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MSSPA5488 · PY2024 · serves 1 state
Physicians Collaborative Solutions
Met CMS quality standard
CMS assigned a default reporting score (shared by ~35 ACOs) — not individually star-rated.
Lives (aligned)
14,131
CMS revenue (total spend)
$193.7M
Benchmark
$200.4M
Shared savings earned
$2.6M
paid to the ACO by CMS (PY2024)
Savings generated
$6.7M
gross vs benchmark
Per-capita spend
$13,980
Acute admits /1k
337
ED visits /1k
546
30-day readmit rate
17.2%
Service area FLOperator Melissa Odom
Shared savings you retain / yr
$6.5M
3.4% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$4.1M
2.1% of CMS revenue
Combined XSpan impact / yr
$10.6M
5.5% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $10M/yr.
Avoidable acute admits reduced15%
$6.6M/yr
30-day readmissions reduced20%
on 17.17% measured rate$1.8M/yr
ED visits deflected10%
$983.4K/yr
SNF admits reduced8%
$559.6K/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%$5.5M/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
$999.9K/yr
Care-management codes
$2.1M
Enrollment (of eligible)30%
$/member/month$62
~2,883 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$2M
Enrollment (of eligible)25%
$/member/month$91
~1,766 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.