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MSSPA3770 · PY2024 · serves 1 state
Family Choice ACO, LLC
★☆☆☆☆
quality 56.5/100 (XSPAN star)
Lives (aligned)
7,888
CMS revenue (total spend)
$111.9M
Benchmark
$132.9M
Shared savings earned
$8.7M
paid to the ACO by CMS (PY2024)
Savings generated
$21M
gross vs benchmark
Per-capita spend
$14,409
Acute admits /1k
233
ED visits /1k
466
30-day readmit rate
16.6%
Service area CAOperator Toan Tran
Shared savings you retain / yr
$4.2M
3.7% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$2.3M
2.0% of CMS revenue
Combined XSpan impact / yr
$6.5M
5.8% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $6.4M/yr.
Avoidable acute admits reduced15%
$4M/yr
30-day readmissions reduced20%
on 16.64% measured rate$1.1M/yr
ED visits deflected10%
$470.6K/yr
SNF admits reduced8%
$861.9K/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%$3.5M/yr
Better care → higher rating → bonus
This ACO: 1★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$640.7K/yr
Care-management codes
$1.2M
Enrollment (of eligible)30%
$/member/month$62
~1,609 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.1M
Enrollment (of eligible)25%
$/member/month$91
~986 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.