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MSSPA5334 · PY2024 · serves 11 states
Main Street Rural Health Hickory ACO LLC
Met CMS quality standard
CMS assigned a default reporting score (shared by ~35 ACOs) — not individually star-rated.
Lives (aligned)
9,996
CMS revenue (total spend)
$134.5M
Benchmark
$140M
Shared savings earned
$2.1M
paid to the ACO by CMS (PY2024)
Savings generated
$5.5M
gross vs benchmark
Per-capita spend
$13,819
Acute admits /1k
267
ED visits /1k
677
30-day readmit rate
14.3%
Service area AR, IA, IN, KY, LA, MT, NM, OH, TN, TX, WVOperator Bennett Graham
Shared savings you retain / yr
$4.9M
3.7% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$2.9M
2.2% of CMS revenue
Combined XSpan impact / yr
$7.8M
5.8% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $7.6M/yr.
Avoidable acute admits reduced15%
$4.9M/yr
30-day readmissions reduced20%
on 14.26% measured rate$1.1M/yr
ED visits deflected10%
$856.9K/yr
SNF admits reduced8%
$767.7K/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%$4.2M/yr
Better care → higher rating → bonus
This ACO: not individually rated. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$759.4K/yr
Care-management codes
$1.5M
Enrollment (of eligible)30%
$/member/month$62
~2,039 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.4M
Enrollment (of eligible)25%
$/member/month$91
~1,250 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 10-ACO family run by Bennett Graham
combined: 106,558 lives · $15.6M earned · 19 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.
Main Street Rural Health Sycamore ACO LLCAL, AR, IA, KY, MO, MT, NY, OH, TN, TX20,000 livesMain Street Rural Health Magnolia ACO LLCAR, GA, LA, MO, OK, TN, TX14,289 livesMain Street Rural Health Juniper ACO LLCAL, AR, IA, KY, MO, NY, PA, TN, TX10,212 livesMain Street Rural Health Hickory ACO LLCAR, IA, IN, KY, LA, MT, NM, OH, TN, TX, WV9,996 livesMain Street Rural Health Poplar ACO LLCAL, AR, KY, MO, OK, TN, TX9,922 livesMain Street Rural Health Maple ACO LLCAL, AR, MO, MT, NY, OH, SC, TN, TX9,380 livesMain Street Rural Health Dogwood ACO LLCAL, IA, IL, IN, KY, MO, MT, NY, TN9,008 livesMain Street Rural Health Willow ACO LLCAL, KY, MO, OK, TN, TX, WV8,069 livesMain Street Rural Health Cottonwood ACO LLCAL, GA, SC7,872 livesMain Street Rural Health Hawthorn ACO LLCIA, NY7,810 lives