← All ACOs
REACHD0215 · PY2024 · state n/a
APA ACO Inc.
★☆☆☆☆
quality 50/100 (XSPAN star)
Lives (aligned)
31,079
CMS revenue (total spend)
$519.7M
Benchmark
$543.1M
Shared savings earned
$32.5M
paid to the ACO by CMS (PY2024)
Savings generated
$32.5M
gross vs benchmark
Per-capita spend
$16,721
Acute admits /1k
241
ED visits /1k
534
30-day readmit rate
n/a (REACH)
Shared savings you retain / yr
$19.7M
3.8% of CMS revenue · keep 55%
FFS care-mgmt revenue / yr
$9M
1.7% of CMS revenue
Combined XSpan impact / yr
$28.7M
5.5% of CMS revenue
1 · Reduce avoidable utilization
From this ACO's own PY2024 utilization & unit costs. Gross avoidable cost: $30.3M/yr.
Avoidable acute admits reduced15%
$20.1M/yr
30-day readmissions reduced20%
14% national avg (not in REACH PUF)$4.4M/yr
ED visits deflected10%
$2.2M/yr
SNF admits reduced8%
$3.7M/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%$16.7M/yr
Better care → higher rating → bonus
This ACO: 1★ today. Improving quality lifts your captured shared-savings share.
Extra share from quality gains+10 pts
$3M/yr
Care-management codes
$4.7M
Enrollment (of eligible)30%
$/member/month$62
~6,340 enrolled (68% eligible × 30%). Requires 2+ chronic conditions (~68% of Medicare FFS). Billable alongside RPM.
$4.3M
Enrollment (of eligible)25%
$/member/month$91
~3,885 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.