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MSSPA4546 · PY2024 · serves 2 states
Aledade Accountable Care 38, LLC
★★★★☆
quality 88.1/100 (XSPAN star)
Lives (aligned)
9,895
CMS revenue (total spend)
$104.7M
Benchmark
$118.7M
Shared savings earned
$10.3M
paid to the ACO by CMS (PY2024)
Savings generated
$14M
gross vs benchmark
Per-capita spend
$10,905
Acute admits /1k
223
ED visits /1k
645
30-day readmit rate
n/a (REACH)
Service area KS, OKOperator Amy Byer
Shared savings you retain / yr
$3.6M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$2.9M
2.7% of CMS revenue
Combined XSpan impact / yr
$6.5M
6.2% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $5.5M/yr.
Avoidable acute admits reduced15%
$3.4M/yr
30-day readmissions reduced20%
14% national avg (not in REACH PUF)$746.2K/yr
ED visits deflected10%
$805K/yr
SNF admits reduced8%
$524.7K/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%$3M/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
$551.4K/yr
Care-management codes
$1.5M
Enrollment (of eligible)30%
$/member/month$62
~2,019 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.4M
Enrollment (of eligible)25%
$/member/month$91
~1,237 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 Amy Byer
combined: 44,364 lives · $33.6M earned · 4 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.
