Southern Kentucky Health Care Alliance

MSSP Performance — Key Metrics

Assigned Beneficiaries

10,099 p34

Savings Rate

9.34% p86

Quality Score

85.23 p60

Per Capita Expenditure, Total ($)

$12,791 p52

Generated Savings/Losses ($)

$12,976,442

Earned Savings/Losses ($)

$6,358,457

Updated Benchmark ($)

$14,108 p69

Bottom quartile Middle Top quartile MSSP median shown in gray · Peer median in blue

Program Structure

Current Track	E
Agreement Type	Renewal
Agreement Period	3
Start Date	7/1/2019
Risk Model ?	Two-Sided
Assignment Type ?	Retrospective
SNF 3-Day Waiver ?	✗

Financial Performance

Step-by-step savings calculation from historical benchmark to earned savings/losses.

Step	Description	Value	MSSP Median	Peer Median
1	Assigned Beneficiaries	10,099 p34	13,159	13,410
2	Historical Benchmark (per capita)	$11,263 p47	$11,439	$10,902
3	Regional Adjustment	+$-33
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$14,108 p69	$13,279	$12,876

7	Total Benchmark (all beneficiaries)	$139,007,356
8	Total Expenditure (all beneficiaries)	$126,030,913
9	Per Capita Expenditure (PY)	$12,791 p52	$12,693	$12,106
10	Generated Savings / Losses	$12,976,442	$6,931,306	—

11	Savings Rate	9.34% p86	4.21%	5.75%
12	Minimum Savings Rate (threshold)	2.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	50.00%
15	Final Shared Loss Rate	30.00%
16	Earned Savings / Losses	$6,358,457	$3,685,876	—

	Revenue-to-Expense Category	Low Revenue

Per Capita Expenditure by Population Segment

Annual per-beneficiary expenditure across benchmark years (BY1–BY3) and the performance year (PY). Includes Parts A and B FFS spending.

Population Segment	BY1	BY2	BY3	PY	Trend	Risk-Adj. Expected	Difference
End-Stage Renal Disease (ESRD)	$73,470	$78,219	$79,270	$96,042	↑	$94,706	+$1,336
Disabled	$9,561	$8,889	$9,702	$11,513	↑	$11,121	+$392
Aged, Dual-Eligible	$16,018	$17,726	$17,369	$21,700	↑	$19,010	+$2,690
Aged, Non-Dual	$9,065	$9,758	$10,376	$12,304	↑	$12,988	−$684
Total				$12,791		$12,693	$12,106

Risk Scores

Hierarchical Condition Category risk scores. A score of 1.0 = national average. Below 1.0 means the population is healthier than average.

CMS-HCC Risk Scores

Population Segment	BY1	BY2	BY3	PY	Trend	Coding Gap	MSSP Med.
End-Stage Renal Disease (ESRD)	1.025	1.000	1.033	1.014	→	+0.015	0.967
Disabled	0.982	0.934	0.987	0.921	↓	-0.022	0.934
Aged, Dual-Eligible	1.048	0.980	1.019	1.004	↓	-0.037	0.954
Aged, Non-Dual	1.014	1.013	1.044	1.077	↑	+0.068	0.983

Demographic Risk Scores

Demographic-only risk scores (age/sex/Medicaid status). Compared with HCC risk scores, the difference reflects clinical coding intensity.

Population Segment	BY3	PY
End-Stage Renal Disease (ESRD)	—	0.999
Disabled	—	0.943
Aged, Dual-Eligible	—	1.041
Aged, Non-Dual	—	1.009

Risk Redistribution Weights (PY)

Fraction of the ACO's total risk attributable to each population segment.

ESRD Weight	2.2%
Disabled Weight	6.2%
Aged Dual Weight	4.8%
Aged Non-Dual Weight	86.7%

Beneficiary Demographics

Distribution of 10,099 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

9.6%

Age 65–74

47.9%

Age 75–84

32.8%

Age 85+

9.6%

Gender

Female

55.0%

Male

45.0%

Race / Ethnicity

White

94.3%

Black

3.1%

Hispanic

0.0%

Asian

0.4%

Native American

0.0%

Other

0.4%

Unknown

1.6%

Special Populations

5.65% p39 Dual-Eligible (MSSP median: 6.9%)

1.63% p74 Long-Term Institutionalized (MSSP median: 0.89%)

VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	78	31
Disabled	2,084	659
Aged, Dual-Eligible	1,070	294
Aged, Non-Dual	10,122	8,870
Total (PY)		9,853

Per Capita Spending by Service Category

Annual per-beneficiary spending by care setting. Bar shows this ACO's share; red marker shows MSSP median share.

Service Category	This ACO	% Share	MSSP Median	Peer Median
Inpatient — All	$3,438 p52	26.2%	$3,410	$3,341
Inpatient — Short-Term Acute	$2,820		$2,914	—
Inpatient — Long-Term	$33		$59	—
Inpatient — Rehab	$565		$367	—
Inpatient — Psychiatric	$28		$37	—
Hospice	$182	1.4%	$258	$250
Skilled Nursing Facility	$816 p69	6.2%	$655	$571
Outpatient	$2,623 p32	20.0%	$3,078	$2,815
Physician / Supplier (Part B)	$5,063 p73	38.5%	$4,341	$4,380
Ambulance	$172	1.3%	$134	$130
Home Health	$416	3.2%	$470	$450
Durable Medical Equipment	$437	3.3%	$405	$415

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

28.6% ED-to-Hospitalization Conversion Rate

1.17:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	282 p75	251	259
Short-Term Acute Admissions (per 1,000)	251	229	—
Long-Term Admissions (per 1,000)	1	1	—
Rehab Admissions (per 1,000)	27	15	—
Psychiatric Admissions (per 1,000)	2	3	—
ED Visits (per 1,000)	598 p42	618	593
ED Visits Resulting in Hospitalization (per 1,000)	171	179	—
CT Scans (per 1,000)	761 p53	751	789
MRI Scans (per 1,000)	229 p36	247	254
E&M Visits — Total (per 1,000)	13,460	12,433	—
E&M Visits — Primary Care (per 1,000)	5,278 p74	4,192	5,195
E&M Visits — Specialist (per 1,000)	4,527 p41	4,821	4,505
Nurse Practitioner Visits (per 1,000)	3,524 p89	2,464	2,909
FQHC / RHC Visits (per 1,000)	130 p47	160	120
SNF Admissions (per 1,000)	46	40	37
SNF Average Length of Stay (days)	27 p46	27	27
SNF Average Payment per Stay	$15,852 p58	$15,338	$14,292

Provider Composition

Facilities

Hospitals	0
Critical Access Hospitals	0
FQHCs	0
Rural Health Clinics	0
Extension of Treatment Areas	0
Other Facilities	0

Clinicians

Primary Care Physicians	56
Specialists	70
Nurse Practitioners	125
Physician Assistants	15
Clinical Nurse Specialists	0

CAHPS Patient Experience

Consumer Assessment of Healthcare Providers and Systems survey scores (0–100 scale). Gray marker = MSSP median. Blue marker = peer median.

Getting Timely Care, Appointments & Information p90

88.4

How Well Providers Communicate p57

94.5

Patient's Rating of Provider p78

93.8

Access to Specialists p90

80.9

Health Promotion & Education p6

58.7

Shared Decision-Making p25

59.9

Health Status / Functional Status p33

73.9

Courteous & Helpful Office Staff p83

88.0

Care Coordination p77

94.2

Stewardship of Patient Resources p57

27.9

Clinical Quality Measures

MSSP quality measures. Measures marked "lower is better" are inverted — a lower score indicates better performance.

Measure	This ACO	MSSP Median	Peer Median
Overall Quality Score (Composite) p60	85.23	83.13	88.72
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p92	0.17	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	35.82
Falls: Screening for Future Fall Risk p84	97.39	91.53	94.31
Influenza Immunization p73	75.80	70.06	71.65
Tobacco Use: Screening & Cessation Intervention p35	76.36	82.86	88.71
Colorectal Cancer Screening p94	88.93	80.23	80.72
Breast Cancer Screening p75	86.11	82.59	84.52
Statin Therapy for CVD Prevention p48	87.17	87.36	85.86
Depression Remission at 12 Months p47	13.54	14.29	19.05
Depression Screening & Follow-Up Plan p45 Reporting pathways Web Interface: 82.43 eCQM: - MIPS CQM: - Medicare CQM: -	82.43	83.73	86.33
Diabetes: HbA1c Poor Control (>9%) (lower is better) p16 Reporting pathways Web Interface: 5.74 eCQM: - MIPS CQM: - Medicare CQM: -	5.74	8.44	7.69
Controlling High Blood Pressure p46 Reporting pathways Web Interface: 79.54 eCQM: - MIPS CQM: - Medicare CQM: -	79.54	80.24	83.20

Quality Reporting Flags

✓ Met Quality Performance Standard (QPS)

? Met Alternative QPS

✓ Met 40th Percentile Threshold

✓ Met SSP Quality Reporting Requirements

✓ Reported via Web Interface

✓ Reported via eCQM / CQM / Medicare CQM

✗ First-Year ACO Quality Pass

✓ Met Incentive Threshold

✗ Received 40th Percentile Bonus

✗ Disaster / Affected Quality Waiver Applied

Peer Cohort

30 similar mid-size, ENHANCED-track, average acuity, physician-led ACOs

View 30 peer ACOs

A1488 A1225 A3630 A1131 A5304 A3280 A5260 A3094 A1063 A4556 A5455 A3899 A4776 A2205 A2909 A5378 A3783 A3016 A3047 A4977 A3236 A2266 A4649 A2920 A2778 A4979 A1241 A4856 A2506 A1401

Peers selected using weighted distance across 15 structural features (population acuity, composition, scale, care infrastructure, assignment type) within the ENHANCED track partition. Learn more

All Data

Every labeled MSSP field for this ACO, with national medians and percentiles where a benchmark is available.

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Show 185 rows

Source	Metric	Value	National Median	Pctl.	Raw key
Beneficiary Demographics	Age 0–64	971	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	4,841	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	3,315	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	972	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	1,070	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	294	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	10,122	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	8,870	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	44	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	318	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	*	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	10,062	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	2,084	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	659	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	5.65%	6.89%	p39	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	557	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	78	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	31	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	5,554	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	*	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	1.63%	0.89%	p74	`Perc_LTI`
Beneficiary Demographics	Male	4,545	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	9,296	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	36	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	9,853	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	157	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	*	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	9,525	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	80.89	75.90	p90	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	94.22	93.24	p77	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	87.95	86.22	p83	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	88.44	84.11	p90	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	58.70	65.66	p6	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	73.89	74.69	p33	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	94.45	94.26	p57	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	93.81	92.70	p78	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	59.87	62.57	p25	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	27.92	27.09	p57	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.17	0.15	p92	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	86.11	82.59	p75	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	88.93	80.23	p94	`QualityID_113`
Clinical Quality Measures	Controlling High Blood Pressure (eCQM)	-	70.95		`QualityID_236_eCQM`
Clinical Quality Measures	Controlling High Blood Pressure (Medicare CQM)	-	64.97		`QualityID_236_MedicareCQM`
Clinical Quality Measures	Controlling High Blood Pressure (MIPS CQM)	-	74.09		`QualityID_236_MIPSCQM`
Clinical Quality Measures	Controlling High Blood Pressure (Web Interface)	79.54	80.24	p46	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	13.54	14.29	p47	`QualityID_370`
Clinical Quality Measures	Depression Screening (eCQM)	-	56.73		`QualityID_134_eCQM`
Clinical Quality Measures	Depression Screening (Medicare CQM)	-	79.70		`QualityID_134_MedicareCQM`
Clinical Quality Measures	Depression Screening (MIPS CQM)	-	61.02		`QualityID_134_MIPSCQM`
Clinical Quality Measures	Depression Screening (Web Interface)	82.43	83.73	p45	`QualityID_134_WI`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (eCQM)	-	27.96		`QualityID_001_eCQM`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (Medicare CQM)	-	29.76		`QualityID_001_MedicareCQM`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (MIPS CQM)	-	24.41		`QualityID_001_MIPSCQM`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (Web Interface)	5.74	8.44	p16	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	97.39	91.53	p84	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	75.80	70.06	p73	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	85.23	83.13	p60	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	87.17	87.36	p48	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	76.36	82.86	p35	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.041	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.009	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.943	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.999	0.987		`Demog_RiskScore_ESRD_PY`
Financial Performance	Adjustment Category	Regional Adjustment	—		`FinalAdjCat`
Financial Performance	Advance Investment Payment	✗	✗		`AIP`
Financial Performance	AIP Balance	-	$1,393,483		`AIPBalance`
Financial Performance	AIP Owed	-	$890,006		`AIPOwe`
Financial Performance	AIP Recouped	-	$280,273		`AIPRecoup`
Financial Performance	Assigned Beneficiaries	10,099	13,159	p34	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$12,976,442	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$6,358,457	$3,685,876		`EarnSaveLoss`
Financial Performance	Final Shared Loss Rate	30.00%	40.00%		`FinalLossRate`
Financial Performance	Final Shared Savings Rate	50.00%	50.00%		`FinalShareRate`
Financial Performance	Generated Savings / Losses	$12,976,442	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$11,263	$11,439	p47	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	2.00%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$12,791	$12,693	p52	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$-33	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	9.34%	4.21%	p86	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$139,007,356	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$126,030,913	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$14,108	$13,279	p69	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$16,018	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$17,726	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$17,369	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$21,700	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,065	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$9,758	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,376	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,304	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$9,561	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$8,889	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$9,702	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$11,513	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$73,470	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$78,219	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$79,270	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$96,042	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$172	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$437	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$416	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$182	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,438	$3,410	p52	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$33	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$28	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$565	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,820	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,623	$3,078	p32	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$5,063	$4,341	p73	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$816	$655	p69	`CapAnn_SNF`
Program Structure	ACO ID	A1216	—		`ACO_ID`
Program Structure	ACO Name	Southern Kentucky Health Care Alliance	—		`ACO_Name`
Program Structure	Agreement Period	3	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Renewal	—		`Agree_Type`
Program Structure	Assignment Type	Retrospective	—		`Assign_Type`
Program Structure	Current Track	E	—		`Current_Track`
Program Structure	Risk Model	Two-Sided	—		`Risk_Model`
Program Structure	SNF 3-Day Waiver	✗	✗		`SNF_Waiver`
Program Structure	Start Date	7/1/2019	—		`Current_Start_Date`
Provider Composition	Clinical Nurse Specialists	0	0		`N_CNS`
Provider Composition	Critical Access Hospitals	0	0		`N_CAH`
Provider Composition	Extension of Treatment Areas	0	0		`N_ETA`
Provider Composition	FQHCs	0	0		`N_FQHC`
Provider Composition	Hospitals	0	0		`N_Hosp`
Provider Composition	Nurse Practitioners	125	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	15	89		`N_PA`
Provider Composition	Primary Care Physicians	56	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	70	300		`N_Spec`
Quality Reporting Flags	Disaster / Affected Quality Waiver Applied	✗	✗		`DisAffQual`
Quality Reporting Flags	First-Year ACO Quality Pass	✗	✗		`Met_FirstYear`
Quality Reporting Flags	Met 40th Percentile Threshold	✓	✓		`Met_40pctl`
Quality Reporting Flags	Met Alternative QPS	-	✓		`Met_AltQPS`
Quality Reporting Flags	Met Incentive Threshold	✓	✗		`Met_Incentive`
Quality Reporting Flags	Met Quality Performance Standard (QPS)	✓	✓		`Met_QPS`
Quality Reporting Flags	Met SSP Quality Reporting Requirements	✓	✓		`Met_SSP_quality_reporting_requirements`
Quality Reporting Flags	Received 40th Percentile Bonus	✗	✗		`Recvd40p`
Quality Reporting Flags	Reported via eCQM / CQM / Medicare CQM	✓	✗		`Report_eCQM_CQM_MedicareCQM`
Quality Reporting Flags	Reported via Web Interface	✓	✓		`Report_WI`
Risk Redistribution Weights	Aged Dual Weight	0.05%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.87%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.06%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.02%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	1.048	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	0.980	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.019	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.004	0.954	p65	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.014	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.013	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.044	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.077	0.983	p85	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.982	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.934	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.987	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.921	0.934	p43	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.025	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.000	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.033	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.014	0.967	p75	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	761	751	p53	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	5,278	4,192	p74	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	4,527	4,821	p41	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	13,460	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	598	618	p42	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	171	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	130	160	p47	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	282	251	p75	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	1	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	229	247	p36	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	3,524	2,464	p89	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	2	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	27	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	251	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	46	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	27	27	p46	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$15,852	$15,338	p58	`SNF_PayperStay`

Methodology

Data source: MSSP ACO Performance PY2024 (dataset ID: mssp-performance). Vintage: PY2024. Downloaded: 2026-04-13. Rows in source: 476.

MSSP ACO Performance reports financial and quality performance for Accountable Care Organizations participating in the Medicare Shared Savings Program. Savings/losses are calculated against risk-adjusted, regionally-weighted benchmarks.

Full methodology →