Cumberland Center for Healthcare Innovation, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

10,160 p34

Savings Rate

10.36% p89

Quality Score

94.86 p97

Per Capita Expenditure, Total ($)

$12,114 p37

Generated Savings/Losses ($)

$13,881,714

Earned Savings/Losses ($)

$6,802,040

Updated Benchmark ($)

$13,514 p55

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	10,160 p34	13,159	13,765
2	Historical Benchmark (per capita)	$10,902 p37	$11,439	$10,995
3	Regional Adjustment	+$-7
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$13,514 p55	$13,279	$12,876

7	Total Benchmark (all beneficiaries)	$133,992,274
8	Total Expenditure (all beneficiaries)	$120,110,560
9	Per Capita Expenditure (PY)	$12,114 p37	$12,693	$12,044
10	Generated Savings / Losses	$13,881,714	$6,931,306	—

11	Savings Rate	10.36% p89	4.21%	5.75%
12	Minimum Savings Rate (threshold)	0.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	50.00%
15	Final Shared Loss Rate	30.00%
16	Earned Savings / Losses	$6,802,040	$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)	$83,657	$76,006	$79,874	$90,161	↑	$88,448	+$1,713
Disabled	$9,635	$9,715	$9,876	$11,757	↑	$11,906	−$149
Aged, Dual-Eligible	$17,173	$17,740	$17,642	$19,635	↑	$20,278	−$643
Aged, Non-Dual	$8,922	$9,261	$9,605	$11,542	↑	$12,433	−$891
Total				$12,114		$12,693	$12,044

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)	1.009	0.987	1.024	0.947	↓	-0.038	0.967
Disabled	0.996	1.011	1.011	0.986	→	-0.019	0.934
Aged, Dual-Eligible	1.041	1.057	1.069	1.071	→	-0.023	0.954
Aged, Non-Dual	0.996	1.009	1.025	1.031	↑	+0.004	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)	—	0.985
Disabled	—	1.005
Aged, Dual-Eligible	—	1.094
Aged, Non-Dual	—	1.027

Risk Redistribution Weights (PY)

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

ESRD Weight	2.2%
Disabled Weight	5.6%
Aged Dual Weight	7.5%
Aged Non-Dual Weight	84.7%

Beneficiary Demographics

Distribution of 10,160 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

8.1%

Age 65–74

45.5%

Age 75–84

35.5%

Age 85+

10.9%

Gender

Female

54.7%

Male

45.3%

Race / Ethnicity

White

95.9%

Black

2.0%

Hispanic

0.2%

Asian

0.0%

Native American

0.0%

Other

0.3%

Unknown

1.5%

Special Populations

6.49% p46 Dual-Eligible (MSSP median: 6.9%)

2.2% p82 Long-Term Institutionalized (MSSP median: 0.89%)

232 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	83	27
Disabled	1,814	573
Aged, Dual-Eligible	1,198	421
Aged, Non-Dual	10,897	8,894
Total (PY)		9,915

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	$3,164 p33	25.4%	$3,410	$3,145
Inpatient — Short-Term Acute	$2,793		$2,914	—
Inpatient — Long-Term	$39		$59	—
Inpatient — Rehab	$291		$367	—
Inpatient — Psychiatric	$62		$37	—
Hospice	$231	1.9%	$258	$243
Skilled Nursing Facility	$828 p69	6.7%	$655	$558
Outpatient	$2,424 p22	19.5%	$3,078	$2,516
Physician / Supplier (Part B)	$4,380 p51	35.2%	$4,341	$4,701
Ambulance	$219	1.8%	$134	$130
Home Health	$715	5.7%	$470	$443
Durable Medical Equipment	$475	3.8%	$405	$408

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

29.3% ED-to-Hospitalization Conversion Rate

1.99:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	265 p62	251	242
Short-Term Acute Admissions (per 1,000)	243	229	—
Long-Term Admissions (per 1,000)	1	1	—
Rehab Admissions (per 1,000)	14	15	—
Psychiatric Admissions (per 1,000)	6	3	—
ED Visits (per 1,000)	608 p46	618	558
ED Visits Resulting in Hospitalization (per 1,000)	178	179	—
CT Scans (per 1,000)	789 p59	751	732
MRI Scans (per 1,000)	219 p29	247	259
E&M Visits — Total (per 1,000)	14,291	12,433	—
E&M Visits — Primary Care (per 1,000)	6,938 p92	4,192	5,867
E&M Visits — Specialist (per 1,000)	3,489 p16	4,821	4,852
Nurse Practitioner Visits (per 1,000)	3,620 p91	2,464	2,733
FQHC / RHC Visits (per 1,000)	244 p56	160	179
SNF Admissions (per 1,000)	49	40	33
SNF Average Length of Stay (days)	33 p91	27	27
SNF Average Payment per Stay	$15,678 p55	$15,338	$15,446

Provider Composition

Facilities

Hospitals	0
Critical Access Hospitals	0
FQHCs	0
Rural Health Clinics	1
Extension of Treatment Areas	0
Other Facilities	0

Clinicians

Primary Care Physicians	47
Specialists	11
Nurse Practitioners	71
Physician Assistants	16
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 p99

91.5

How Well Providers Communicate p82

95.4

Patient's Rating of Provider p92

94.7

Access to Specialists p93

81.5

Health Promotion & Education p44

65.1

Shared Decision-Making p90

67.6

Health Status / Functional Status p24

73.4

Courteous & Helpful Office Staff p89

88.4

Care Coordination p82

94.5

Stewardship of Patient Resources p94

35.1

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) p97	94.86	83.13	89.28
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p42	0.15	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	30.89
Falls: Screening for Future Fall Risk p84	97.39	91.53	91.07
Influenza Immunization p96	90.08	70.06	73.26
Tobacco Use: Screening & Cessation Intervention p84	95.92	82.86	81.82
Colorectal Cancer Screening p81	84.80	80.23	80.17
Breast Cancer Screening p61	84.03	82.59	83.37
Statin Therapy for CVD Prevention p99	99.13	87.36	85.98
Depression Remission at 12 Months p66	18.75	14.29	18.42
Depression Screening & Follow-Up Plan p90 Reporting pathways Web Interface: 94.05 eCQM: - MIPS CQM: - Medicare CQM: -	94.05	83.73	83.22
Diabetes: HbA1c Poor Control (>9%) (lower is better) p1 Reporting pathways Web Interface: 3.43 eCQM: - MIPS CQM: - Medicare CQM: -	3.43	8.44	7.67
Controlling High Blood Pressure p97 Reporting pathways Web Interface: 91.86 eCQM: - MIPS CQM: - Medicare CQM: -	91.86	80.24	84.18

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

A3630 A5260 A3280 A5378 A1216 A1488 A4856 A2920 A4794 A2909 A5173 A5360 A3899 A4996 A5356 A5365 A5203 A2809 A2918 A5455 A4986 A1063 A4556 A4701 A3047 A4992 A4649 A3783 A3094 A5423

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.

Download CSV

Show 185 rows

Source	Metric	Value	National Median	Pctl.	Raw key
Beneficiary Demographics	Age 0–64	821	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	4,623	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	3,610	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	1,106	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	1,198	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	421	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	10,897	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	8,894	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	*	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	202	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	129	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	9,928	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	1,814	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	573	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	6.49%	6.89%	p46	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	643	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	83	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	27	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	5,559	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	16	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	2.20%	0.89%	p82	`Perc_LTI`
Beneficiary Demographics	Male	4,601	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	9,272	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	28	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	9,915	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	153	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	103	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	9,740	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	81.53	75.90	p93	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	94.53	93.24	p82	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	88.39	86.22	p89	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	91.51	84.11	p99	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	65.06	65.66	p44	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	73.37	74.69	p24	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	95.43	94.26	p82	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	94.70	92.70	p92	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	67.60	62.57	p90	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	35.11	27.09	p94	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.15	0.15	p42	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	84.03	82.59	p61	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	84.80	80.23	p81	`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)	91.86	80.24	p97	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	18.75	14.29	p66	`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)	94.05	83.73	p90	`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)	3.43	8.44	p1	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	97.39	91.53	p84	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	90.08	70.06	p96	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	94.86	83.13	p97	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	99.13	87.36	p99	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	95.92	82.86	p84	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.094	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.027	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	1.005	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.985	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	10,160	13,159	p34	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$13,881,714	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$6,802,040	$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	$13,881,714	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$10,902	$11,439	p37	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	0.00%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$12,114	$12,693	p37	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$-7	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	10.36%	4.21%	p89	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$133,992,274	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$120,110,560	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$13,514	$13,279	p55	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$17,173	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$17,740	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$17,642	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$19,635	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$8,922	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$9,261	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$9,605	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$11,542	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$9,635	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$9,715	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$9,876	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$11,757	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$83,657	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$76,006	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$79,874	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$90,161	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$219	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$475	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$715	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$231	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,164	$3,410	p33	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$39	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$62	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$291	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,793	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,424	$3,078	p22	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,380	$4,341	p51	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$828	$655	p69	`CapAnn_SNF`
Program Structure	ACO ID	A1225	—		`ACO_ID`
Program Structure	ACO Name	Cumberland Center for Healthcare Innovation, LLC	—		`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	71	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	16	89		`N_PA`
Provider Composition	Primary Care Physicians	47	206		`N_PCP`
Provider Composition	Rural Health Clinics	1	0		`N_RHC`
Provider Composition	Specialists	11	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	0.07%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.85%	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)	1.041	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.057	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.069	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.071	0.954	p82	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.996	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.009	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.025	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.031	0.983	p72	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.996	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	1.011	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	1.011	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.986	0.934	p68	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.009	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	0.987	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.024	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.947	0.967	p35	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	789	751	p59	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	6,938	4,192	p92	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	3,489	4,821	p16	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	14,291	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	608	618	p46	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	178	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	244	160	p56	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	265	251	p62	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	1	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	219	247	p29	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	3,620	2,464	p91	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	6	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	14	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	243	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	49	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	33	27	p91	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$15,678	$15,338	p55	`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 →