← All ACOs
MSSPA5203 · PY2024 · serves 5 states
Emergent ACO 23.1, LLC
★★★★★
quality 90.8/100 (XSPAN star)
Lives (aligned)
5,877
CMS revenue (total spend)
$81.7M
Benchmark
$82.6M
Shared savings earned
$0
paid to the ACO by CMS (PY2024)
Savings generated
$0
gross vs benchmark
Per-capita spend
$14,290
Acute admits /1k
244
ED visits /1k
568
30-day readmit rate
15.2%
Service area NE, NM, PA, TN, VAOperator Scott Fowler
Shared savings you retain / yr
$2.8M
3.5% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$1.7M
2.1% of CMS revenue
Combined XSpan impact / yr
$4.6M
5.6% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $4.4M/yr.
Avoidable acute admits reduced15%
$2.6M/yr
30-day readmissions reduced20%
on 15.2% measured rate$632.4K/yr
ED visits deflected10%
$422.4K/yr
SNF admits reduced8%
$672.6K/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%$2.4M/yr
Better care → higher rating → bonus
This ACO: 5★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$437.4K/yr
Care-management codes
$892.1K
Enrollment (of eligible)30%
$/member/month$62
~1,199 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$816.6K
Enrollment (of eligible)25%
$/member/month$91
~735 enrolled (50% eligible × 25%). Device supply + 20-min treatment mgmt. Concurrent with CCM allowed.
—
—
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 3-ACO family run by Scott Fowler
combined: 40,607 lives · $15.5M earned · 8 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.