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MSSPA3720 · PY2024 · serves 2 states
HealthChoice, LLC
★★★★☆
quality 81/100 (XSPAN star)
Lives (aligned)
11,527
CMS revenue (total spend)
$120.2M
Benchmark
$129.3M
Shared savings earned
$6.7M
paid to the ACO by CMS (PY2024)
Savings generated
$9.1M
gross vs benchmark
Per-capita spend
$10,581
Acute admits /1k
245
ED visits /1k
480
30-day readmit rate
16.1%
Service area MS, TNOperator Arthur Townsend
Shared savings you retain / yr
$4.1M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$3.4M
2.8% of CMS revenue
Combined XSpan impact / yr
$7.4M
6.2% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $6.2M/yr.
Avoidable acute admits reduced15%
$4.2M/yr
30-day readmissions reduced20%
on 16.12% measured rate$1.1M/yr
ED visits deflected10%
$708.6K/yr
SNF admits reduced8%
$267K/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%$3.4M/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
$623.3K/yr
Care-management codes
$1.7M
Enrollment (of eligible)30%
$/member/month$62
~2,352 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.6M
Enrollment (of eligible)25%
$/member/month$91
~1,441 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.