← All ACOs
MSSPA5346 · PY2024 · serves 8 states
Stellar Health ACO LLC
★★★☆☆
quality 73.4/100 (XSPAN star)
Lives (aligned)
8,171
CMS revenue (total spend)
$90.1M
Benchmark
$95.2M
Shared savings earned
$2.5M
paid to the ACO by CMS (PY2024)
Savings generated
$5.1M
gross vs benchmark
Per-capita spend
$11,262
Acute admits /1k
252
ED visits /1k
603
30-day readmit rate
15.3%
Service area AR, IA, IL, MN, NY, PA, WI, WVOperator Daniel Lithwick
Shared savings you retain / yr
$3.2M
3.6% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$2.4M
2.6% of CMS revenue
Combined XSpan impact / yr
$5.6M
6.2% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $4.9M/yr.
Avoidable acute admits reduced15%
$3.2M/yr
30-day readmissions reduced20%
on 15.33% measured rate$773.6K/yr
ED visits deflected10%
$626.9K/yr
SNF admits reduced8%
$344.5K/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%$2.7M/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
$494.9K/yr
Care-management codes
$1.2M
Enrollment (of eligible)30%
$/member/month$62
~1,667 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.1M
Enrollment (of eligible)25%
$/member/month$91
~1,021 enrolled (50% eligible × 25%). Device supply + 20-min treatment mgmt. Concurrent with CCM allowed.
—
—
CY2024 national-average code rates — editable. In MSSP, care-management billing also counts toward ACO expenditures; net effect depends on your model.