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MSSPA3631 · PY2024 · serves 2 states
MultiCare Connected Care, LLC
★★★★☆
quality 82.6/100 (XSPAN star)
Lives (aligned)
31,863
CMS revenue (total spend)
$416.4M
Benchmark
$420.7M
Shared savings earned
$3.2M
paid to the ACO by CMS (PY2024)
Savings generated
$4.3M
gross vs benchmark
Per-capita spend
$13,322
Acute admits /1k
234
ED visits /1k
685
30-day readmit rate
14.4%
Service area ID, WAOperator Melanie Matthews
Shared savings you retain / yr
$14.1M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$9.3M
2.2% of CMS revenue
Combined XSpan impact / yr
$23.4M
5.6% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $21.7M/yr.
Avoidable acute admits reduced15%
$13.7M/yr
30-day readmissions reduced20%
on 14.37% measured rate$3.1M/yr
ED visits deflected10%
$2.8M/yr
SNF admits reduced8%
$2.1M/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%$11.9M/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
$2.2M/yr
Care-management codes
$4.8M
Enrollment (of eligible)30%
$/member/month$62
~6,500 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$4.4M
Enrollment (of eligible)25%
$/member/month$91
~3,983 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.
Part of a 3-ACO family run by Melanie Matthews
combined: 57,156 lives · $6.7M earned · 2 states
CMS reports each ACO separately by legal entity. This operator's Medicare-FFS footprint spans the ACOs below — Medicare Advantage / commercial lives are not in the CMS PUFs and are not shown.