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MSSPA5321 · PY2024 · serves 1 state
PSW ACO 1, LLC
★★★☆☆
quality 73/100 (XSPAN star)
Lives (aligned)
5,896
CMS revenue (total spend)
$65.9M
Benchmark
$65.9M
Shared savings earned
$0
paid to the ACO by CMS (PY2024)
Savings generated
$0
gross vs benchmark
Per-capita spend
$11,365
Acute admits /1k
203
ED visits /1k
583
30-day readmit rate
15.0%
Service area WAOperator Melanie Matthews
Shared savings you retain / yr
$2.2M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$1.7M
2.6% of CMS revenue
Combined XSpan impact / yr
$4M
6.0% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $3.5M/yr.
Avoidable acute admits reduced15%
$2.2M/yr
30-day readmissions reduced20%
on 14.98% measured rate$516.9K/yr
ED visits deflected10%
$439.2K/yr
SNF admits reduced8%
$305.1K/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%$1.9M/yr
Better care → higher rating → bonus
This ACO: 3★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$346.1K/yr
Care-management codes
$895K
Enrollment (of eligible)30%
$/member/month$62
~1,203 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$818.8K
Enrollment (of eligible)25%
$/member/month$91
~737 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 Melanie Matthews
combined: 57,156 lives · $6.7M 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.