← All ACOs
MSSPA5378 · PY2024 · serves 5 states
Emergent ACO 24.1, LLC
★★★★★
quality 93.9/100 (XSPAN star)
Lives (aligned)
8,357
CMS revenue (total spend)
$86.4M
Benchmark
$92.5M
Shared savings earned
$3M
paid to the ACO by CMS (PY2024)
Savings generated
$6.1M
gross vs benchmark
Per-capita spend
$10,520
Acute admits /1k
186
ED visits /1k
526
30-day readmit rate
13.2%
Service area GA, MS, NM, TN, VAOperator Scott Fowler
Shared savings you retain / yr
$2.6M
3.0% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$2.4M
2.8% of CMS revenue
Combined XSpan impact / yr
$5M
5.8% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $3.9M/yr.
Avoidable acute admits reduced15%
$2.7M/yr
30-day readmissions reduced20%
on 13.24% measured rate$539.3K/yr
ED visits deflected10%
$561.3K/yr
SNF admits reduced8%
$182.6K/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%$2.2M/yr
Better care → higher rating → bonus
This ACO: 5★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$393.4K/yr
Care-management codes
$1.3M
Enrollment (of eligible)30%
$/member/month$62
~1,705 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.2M
Enrollment (of eligible)25%
$/member/month$91
~1,045 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.
Part of a 3-ACO family run by Scott Fowler
combined: 40,607 lives · $15.5M earned · 8 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.