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MSSPA4617 · PY2024 · serves 2 states
Mayo Clinic Community ACO, LLC
★★★★★
quality 96.5/100 (XSPAN star)
Lives (aligned)
58,614
CMS revenue (total spend)
$827.5M
Benchmark
$872.1M
Shared savings earned
$32.8M
paid to the ACO by CMS (PY2024)
Savings generated
$44.6M
gross vs benchmark
Per-capita spend
$14,401
Acute admits /1k
251
ED visits /1k
792
30-day readmit rate
13.2%
Service area MN, WIOperator Kristin Johnson
Shared savings you retain / yr
$29.2M
3.5% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$17M
2.1% of CMS revenue
Combined XSpan impact / yr
$46.2M
5.6% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $44.9M/yr.
Avoidable acute admits reduced15%
$28.5M/yr
30-day readmissions reduced20%
on 13.17% measured rate$5.8M/yr
ED visits deflected10%
$5.9M/yr
SNF admits reduced8%
$4.8M/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%$24.7M/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
$4.5M/yr
Care-management codes
$8.9M
Enrollment (of eligible)30%
$/member/month$62
~11,957 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$8.1M
Enrollment (of eligible)25%
$/member/month$91
~7,327 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.