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MSSPA5350 · PY2024 · serves 7 states
Care Partners ACO, LLC
Met CMS quality standard
CMS assigned a default reporting score (shared by ~35 ACOs) — not individually star-rated.
Lives (aligned)
5,177
CMS revenue (total spend)
$203.7M
Benchmark
$206.5M
Shared savings earned
$559.2K
paid to the ACO by CMS (PY2024)
Savings generated
$2.9M
gross vs benchmark
Per-capita spend
$44,519
Acute admits /1k
911
ED visits /1k
1,653
30-day readmit rate
15.2%
Service area CA, FL, MI, NY, OH, SC, SDOperator Kim Phan
Shared savings you retain / yr
$8.9M
4.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$1.5M
0.7% of CMS revenue
Combined XSpan impact / yr
$10.4M
5.1% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $13.7M/yr.
Avoidable acute admits reduced15%
$7.4M/yr
30-day readmissions reduced20%
on 15.17% measured rate$1.8M/yr
ED visits deflected10%
$983.1K/yr
SNF admits reduced8%
$3.6M/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%$7.5M/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
$1.4M/yr
Care-management codes
$785.7K
Enrollment (of eligible)30%
$/member/month$62
~1,056 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$718.8K
Enrollment (of eligible)25%
$/member/month$91
~647 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.