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MSSPA4744 · PY2024 · serves 1 state
Aledade Accountable Care 43, LLC
★★★☆☆
quality 78/100 (XSPAN star)
Lives (aligned)
9,112
CMS revenue (total spend)
$93.3M
Benchmark
$104M
Shared savings earned
$7.8M
paid to the ACO by CMS (PY2024)
Savings generated
$10.7M
gross vs benchmark
Per-capita spend
$10,531
Acute admits /1k
213
ED visits /1k
643
30-day readmit rate
n/a (REACH)
Service area MSOperator Evelyn Cayson
Shared savings you retain / yr
$2.9M
3.1% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$2.6M
2.8% of CMS revenue
Combined XSpan impact / yr
$5.5M
5.9% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $4.4M/yr.
Avoidable acute admits reduced15%
$2.7M/yr
30-day readmissions reduced20%
14% national avg (not in REACH PUF)$588.3K/yr
ED visits deflected10%
$740.4K/yr
SNF admits reduced8%
$357.1K/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%$2.4M/yr
Better care → higher rating → bonus
This ACO: 3★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$439.6K/yr
Care-management codes
$1.4M
Enrollment (of eligible)30%
$/member/month$62
~1,859 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.3M
Enrollment (of eligible)25%
$/member/month$91
~1,139 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 Evelyn Cayson
combined: 55,334 lives · $66.1M earned · 3 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.