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MSSPA4868 · PY2024 · serves 1 state
Sentara Accountable Care Organization, LLC
★★★★☆
quality 89.6/100 (XSPAN star)
Lives (aligned)
63,108
CMS revenue (total spend)
$727.8M
Benchmark
$786.5M
Shared savings earned
$28.8M
paid to the ACO by CMS (PY2024)
Savings generated
$58.7M
gross vs benchmark
Per-capita spend
$11,716
Acute admits /1k
226
ED visits /1k
652
30-day readmit rate
14.9%
Service area VAOperator Daniel Dickinson
Shared savings you retain / yr
$23.5M
3.2% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$18.3M
2.5% of CMS revenue
Combined XSpan impact / yr
$41.8M
5.7% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $36.1M/yr.
Avoidable acute admits reduced15%
$22.7M/yr
30-day readmissions reduced20%
on 14.92% measured rate$5.3M/yr
ED visits deflected10%
$5.3M/yr
SNF admits reduced8%
$2.9M/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%$19.9M/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
$3.6M/yr
Care-management codes
$9.6M
Enrollment (of eligible)30%
$/member/month$62
~12,874 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$8.8M
Enrollment (of eligible)25%
$/member/month$91
~7,889 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.