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MSSPA5318 · PY2024 · state n/a
Penn Medicine Healthcare Partners, LLC
★★★★☆
quality 83.8/100 (XSPAN star)
Lives (aligned)
32,860
CMS revenue (total spend)
$432.1M
Benchmark
$439.9M
Shared savings earned
$5.8M
paid to the ACO by CMS (PY2024)
Savings generated
$7.8M
gross vs benchmark
Per-capita spend
$13,318
Acute admits /1k
230
ED visits /1k
497
30-day readmit rate
15.3%
Shared savings you retain / yr
$13.1M
3.0% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$9.6M
2.2% of CMS revenue
Combined XSpan impact / yr
$22.7M
5.2% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $20.2M/yr.
Avoidable acute admits reduced15%
$13.2M/yr
30-day readmissions reduced20%
on 15.25% measured rate$3.2M/yr
ED visits deflected10%
$2.1M/yr
SNF admits reduced8%
$1.7M/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%$11.1M/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
$2M/yr
Care-management codes
$5M
Enrollment (of eligible)30%
$/member/month$62
~6,703 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$4.6M
Enrollment (of eligible)25%
$/member/month$91
~4,108 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.