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MSSPA5356 · PY2024 · serves 2 states
Aledade Accountable Care 153, LLC
★★★★☆
quality 86.3/100 (XSPAN star)
Lives (aligned)
16,551
CMS revenue (total spend)
$185M
Benchmark
$194.4M
Shared savings earned
$6.9M
paid to the ACO by CMS (PY2024)
Savings generated
$9.4M
gross vs benchmark
Per-capita spend
$11,386
Acute admits /1k
209
ED visits /1k
545
30-day readmit rate
15.0%
Service area NC, SCOperator Ross Coapstick
Shared savings you retain / yr
$5.4M
2.9% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$4.8M
2.6% of CMS revenue
Combined XSpan impact / yr
$10.2M
5.5% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $8.3M/yr.
Avoidable acute admits reduced15%
$5.5M/yr
30-day readmissions reduced20%
on 14.98% measured rate$1.3M/yr
ED visits deflected10%
$1.2M/yr
SNF admits reduced8%
$298.9K/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%$4.6M/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
$827.5K/yr
Care-management codes
$2.5M
Enrollment (of eligible)30%
$/member/month$62
~3,376 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$2.3M
Enrollment (of eligible)25%
$/member/month$91
~2,069 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 3-ACO family run by Ross Coapstick
combined: 48,640 lives · $24M earned · 5 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.