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MSSPA4588 · PY2024 · state n/a
McAuley Health Partners ACO, LLC
★★★★☆
quality 86.7/100 (XSPAN star)
Lives (aligned)
24,086
CMS revenue (total spend)
$271.3M
Benchmark
$268.3M
Shared savings earned
-$1.2M
paid to the ACO by CMS (PY2024)
Savings generated
-$3M
gross vs benchmark
Per-capita spend
$11,527
Acute admits /1k
282
ED visits /1k
645
30-day readmit rate
15.9%
Shared savings you retain / yr
$9.5M
3.5% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$7M
2.6% of CMS revenue
Combined XSpan impact / yr
$16.5M
6.1% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $14.6M/yr.
Avoidable acute admits reduced15%
$9.3M/yr
30-day readmissions reduced20%
on 15.95% measured rate$2.4M/yr
ED visits deflected10%
$2M/yr
SNF admits reduced8%
$903.4K/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%$8M/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
$1.5M/yr
Care-management codes
$3.7M
Enrollment (of eligible)30%
$/member/month$62
~4,914 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$3.3M
Enrollment (of eligible)25%
$/member/month$91
~3,011 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.