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MSSPA5216 · PY2024 · serves 8 states
Aledade Accountable Care 101, LLC
★★★★☆
quality 81.9/100 (XSPAN star)
Lives (aligned)
43,605
CMS revenue (total spend)
$571.4M
Benchmark
$589.5M
Shared savings earned
$8.9M
paid to the ACO by CMS (PY2024)
Savings generated
$18.2M
gross vs benchmark
Per-capita spend
$13,423
Acute admits /1k
261
ED visits /1k
631
30-day readmit rate
15.8%
Service area CT, DE, MA, ME, NH, NJ, NY, VTOperator Krista Sperry
Shared savings you retain / yr
$20.7M
3.6% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$12.7M
2.2% of CMS revenue
Combined XSpan impact / yr
$33.4M
5.8% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $31.9M/yr.
Avoidable acute admits reduced15%
$20.4M/yr
30-day readmissions reduced20%
on 15.77% measured rate$5.1M/yr
ED visits deflected10%
$3.5M/yr
SNF admits reduced8%
$2.9M/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%$17.5M/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
$3.2M/yr
Care-management codes
$6.6M
Enrollment (of eligible)30%
$/member/month$62
~8,895 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$6.1M
Enrollment (of eligible)25%
$/member/month$91
~5,451 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 3-ACO family run by Krista Sperry
combined: 73,832 lives · $36.8M 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.