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MSSPA3698 · PY2024 · serves 1 state
CHSPSC ACO 21, LLC
★★★☆☆
quality 76.2/100 (XSPAN star)
Lives (aligned)
10,855
CMS revenue (total spend)
$124.5M
Benchmark
$128.2M
Shared savings earned
$0
paid to the ACO by CMS (PY2024)
Savings generated
$0
gross vs benchmark
Per-capita spend
$11,726
Acute admits /1k
261
ED visits /1k
652
30-day readmit rate
15.9%
Service area INOperator James Horrar
Shared savings you retain / yr
$4.5M
3.7% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$3.2M
2.5% of CMS revenue
Combined XSpan impact / yr
$7.7M
6.2% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $7M/yr.
Avoidable acute admits reduced15%
$4.5M/yr
30-day readmissions reduced20%
on 15.92% measured rate$1.1M/yr
ED visits deflected10%
$899.6K/yr
SNF admits reduced8%
$484.4K/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%$3.8M/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
$699.6K/yr
Care-management codes
$1.6M
Enrollment (of eligible)30%
$/member/month$62
~2,214 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.5M
Enrollment (of eligible)25%
$/member/month$91
~1,357 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 11-ACO family run by James Horrar
combined: 121,712 lives · $23.6M earned · 15 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.
CHSPSC ACO 13, LLCPA15,624 livesCHSPSC ACO 6, LLCAZ, FL14,183 livesCHSPSC ACO 12, LLCAL, FL12,681 livesCHSPSC ACO 17, LLCNM, TX12,338 livesCHSPSC ACO 19, LLCAL, TN11,319 livesCHSPSC ACO 7, LLCAR, MO, OK11,318 livesCHSPSC ACO 21, LLCIN10,855 livesCHSPSC ACO 14, LLCGA, MS, TN, TX9,640 livesCHSPSC ACO 2, LLCIN9,005 livesCHSPSC ACO 8, LLCAK, AL, AZ, FL, MO, OK, TX7,836 livesCHSPSC ACO 15, LLCKY, TN6,913 lives