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MSSPA5206 · PY2024 · serves 17 states
Aledade Accountable Care 93, LLC
★★★★☆
quality 82.5/100 (XSPAN star)
Lives (aligned)
59,926
CMS revenue (total spend)
$657.3M
Benchmark
$696.8M
Shared savings earned
$29M
paid to the ACO by CMS (PY2024)
Savings generated
$39.5M
gross vs benchmark
Per-capita spend
$11,229
Acute admits /1k
246
ED visits /1k
600
30-day readmit rate
15.6%
Service area AZ, CA, GA, ID, IN, LA, MI, MO, NE, NJ, NV, NY, OK, OR, PA, TN, TXOperator Victoria Njoku-Anokam
Shared savings you retain / yr
$22.2M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$17.4M
2.7% of CMS revenue
Combined XSpan impact / yr
$39.7M
6.0% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $34.2M/yr.
Avoidable acute admits reduced15%
$22M/yr
30-day readmissions reduced20%
on 15.62% measured rate$5.4M/yr
ED visits deflected10%
$4.6M/yr
SNF admits reduced8%
$2.3M/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%$18.8M/yr
Better care → higher rating → bonus
This ACO: 4★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$3.4M/yr
Care-management codes
$9.1M
Enrollment (of eligible)30%
$/member/month$62
~12,225 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$8.3M
Enrollment (of eligible)25%
$/member/month$91
~7,491 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 5-ACO family run by Victoria Njoku-Anokam
combined: 181,739 lives · $78.7M earned · 35 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.
Aledade Accountable Care 93, LLCAZ, CA, GA, ID, IN, LA, MI, MO, NE, NJ, NV, NY, OK, OR, PA, TN, TX59,926 livesAledade Accountable Care 48, LLCAR, AZ, FL, GA, MI, NJ, SC, TX, UT, VT44,984 livesAledade Accountable Care 149, LLCCA, CO, DE, FL, IA, LA, MI, MS, NC, NY, PA, TN, UT, VT30,012 livesAledade Accountable Care 155, LLCAR, IN, KS, MI, MO, OH, OR, SC, VA, WV, WY27,634 livesAledade Accountable Care 57, LLCAR, CO, IL, KY, MI, NM, PA, TX, UT19,183 lives