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MSSPA4856 · PY2024 · serves 2 states
Aledade Accountable Care 80, LLC
★★★★★
quality 90.4/100 (XSPAN star)
Lives (aligned)
18,048
CMS revenue (total spend)
$237.4M
Benchmark
$273.5M
Shared savings earned
$26.5M
paid to the ACO by CMS (PY2024)
Savings generated
$36M
gross vs benchmark
Per-capita spend
$13,387
Acute admits /1k
215
ED visits /1k
520
30-day readmit rate
14.7%
Service area DE, MDOperator Tyler Blanchard
Shared savings you retain / yr
$8.9M
3.7% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$5.2M
2.2% of CMS revenue
Combined XSpan impact / yr
$14.1M
5.9% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $13.6M/yr.
Avoidable acute admits reduced15%
$9.5M/yr
30-day readmissions reduced20%
on 14.7% measured rate$2.2M/yr
ED visits deflected10%
$1.2M/yr
SNF admits reduced8%
$787.5K/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%$7.5M/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
$1.4M/yr
Care-management codes
$2.7M
Enrollment (of eligible)30%
$/member/month$62
~3,682 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$2.5M
Enrollment (of eligible)25%
$/member/month$91
~2,256 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 4-ACO family run by Tyler Blanchard
combined: 61,935 lives · $63.5M earned · 4 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.