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MSSPA4749 · PY2024 · serves 3 states
ACMG Health Systems, Inc.
★★★★☆
quality 85.4/100 (XSPAN star)
Lives (aligned)
6,572
CMS revenue (total spend)
$93.1M
Benchmark
$103M
Shared savings earned
$3.9M
paid to the ACO by CMS (PY2024)
Savings generated
$9.9M
gross vs benchmark
Per-capita spend
$14,442
Acute admits /1k
296
ED visits /1k
724
30-day readmit rate
13.4%
Service area FL, NY, TXOperator Roger Rodriguez
Shared savings you retain / yr
$3.5M
3.8% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$1.9M
2.1% of CMS revenue
Combined XSpan impact / yr
$5.4M
5.8% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $5.4M/yr.
Avoidable acute admits reduced15%
$3.6M/yr
30-day readmissions reduced20%
on 13.36% measured rate$738.1K/yr
ED visits deflected10%
$607.1K/yr
SNF admits reduced8%
$471.6K/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%$3M/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
$540.7K/yr
Care-management codes
$997.7K
Enrollment (of eligible)30%
$/member/month$62
~1,341 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$913.2K
Enrollment (of eligible)25%
$/member/month$91
~822 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.