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MSSPA5193 · PY2024 · serves 1 state
Aledade Accountable Care 91, LLC
★★★☆☆
quality 74/100 (XSPAN star)
Lives (aligned)
30,716
CMS revenue (total spend)
$487.9M
Benchmark
$483M
Shared savings earned
-$1.4M
paid to the ACO by CMS (PY2024)
Savings generated
-$4.8M
gross vs benchmark
Per-capita spend
$16,242
Acute admits /1k
254
ED visits /1k
647
30-day readmit rate
16.3%
Service area CA
Shared savings you retain / yr
$18.4M
3.8% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$8.9M
1.8% of CMS revenue
Combined XSpan impact / yr
$27.3M
5.6% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $28.3M/yr.
Avoidable acute admits reduced15%
$17.9M/yr
30-day readmissions reduced20%
on 16.33% measured rate$4.7M/yr
ED visits deflected10%
$2.5M/yr
SNF admits reduced8%
$3.2M/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%$15.6M/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
$2.8M/yr
Care-management codes
$4.7M
Enrollment (of eligible)30%
$/member/month$62
~6,266 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$4.3M
Enrollment (of eligible)25%
$/member/month$91
~3,840 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.