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MSSPA5245 · PY2024 · serves 2 states

Doylestown Value Partners, LLC

★★★★★
quality 92.7/100 (XSPAN star)
Lives (aligned)
12,686
CMS revenue (total spend)
$160.7M
Benchmark
$164.1M
Shared savings earned
$2.5M
paid to the ACO by CMS (PY2024)
Savings generated
$3.4M
gross vs benchmark
Per-capita spend
$12,833
Acute admits /1k
237
ED visits /1k
553
30-day readmit rate
15.6%
Service area NJ, PAOperator Tiara Swindell
Shared savings you retain / yr
$4.8M
3.0% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$3.7M
2.3% of CMS revenue
Combined XSpan impact / yr
$8.5M
5.3% of CMS revenue

1 · Reduce avoidable utilization

From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $7.4M/yr.

Avoidable acute admits reduced15%
$4.7M/yr
30-day readmissions reduced20%
on 15.6% measured rate$1.2M/yr
ED visits deflected10%
$900.2K/yr
SNF admits reduced8%
$560.3K/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%$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
$735.3K/yr

Care-management codes

$1.9M
Enrollment (of eligible)30%
$/member/month$62
~2,588 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.8M
Enrollment (of eligible)25%
$/member/month$91
~1,586 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 2-ACO family run by Tiara Swindell

combined: 24,282 lives · $18.7M earned · 2 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.