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REACHD0172 · PY2024 · state n/a
Subsero Healthcare, LLC d/b/a MAX Healthcare #1
★★★★☆
quality 82/100 (XSPAN star)
Lives (aligned)
9,387
CMS revenue (total spend)
$126.2M
Benchmark
$149.2M
Shared savings earned
$24.5M
paid to the ACO by CMS (PY2024)
Savings generated
$24.5M
gross vs benchmark
Per-capita spend
$13,449
Acute admits /1k
241
ED visits /1k
506
30-day readmit rate
n/a (REACH)
Shared savings you retain / yr
$3.9M
3.1% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$2.7M
2.2% of CMS revenue
Combined XSpan impact / yr
$6.7M
5.3% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $6.1M/yr.
Avoidable acute admits reduced15%
$4.1M/yr
30-day readmissions reduced20%
14% national avg (not in REACH PUF)$885.4K/yr
ED visits deflected10%
$617.7K/yr
SNF admits reduced8%
$469.7K/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%$3.3M/yr
Better care → higher rating → bonus
This ACO: 4★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$605.2K/yr
Care-management codes
$1.4M
Enrollment (of eligible)30%
$/member/month$62
~1,915 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$1.3M
Enrollment (of eligible)25%
$/member/month$91
~1,173 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.