MSSPA3714 · PY2024 · serves 3 states

CHSPSC ACO 7, LLC

★★★☆☆

quality 79.3/100 (XSPAN star)

Lives (aligned)

11,318

CMS revenue (total spend)

$129.1M

Benchmark

$138.1M

Shared savings earned

$3.5M

paid to the ACO by CMS (PY2024)

Savings generated

$9M

gross vs benchmark

Per-capita spend

$11,730

Acute admits /1k

245

ED visits /1k

660

30-day readmit rate

14.9%

Service area AR, MO, OKOperator James Horrar

Shared savings you retain / yr

$4.6M

3.6% of CMS revenue · keep 55%

FFS care-mgmt revenue / yr

$3.3M

2.5% of CMS revenue

Combined XSpan impact / yr

$7.9M

6.1% of CMS revenue

1 · Reduce avoidable utilization

From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $7.1M/yr.

Avoidable acute admits reduced15%

$4.6M/yr

30-day readmissions reduced20%

on 14.89% measured rate$1.1M/yr

ED visits deflected10%

$944.1K/yr

SNF admits reduced8%

$524.5K/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%$3.9M/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

$710K/yr

Care-management codes

Chronic Care ManagementCPT 99490$1.7M

Enrollment (of eligible)30%

$/member/month$62

~2,309 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.

Remote Patient MonitoringCPT 99453 / 99454 / 99457$1.6M

Enrollment (of eligible)25%

$/member/month$91

~1,415 enrolled (50% eligible × 25%). Device supply + 20-min treatment mgmt. Concurrent with CCM allowed.

Remote Therapeutic MonitoringCPT 98977 / 98980—

Wearable Device ReimbursementCPT 99454 (device supply)—

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 lives CHSPSC ACO 6, LLCAZ, FL14,183 lives CHSPSC ACO 12, LLCAL, FL12,681 lives CHSPSC ACO 17, LLCNM, TX12,338 lives CHSPSC ACO 19, LLCAL, TN11,319 lives CHSPSC ACO 7, LLCAR, MO, OK11,318 lives CHSPSC ACO 21, LLCIN10,855 lives CHSPSC ACO 14, LLCGA, MS, TN, TX9,640 lives CHSPSC ACO 2, LLCIN9,005 lives CHSPSC ACO 8, LLCAK, AL, AZ, FL, MO, OK, TX7,836 lives CHSPSC ACO 15, LLCKY, TN6,913 lives