Polyclinic Management Services Company

MSSP Performance — Key Metrics

Assigned Beneficiaries

24,421 p74

Savings Rate

5.25% p60

Quality Score

85.59 p62

Per Capita Expenditure, Total ($)

$10,213 p2

Generated Savings/Losses ($)

$13,585,691

Earned Savings/Losses ($)

$6,656,988

Updated Benchmark ($)

$10,779 p1

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	24,421 p74	13,159	23,992
2	Historical Benchmark (per capita)	$9,224 p1	$11,439	$10,989
3	Regional Adjustment	+$226
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$10,779 p1	$13,279	$12,778

7	Total Benchmark (all beneficiaries)	$258,585,059
8	Total Expenditure (all beneficiaries)	$244,999,368
9	Per Capita Expenditure (PY)	$10,213 p2	$12,693	$11,848
10	Generated Savings / Losses	$13,585,691	$6,931,306	—

11	Savings Rate	5.25% p60	4.21%	7.24%
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	$6,656,988	$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)	$77,003	$77,505	$80,758	$77,381	→	$86,954	−$9,573
Disabled	$8,217	$8,094	$8,187	$8,541	↑	$9,503	−$962
Aged, Dual-Eligible	$12,233	$11,440	$12,020	$11,987	→	$14,333	−$2,346
Aged, Non-Dual	$8,091	$7,886	$8,217	$10,059	↑	$10,564	−$505
Total				$10,213		$12,693	$11,848

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)	0.951	0.937	0.930	0.931	→	-0.043	0.967
Disabled	0.898	0.871	0.879	0.787	↓	-0.148	0.934
Aged, Dual-Eligible	0.918	0.901	0.905	0.757	↓	-0.210	0.954
Aged, Non-Dual	0.904	0.909	0.913	0.876	↓	-0.091	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)	—	0.974
Disabled	—	0.935
Aged, Dual-Eligible	—	0.967
Aged, Non-Dual	—	0.967

Risk Redistribution Weights (PY)

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

ESRD Weight	2.4%
Disabled Weight	3.9%
Aged Dual Weight	2.6%
Aged Non-Dual Weight	91.1%

Beneficiary Demographics

Distribution of 24,421 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

6.2%

Age 65–74

52.4%

Age 75–84

31.7%

Age 85+

9.6%

Gender

Female

53.5%

Male

46.5%

Race / Ethnicity

White

89.8%

Black

1.5%

Hispanic

0.4%

Asian

2.2%

Native American

0.3%

Other

2.3%

Unknown

3.5%

Special Populations

3.64% p17 Dual-Eligible (MSSP median: 6.9%)

0.05% p0 Long-Term Institutionalized (MSSP median: 0.89%)

199 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	213	63
Disabled	1,905	931
Aged, Dual-Eligible	762	436
Aged, Non-Dual	21,863	22,559
Total (PY)		23,989

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	$2,446 p2	23.5%	$3,410	$2,960
Inpatient — Short-Term Acute	$2,343		$2,914	—
Inpatient — Long-Term	$0		$59	—
Inpatient — Rehab	$87		$367	—
Inpatient — Psychiatric	$16		$37	—
Hospice	$156	1.5%	$258	$181
Skilled Nursing Facility	$490 p24	4.7%	$655	$503
Outpatient	$2,130 p8	20.5%	$3,078	$2,450
Physician / Supplier (Part B)	$4,487 p55	43.1%	$4,341	$4,903
Ambulance	$89	0.9%	$134	$99
Home Health	$308	3.0%	$470	$408
Durable Medical Equipment	$306	2.9%	$405	$373

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

26.9% ED-to-Hospitalization Conversion Rate

0.73:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	162 p0	251	214
Short-Term Acute Admissions (per 1,000)	158	229	—
Long-Term Admissions (per 1,000)	0	1	—
Rehab Admissions (per 1,000)	3	15	—
Psychiatric Admissions (per 1,000)	1	3	—
ED Visits (per 1,000)	457 p2	618	519
ED Visits Resulting in Hospitalization (per 1,000)	123	179	—
CT Scans (per 1,000)	670 p22	751	696
MRI Scans (per 1,000)	260 p57	247	276
E&M Visits — Total (per 1,000)	9,678	12,433	—
E&M Visits — Primary Care (per 1,000)	3,271 p23	4,192	4,630
E&M Visits — Specialist (per 1,000)	4,489 p39	4,821	5,570
Nurse Practitioner Visits (per 1,000)	1,898 p26	2,464	2,203
FQHC / RHC Visits (per 1,000)	20 p21	160	16
SNF Admissions (per 1,000)	24	40	29
SNF Average Length of Stay (days)	28 p58	27	27
SNF Average Payment per Stay	$19,123 p81	$15,338	$15,053

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	583
Specialists	679
Nurse Practitioners	250
Physician Assistants	162
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 p11

78.7

How Well Providers Communicate p23

93.1

Patient's Rating of Provider p21

91.3

Access to Specialists p6

69.4

Health Promotion & Education p2

57.0

Shared Decision-Making p4

55.1

Health Status / Functional Status p20

72.8

Courteous & Helpful Office Staff p9

83.2

Care Coordination p34

92.6

Stewardship of Patient Resources p6

19.5

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) p62	85.59	83.13	87.42
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p8	0.14	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	30.93
Falls: Screening for Future Fall Risk p65	93.99	91.53	93.06
Influenza Immunization p58	71.63	70.06	72.96
Tobacco Use: Screening & Cessation Intervention p7	54.55	82.86	90.00
Colorectal Cancer Screening p95	89.56	80.23	81.79
Breast Cancer Screening p78	86.67	82.59	83.50
Statin Therapy for CVD Prevention p75	90.59	87.36	85.76
Depression Remission at 12 Months p29	9.92	14.29	12.50
Depression Screening & Follow-Up Plan p38 Reporting pathways Web Interface: 80.27 eCQM: - MIPS CQM: - Medicare CQM: -	80.27	83.73	83.27
Diabetes: HbA1c Poor Control (>9%) (lower is better) p21 Reporting pathways Web Interface: 6.14 eCQM: - MIPS CQM: - Medicare CQM: -	6.14	8.44	7.88
Controlling High Blood Pressure p87 Reporting pathways Web Interface: 87.73 eCQM: - MIPS CQM: - Medicare CQM: -	87.73	80.24	83.10

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

A5049 A5045 A2308 A2309 A4733 A5364 A4707 A5088 A5372 A4999 A2811 A3318 A2600 A3336 A2029 A5423 A3783 A1026 A4548 A4986 A2057 A4992 A3299 A1539 A4756 A3236 A3458 A3507 A2251 A5260

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

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Source	Metric	Value	National Median	Pctl.	Raw key
Beneficiary Demographics	Age 0–64	1,519	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	12,803	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	7,746	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	2,353	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	762	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	436	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	21,863	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	22,559	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	548	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	365	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	124	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	24,222	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	1,905	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	931	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	3.64%	6.89%	p17	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	872	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	213	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	63	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	13,069	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	97	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	0.05%	0.89%	p0	`Perc_LTI`
Beneficiary Demographics	Male	11,352	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	67	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	23,117	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	553	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	23,989	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	858	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	75	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	21,933	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	69.38	75.90	p6	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	92.61	93.24	p34	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	83.21	86.22	p9	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	78.69	84.11	p11	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	57.04	65.66	p2	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	72.82	74.69	p20	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	93.14	94.26	p23	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	91.32	92.70	p21	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	55.13	62.57	p4	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	19.48	27.09	p6	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.14	0.15	p8	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	86.67	82.59	p78	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	89.56	80.23	p95	`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)	87.73	80.24	p87	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	9.92	14.29	p29	`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)	80.27	83.73	p38	`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)	6.14	8.44	p21	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	93.99	91.53	p65	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	71.63	70.06	p58	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	85.59	83.13	p62	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	90.59	87.36	p75	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	54.55	82.86	p7	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	0.967	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.967	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.935	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.974	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	24,421	13,159	p74	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$13,585,691	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$6,656,988	$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	$13,585,691	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$9,224	$11,439	p1	`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)	$10,213	$12,693	p2	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$226	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	5.25%	4.21%	p60	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$258,585,059	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$244,999,368	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$10,779	$13,279	p1	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$12,233	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$11,440	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$12,020	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$11,987	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$8,091	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$7,886	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$8,217	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$10,059	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$8,217	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$8,094	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$8,187	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$8,541	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$77,003	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$77,505	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$80,758	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$77,381	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$89	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$306	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$308	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$156	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$2,446	$3,410	p2	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$0	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$16	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$87	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,343	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,130	$3,078	p8	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,487	$4,341	p55	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$490	$655	p24	`CapAnn_SNF`
Program Structure	ACO ID	A1252	—		`ACO_ID`
Program Structure	ACO Name	Polyclinic Management Services Company	—		`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	250	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	162	89		`N_PA`
Provider Composition	Primary Care Physicians	583	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	679	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	0.03%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.91%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.04%	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)	0.918	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	0.901	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	0.905	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.757	0.954	p5	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.904	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.909	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.913	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.876	0.983	p7	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.898	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.871	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.879	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.787	0.934	p4	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	0.951	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	0.937	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.930	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.931	0.967	p26	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	670	751	p22	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	3,271	4,192	p23	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	4,489	4,821	p39	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	9,678	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	457	618	p2	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	123	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	20	160	p21	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	162	251	p0	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	0	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	260	247	p57	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	1,898	2,464	p26	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	1	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	3	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	158	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	24	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	28	27	p58	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$19,123	$15,338	p81	`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 →