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MSSPA5407 · PY2024 · serves 16 states
CVS ACO, LLC
★★★☆☆
quality 71.8/100 (XSPAN star)
Lives (aligned)
15,956
CMS revenue (total spend)
$248.3M
Benchmark
$245.7M
Shared savings earned
-$1.2M
paid to the ACO by CMS (PY2024)
Savings generated
-$2.6M
gross vs benchmark
Per-capita spend
$15,851
Acute admits /1k
296
ED visits /1k
653
30-day readmit rate
14.7%
Service area AL, AR, AZ, CO, FL, IA, ID, LA, MN, MT, ND, NE, NJ, OH, SC, TXOperator Aria Sameni
Shared savings you retain / yr
$8.9M
3.6% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$4.6M
1.9% of CMS revenue
Combined XSpan impact / yr
$13.6M
5.5% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $13.8M/yr.
Avoidable acute admits reduced15%
$9.5M/yr
30-day readmissions reduced20%
on 14.69% measured rate$2.2M/yr
ED visits deflected10%
$1.3M/yr
SNF admits reduced8%
$777.1K/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%$7.6M/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
$1.4M/yr
Care-management codes
$2.4M
Enrollment (of eligible)30%
$/member/month$62
~3,255 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$2.2M
Enrollment (of eligible)25%
$/member/month$91
~1,995 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 6-ACO family run by Aria Sameni
combined: 661,593 lives · $158.9M earned · 33 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.
Caravan Health ACO 22 LLCCA, CO, CT, IL, IN, LA, MA, MN, NC, NJ, NY, OK, TN, WA328,733 livesCaravan Health ACO 50 LLCAZ, CA, IA, ID, IN, KY, NC, ND, NM, OK, SD, WY126,751 livesCaravan Health ACO 43 LLCCO, IA, ID, IL, KS, MA, MN, MT, NC, ND, OH, SC, SD, WV93,021 livesCollaborative ACO 30, LLCFL, IA, IN, MN, NC, NM, OH, WA, WI88,907 livesCVS ACO, LLCAL, AR, AZ, CO, FL, IA, ID, LA, MN, MT, ND, NE, NJ, OH, SC, TX15,956 livesWellvana Essential Care LLCAL, AR, IA, IN, MT, ND, TX8,225 lives