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MSSPA5045 · PY2024 · serves 1 state
HCP ACO California, LLC
Met CMS quality standard
CMS assigned a default reporting score (shared by ~35 ACOs) — not individually star-rated.
Lives (aligned)
23,591
CMS revenue (total spend)
$291M
Benchmark
$313.3M
Shared savings earned
$16.4M
paid to the ACO by CMS (PY2024)
Savings generated
$22.3M
gross vs benchmark
Per-capita spend
$12,558
Acute admits /1k
190
ED visits /1k
502
30-day readmit rate
15.2%
Service area CAOperator Anh Pham
Shared savings you retain / yr
$9.8M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$6.9M
2.4% of CMS revenue
Combined XSpan impact / yr
$16.7M
5.7% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $15.1M/yr.
Avoidable acute admits reduced15%
$9.9M/yr
30-day readmissions reduced20%
on 15.18% measured rate$2.4M/yr
ED visits deflected10%
$1.5M/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%$8.3M/yr
Better care → higher rating → bonus
This ACO: not individually rated. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$1.5M/yr
Care-management codes
$3.6M
Enrollment (of eligible)30%
$/member/month$62
~4,813 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$3.3M
Enrollment (of eligible)25%
$/member/month$91
~2,949 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.