← All ACOs
REACHD0086 · PY2024 · state n/a
American Choice Healthcare, LLC
★★★☆☆
quality 73/100 (XSPAN star)
Lives (aligned)
65,752
CMS revenue (total spend)
$1.1B
Benchmark
$1.1B
Shared savings earned
$32.4M
paid to the ACO by CMS (PY2024)
Savings generated
$32.4M
gross vs benchmark
Per-capita spend
$16,113
Acute admits /1k
275
ED visits /1k
593
30-day readmit rate
n/a (REACH)
Shared savings you retain / yr
$39M
3.7% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$19.1M
1.8% of CMS revenue
Combined XSpan impact / yr
$58.1M
5.5% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $59.9M/yr.
Avoidable acute admits reduced15%
$40.8M/yr
30-day readmissions reduced20%
14% national avg (not in REACH PUF)$8.9M/yr
ED visits deflected10%
$5.1M/yr
SNF admits reduced8%
$5.1M/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%$33M/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
$6M/yr
Care-management codes
$10M
Enrollment (of eligible)30%
$/member/month$62
~13,413 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$9.1M
Enrollment (of eligible)25%
$/member/month$91
~8,219 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.