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MSSPA3667 · PY2024 · state n/a
Health Alliance ACO, LLC
★★★☆☆
quality 71.9/100 (XSPAN star)
Lives (aligned)
6,442
CMS revenue (total spend)
$79.7M
Benchmark
$85.1M
Shared savings earned
$3.9M
paid to the ACO by CMS (PY2024)
Savings generated
$5.3M
gross vs benchmark
Per-capita spend
$12,612
Acute admits /1k
219
ED visits /1k
611
30-day readmit rate
15.9%
Shared savings you retain / yr
$2.7M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$1.9M
2.3% of CMS revenue
Combined XSpan impact / yr
$4.6M
5.7% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $4.1M/yr.
Avoidable acute admits reduced15%
$2.6M/yr
30-day readmissions reduced20%
on 15.88% measured rate$666.1K/yr
ED visits deflected10%
$502.2K/yr
SNF admits reduced8%
$309.1K/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%$2.3M/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
$412.4K/yr
Care-management codes
$977.6K
Enrollment (of eligible)30%
$/member/month$62
~1,314 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$894.4K
Enrollment (of eligible)25%
$/member/month$91
~805 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.