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MSSPA5166 · PY2024 · serves 1 state
MA-TDC GROUP ACO INC
★★★☆☆
quality 76.9/100 (XSPAN star)
Lives (aligned)
6,016
CMS revenue (total spend)
$69.6M
Benchmark
$73.6M
Shared savings earned
$1.5M
paid to the ACO by CMS (PY2024)
Savings generated
$4M
gross vs benchmark
Per-capita spend
$11,871
Acute admits /1k
274
ED visits /1k
571
30-day readmit rate
15.4%
Service area MIOperator Karen Duncan
Shared savings you retain / yr
$2.5M
3.5% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$1.7M
2.5% of CMS revenue
Combined XSpan impact / yr
$4.2M
6.1% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $3.8M/yr.
Avoidable acute admits reduced15%
$2.5M/yr
30-day readmissions reduced20%
on 15.39% measured rate$599K/yr
ED visits deflected10%
$435.2K/yr
SNF admits reduced8%
$295.2K/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%$2.1M/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
$379.9K/yr
Care-management codes
$912.9K
Enrollment (of eligible)30%
$/member/month$62
~1,227 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$835.5K
Enrollment (of eligible)25%
$/member/month$91
~752 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 Karen Duncan
combined: 18,326 lives · $4.6M earned · 1 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.