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MSSPA5088 · PY2024 · serves 1 state
Atrius Health, Inc.
★★★☆☆
quality 73.4/100 (XSPAN star)
Lives (aligned)
37,919
CMS revenue (total spend)
$456.5M
Benchmark
$495.7M
Shared savings earned
$28.8M
paid to the ACO by CMS (PY2024)
Savings generated
$39.2M
gross vs benchmark
Per-capita spend
$12,199
Acute admits /1k
250
ED visits /1k
525
30-day readmit rate
16.8%
Service area MAOperator Melissa Inthirath
Shared savings you retain / yr
$16.7M
3.7% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$11M
2.4% of CMS revenue
Combined XSpan impact / yr
$27.7M
6.1% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $25.7M/yr.
Avoidable acute admits reduced15%
$16.9M/yr
30-day readmissions reduced20%
on 16.83% measured rate$4.6M/yr
ED visits deflected10%
$2.6M/yr
SNF admits reduced8%
$1.7M/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%$14.1M/yr
Better care → higher rating → bonus
This ACO: 3★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$2.6M/yr
Care-management codes
$5.8M
Enrollment (of eligible)30%
$/member/month$62
~7,735 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$5.3M
Enrollment (of eligible)25%
$/member/month$91
~4,740 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.