← All ACOs
REACHD0136 · PY2024 · state n/a
Castell Accountable Care, LLC
★★★★★
quality 100/100 (XSPAN star)
Lives (aligned)
50,678
CMS revenue (total spend)
$627M
Benchmark
$673.2M
Shared savings earned
$46.8M
paid to the ACO by CMS (PY2024)
Savings generated
$46.8M
gross vs benchmark
Per-capita spend
$12,371
Acute admits /1k
193
ED visits /1k
582
30-day readmit rate
n/a (REACH)
Shared savings you retain / yr
$19.5M
3.1% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$14.7M
2.3% of CMS revenue
Combined XSpan impact / yr
$34.2M
5.5% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $29.9M/yr.
Avoidable acute admits reduced15%
$19.5M/yr
30-day readmissions reduced20%
14% national avg (not in REACH PUF)$4.2M/yr
ED visits deflected10%
$3.8M/yr
SNF admits reduced8%
$2.3M/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%$16.5M/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
$3M/yr
Care-management codes
$7.7M
Enrollment (of eligible)30%
$/member/month$62
~10,338 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$7M
Enrollment (of eligible)25%
$/member/month$91
~6,335 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.