savings earned
$9.5M
paid to the ACO by CMS (PY2024)
Savings generated
$24.2M
gross vs benchmark
Per-capita spend
$15,043
Acute admits /1k
294
ED visits /1k
690
30-day readmit rate
15.8%
Service area FLOperator Marria Janjua
Shared savings you retain / yr
$14.6M
3.1% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$9.3M
2.0% of CMS revenue
Combined XSpan impact / yr
$23.9M
5.0% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $22.5M/yr.
Avoidable acute admits reduced15%
$15M/yr
30-day readmissions reduced20%
on 15.8% measured rate$3.8M/yr
ED visits deflected10%
$2.8M/yr
SNF admits reduced8%
$839.4K/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%$12.4M/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
$2.2M/yr
Care-management codes
$4.8M
Enrollment (of eligible)30%
$/member/month$62
~6,517 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$4.4M
Enrollment (of eligible)25%
$/member/month$91
~3,994 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.