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MSSPA5341 · PY2024 · serves 9 states
TH-PTN, LLC
★★★★☆
quality 83/100 (XSPAN star)
Lives (aligned)
14,666
CMS revenue (total spend)
$534.5M
Benchmark
$550.9M
Shared savings earned
$6.4M
paid to the ACO by CMS (PY2024)
Savings generated
$16.3M
gross vs benchmark
Per-capita spend
$41,326
Acute admits /1k
917
ED visits /1k
1,643
30-day readmit rate
14.5%
Service area CT, DE, FL, KS, MI, NC, NY, PA, WAOperator Amanda McMullen
Shared savings you retain / yr
$23.5M
4.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$4.3M
0.8% of CMS revenue
Combined XSpan impact / yr
$27.7M
5.2% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $36.1M/yr.
Avoidable acute admits reduced15%
$20.1M/yr
30-day readmissions reduced20%
on 14.48% measured rate$4.5M/yr
ED visits deflected10%
$2.8M/yr
SNF admits reduced8%
$8.7M/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%$19.9M/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
$3.6M/yr
Care-management codes
$2.2M
Enrollment (of eligible)30%
$/member/month$62
~2,992 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$2M
Enrollment (of eligible)25%
$/member/month$91
~1,833 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.