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MSSPA5226 · PY2024 · state n/a
Aledade Accountable Care 143, LLC
★☆☆☆☆
quality 58.2/100 (XSPAN star)
Lives (aligned)
16,187
CMS revenue (total spend)
$201.2M
Benchmark
$199.2M
Shared savings earned
$0
paid to the ACO by CMS (PY2024)
Savings generated
$0
gross vs benchmark
Per-capita spend
$12,698
Acute admits /1k
272
ED visits /1k
785
30-day readmit rate
14.8%
Shared savings you retain / yr
$7.3M
3.6% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$4.7M
2.3% of CMS revenue
Combined XSpan impact / yr
$12M
6.0% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $11.2M/yr.
Avoidable acute admits reduced15%
$7.1M/yr
30-day readmissions reduced20%
on 14.83% measured rate$1.6M/yr
ED visits deflected10%
$1.6M/yr
SNF admits reduced8%
$870.8K/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%$6.2M/yr
Better care → higher rating → bonus
This ACO: 1★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$1.1M/yr
Care-management codes
$2.5M
Enrollment (of eligible)30%
$/member/month$62
~3,302 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$2.2M
Enrollment (of eligible)25%
$/member/month$91
~2,023 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.