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MSSPA4556 · PY2024 · serves 4 states
Emergent ACO, LLC
★★★★★
quality 97.4/100 (XSPAN star)
Lives (aligned)
26,373
CMS revenue (total spend)
$283.2M
Benchmark
$308.7M
Shared savings earned
$12.5M
paid to the ACO by CMS (PY2024)
Savings generated
$25.5M
gross vs benchmark
Per-capita spend
$10,971
Acute admits /1k
250
ED visits /1k
558
30-day readmit rate
14.3%
Service area NC, NM, TN, VAOperator Scott Fowler
Shared savings you retain / yr
$9.7M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$7.7M
2.7% of CMS revenue
Combined XSpan impact / yr
$17.4M
6.1% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $15M/yr.
Avoidable acute admits reduced15%
$9.8M/yr
30-day readmissions reduced20%
on 14.27% measured rate$2.2M/yr
ED visits deflected10%
$1.9M/yr
SNF admits reduced8%
$1.1M/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%$8.2M/yr
Better care → higher rating → bonus
This ACO: 5★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$1.5M/yr
Care-management codes
$4M
Enrollment (of eligible)30%
$/member/month$62
~5,380 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$3.7M
Enrollment (of eligible)25%
$/member/month$91
~3,297 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 3-ACO family run by Scott Fowler
combined: 40,607 lives · $15.5M earned · 8 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.