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MSSPA3764 · PY2024 · serves 5 states
Select Physicians Associates, LLC
★★★★☆
quality 84/100 (XSPAN star)
Lives (aligned)
10,866
CMS revenue (total spend)
$148.1M
Benchmark
$163.7M
Shared savings earned
$11.5M
paid to the ACO by CMS (PY2024)
Savings generated
$15.6M
gross vs benchmark
Per-capita spend
$13,919
Acute admits /1k
298
ED visits /1k
711
30-day readmit rate
16.0%
Service area AL, FL, GA, OK, TXOperator Andrea Cauthen
Shared savings you retain / yr
$5.2M
3.5% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$3.2M
2.1% of CMS revenue
Combined XSpan impact / yr
$8.4M
5.7% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $8M/yr.
Avoidable acute admits reduced15%
$5.3M/yr
30-day readmissions reduced20%
on 15.96% measured rate$1.3M/yr
ED visits deflected10%
$983.5K/yr
SNF admits reduced8%
$401K/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%$4.4M/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
$802.6K/yr
Care-management codes
$1.6M
Enrollment (of eligible)30%
$/member/month$62
~2,217 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.5M
Enrollment (of eligible)25%
$/member/month$91
~1,358 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 2-ACO family run by Andrea Cauthen
combined: 17,851 lives · $14.1M earned · 7 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.