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MSSPA5331 · PY2024 · serves 6 states
INTEGRIS Health Partners, LLC
★★★★☆
quality 81.1/100 (XSPAN star)
Lives (aligned)
25,714
CMS revenue (total spend)
$332.4M
Benchmark
$330M
Shared savings earned
-$973.6K
paid to the ACO by CMS (PY2024)
Savings generated
-$2.4M
gross vs benchmark
Per-capita spend
$13,164
Acute admits /1k
253
ED visits /1k
698
30-day readmit rate
14.7%
Service area IL, KY, LA, MO, OK, TXOperator Brian Jones
Shared savings you retain / yr
$10.9M
3.3% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$7.5M
2.2% of CMS revenue
Combined XSpan impact / yr
$18.4M
5.5% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $16.8M/yr.
Avoidable acute admits reduced15%
$10.7M/yr
30-day readmissions reduced20%
on 14.72% measured rate$2.5M/yr
ED visits deflected10%
$2.3M/yr
SNF admits reduced8%
$1.3M/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%$9.3M/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
$1.7M/yr
Care-management codes
$3.9M
Enrollment (of eligible)30%
$/member/month$62
~5,246 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$3.6M
Enrollment (of eligible)25%
$/member/month$91
~3,214 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.