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MSSPA4604 · PY2024 · serves 14 states

Caravan Health ACO 22 LLC

★★★★☆
quality 84.3/100 (XSPAN star)
Lives (aligned)
328,733
CMS revenue (total spend)
$4.1B
Benchmark
$4.3B
Shared savings earned
$127.1M
paid to the ACO by CMS (PY2024)
Savings generated
$173M
gross vs benchmark
Per-capita spend
$12,905
Acute admits /1k
244
ED visits /1k
657
30-day readmit rate
14.6%
Service area CA, CO, CT, IL, IN, LA, MA, MN, NC, NJ, NY, OK, TN, WAOperator Aria Sameni
Shared savings you retain / yr
$140.3M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$95.5M
2.3% of CMS revenue
Combined XSpan impact / yr
$235.8M
5.7% of CMS revenue

1 · Reduce avoidable utilization

From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $215.8M/yr.

Avoidable acute admits reduced15%
$141.4M/yr
30-day readmissions reduced20%
on 14.58% measured rate$32.2M/yr
ED visits deflected10%
$27.5M/yr
SNF admits reduced8%
$14.7M/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%$118.7M/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
$21.6M/yr

Care-management codes

$49.9M
Enrollment (of eligible)30%
$/member/month$62
~67,062 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$45.7M
Enrollment (of eligible)25%
$/member/month$91
~41,092 enrolled (50% eligible × 25%). Device supply + 20-min treatment mgmt. Concurrent with CCM allowed.

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 6-ACO family run by Aria Sameni

combined: 661,593 lives · $158.9M earned · 33 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.