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MSSPA4764 · PY2024 · state n/a
Five Star ACO, LLC
★★★★☆
quality 85.9/100 (XSPAN star)
Lives (aligned)
4,824
CMS revenue (total spend)
$60M
Benchmark
$64.2M
Shared savings earned
$3.1M
paid to the ACO by CMS (PY2024)
Savings generated
$4.2M
gross vs benchmark
Per-capita spend
$12,758
Acute admits /1k
277
ED visits /1k
747
30-day readmit rate
14.8%
Shared savings you retain / yr
$2M
3.3% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$1.4M
2.3% of CMS revenue
Combined XSpan impact / yr
$3.4M
5.7% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $3.1M/yr.
Avoidable acute admits reduced15%
$2M/yr
30-day readmissions reduced20%
on 14.78% measured rate$457.1K/yr
ED visits deflected10%
$456.3K/yr
SNF admits reduced8%
$178.7K/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%$1.7M/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
$306.9K/yr
Care-management codes
$732.1K
Enrollment (of eligible)30%
$/member/month$62
~984 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$669.9K
Enrollment (of eligible)25%
$/member/month$91
~603 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.