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MSSPA4894 · PY2024 · serves 3 states
Aledade Accountable Care 79, LLC
★★★★☆
quality 82.8/100 (XSPAN star)
Lives (aligned)
27,479
CMS revenue (total spend)
$316.2M
Benchmark
$356.9M
Shared savings earned
$29.9M
paid to the ACO by CMS (PY2024)
Savings generated
$40.7M
gross vs benchmark
Per-capita spend
$11,730
Acute admits /1k
258
ED visits /1k
538
30-day readmit rate
16.1%
Service area AL, MS, TNOperator Evelyn Cayson
Shared savings you retain / yr
$9.6M
3.0% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$8M
2.5% of CMS revenue
Combined XSpan impact / yr
$17.5M
5.5% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $14.7M/yr.
Avoidable acute admits reduced15%
$9.7M/yr
30-day readmissions reduced20%
on 16.1% measured rate$2.5M/yr
ED visits deflected10%
$1.9M/yr
SNF admits reduced8%
$674.7K/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%$8.1M/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
$1.5M/yr
Care-management codes
$4.2M
Enrollment (of eligible)30%
$/member/month$62
~5,606 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$3.8M
Enrollment (of eligible)25%
$/member/month$91
~3,435 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.