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MSSPA5215 · PY2024 · serves 6 states
Responsive Care Solutions, LLC
Met CMS quality standard
CMS assigned a default reporting score (shared by ~35 ACOs) — not individually star-rated.
Lives (aligned)
5,204
CMS revenue (total spend)
$157.4M
Benchmark
$163.4M
Shared savings earned
$0
paid to the ACO by CMS (PY2024)
Savings generated
$0
gross vs benchmark
Per-capita spend
$33,342
Acute admits /1k
746
ED visits /1k
1,375
30-day readmit rate
14.5%
Service area FL, KS, KY, MA, MD, NJOperator Robert West
Shared savings you retain / yr
$6.5M
4.2% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$1.5M
1.0% of CMS revenue
Combined XSpan impact / yr
$8.1M
5.1% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $10.1M/yr.
Avoidable acute admits reduced15%
$5.9M/yr
30-day readmissions reduced20%
on 14.53% measured rate$1.3M/yr
ED visits deflected10%
$844.1K/yr
SNF admits reduced8%
$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%$5.5M/yr
Better care → higher rating → bonus
This ACO: not individually rated. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$1M/yr
Care-management codes
$790.1K
Enrollment (of eligible)30%
$/member/month$62
~1,062 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$723.3K
Enrollment (of eligible)25%
$/member/month$91
~651 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.