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MSSPA4999 · PY2024 · serves 2 states
Aledade Accountable Care 99, LLC
★★★★☆
quality 87.4/100 (XSPAN star)
Lives (aligned)
34,469
CMS revenue (total spend)
$352.5M
Benchmark
$384.2M
Shared savings earned
$23.3M
paid to the ACO by CMS (PY2024)
Savings generated
$31.7M
gross vs benchmark
Per-capita spend
$10,429
Acute admits /1k
173
ED visits /1k
552
30-day readmit rate
14.2%
Service area OR, WAOperator Amy Byer
Shared savings you retain / yr
$12.3M
3.5% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$10M
2.8% of CMS revenue
Combined XSpan impact / yr
$22.3M
6.3% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $19M/yr.
Avoidable acute admits reduced15%
$12.5M/yr
30-day readmissions reduced20%
on 14.16% measured rate$2.8M/yr
ED visits deflected10%
$2.4M/yr
SNF admits reduced8%
$1.3M/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%$10.4M/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
$1.9M/yr
Care-management codes
$5.2M
Enrollment (of eligible)30%
$/member/month$62
~7,032 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$4.8M
Enrollment (of eligible)25%
$/member/month$91
~4,309 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 2-ACO family run by Amy Byer
combined: 44,364 lives · $33.6M 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.