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MSSPA4542 · PY2024 · serves 1 state
Aledade Accountable Care 45, LLC
★☆☆☆☆
quality 57.3/100 (XSPAN star)
Lives (aligned)
54,712
CMS revenue (total spend)
$709.4M
Benchmark
$758.4M
Shared savings earned
$36M
paid to the ACO by CMS (PY2024)
Savings generated
$49M
gross vs benchmark
Per-capita spend
$13,325
Acute admits /1k
235
ED visits /1k
841
30-day readmit rate
n/a (REACH)
Service area CA
Shared savings you retain / yr
$29.6M
4.2% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$15.9M
2.2% of CMS revenue
Combined XSpan impact / yr
$45.5M
6.4% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $45.5M/yr.
Avoidable acute admits reduced15%
$29.7M/yr
30-day readmissions reduced20%
14% national avg (not in REACH PUF)$6.4M/yr
ED visits deflected10%
$5.8M/yr
SNF admits reduced8%
$3.6M/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%$25M/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
$4.6M/yr
Care-management codes
$8.3M
Enrollment (of eligible)30%
$/member/month$62
~11,161 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$7.6M
Enrollment (of eligible)25%
$/member/month$91
~6,839 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.