AHN Accountable Care Organization, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

18,533 p64

Savings Rate

9.65% p88

Quality Score

89.60 p82

Per Capita Expenditure, Total ($)

$11,453 p23

Generated Savings/Losses ($)

$22,288,276

Earned Savings/Losses ($)

$10,921,255

Updated Benchmark ($)

$12,676 p37

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 ?	Prospective
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	18,533 p64	13,159	13,410
2	Historical Benchmark (per capita)	$10,664 p31	$11,439	$11,799
3	Regional Adjustment	+$341
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$12,676 p37	$13,279	$13,277

7	Total Benchmark (all beneficiaries)	$231,011,465
8	Total Expenditure (all beneficiaries)	$208,723,189
9	Per Capita Expenditure (PY)	$11,453 p23	$12,693	$12,761
10	Generated Savings / Losses	$22,288,276	$6,931,306	—

11	Savings Rate	9.65% p88	4.21%	3.39%
12	Minimum Savings Rate (threshold)	1.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	50.00%
15	Final Shared Loss Rate	30.00%
16	Earned Savings / Losses	$10,921,255	$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)	$82,091	$79,172	$94,183	$111,085	↑	$92,557	+$18,528
Disabled	$8,816	$9,213	$9,534	$10,373	↑	$12,087	−$1,714
Aged, Dual-Eligible	$18,225	$17,889	$17,941	$22,429	↑	$22,304	+$125
Aged, Non-Dual	$8,874	$9,046	$9,244	$11,053	↑	$12,770	−$1,717
Total				$11,453		$12,693	$12,761

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)	1.019	1.054	1.065	0.991	→	+0.006	0.967
Disabled	1.097	1.060	1.052	1.001	↓	+0.007	0.934
Aged, Dual-Eligible	1.195	1.135	1.166	1.178	→	+0.127	0.954
Aged, Non-Dual	1.074	1.061	1.071	1.059	→	+0.052	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	—	0.994
Aged, Dual-Eligible	—	1.051
Aged, Non-Dual	—	1.007

Risk Redistribution Weights (PY)

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

ESRD Weight	1.4%
Disabled Weight	4.1%
Aged Dual Weight	4.6%
Aged Non-Dual Weight	89.9%

Beneficiary Demographics

Distribution of 18,533 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

4.3%

Age 65–74

47.3%

Age 75–84

36.0%

Age 85+

12.4%

Gender

Female

55.7%

Male

44.3%

Race / Ethnicity

White

93.2%

Black

2.8%

Hispanic

0.0%

Asian

0.4%

Native American

0.0%

Other

0.4%

Unknown

2.9%

Special Populations

4.84% p30 Dual-Eligible (MSSP median: 6.9%)

1.25% p65 Long-Term Institutionalized (MSSP median: 0.89%)

112 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	170	28
Disabled	2,793	756
Aged, Dual-Eligible	1,773	435
Aged, Non-Dual	25,254	17,005
Total (PY)		18,224

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	$3,159 p32	27.0%	$3,410	$3,380
Inpatient — Short-Term Acute	$2,751		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$356		$367	—
Inpatient — Psychiatric	$41		$37	—
Hospice	$396	3.4%	$258	$311
Skilled Nursing Facility	$891 p74	7.6%	$655	$628
Outpatient	$2,721 p35	23.3%	$3,078	$2,699
Physician / Supplier (Part B)	$3,609 p26	30.8%	$4,341	$4,958
Ambulance	$91	0.8%	$134	$117
Home Health	$395	3.4%	$470	$477
Durable Medical Equipment	$440	3.8%	$405	$408

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

30.3% ED-to-Hospitalization Conversion Rate

1.04:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	253 p52	251	252
Short-Term Acute Admissions (per 1,000)	233	229	—
Long-Term Admissions (per 1,000)	*	1	—
Rehab Admissions (per 1,000)	16	15	—
Psychiatric Admissions (per 1,000)	*	3	—
ED Visits (per 1,000)	585 p38	618	583
ED Visits Resulting in Hospitalization (per 1,000)	177	179	—
CT Scans (per 1,000)	741 p46	751	738
MRI Scans (per 1,000)	207 p19	247	258
E&M Visits — Total (per 1,000)	11,596	12,433	—
E&M Visits — Primary Care (per 1,000)	4,373 p56	4,192	4,533
E&M Visits — Specialist (per 1,000)	4,194 p32	4,821	5,756
Nurse Practitioner Visits (per 1,000)	2,962 p75	2,464	2,635
FQHC / RHC Visits (per 1,000)	67 p40	160	33
SNF Admissions (per 1,000)	52	40	41
SNF Average Length of Stay (days)	28 p58	27	27
SNF Average Payment per Stay	$15,836 p57	$15,338	$14,818

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	116
Specialists	73
Nurse Practitioners	86
Physician Assistants	44
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 p28

81.7

How Well Providers Communicate p76

95.2

Patient's Rating of Provider p89

94.4

Access to Specialists p62

77.3

Health Promotion & Education p2

57.4

Shared Decision-Making p71

64.7

Health Status / Functional Status p47

74.6

Courteous & Helpful Office Staff p61

86.7

Care Coordination p27

92.1

Stewardship of Patient Resources p65

28.9

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) p82	89.60	83.13	86.30
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p23	0.14	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	—
Falls: Screening for Future Fall Risk p33	88.56	91.53	91.39
Influenza Immunization p29	62.58	70.06	74.38
Tobacco Use: Screening & Cessation Intervention p35	76.32	82.86	75.00
Colorectal Cancer Screening p77	84.23	80.23	81.32
Breast Cancer Screening p60	83.82	82.59	85.37
Statin Therapy for CVD Prevention p41	86.46	87.36	89.09
Depression Remission at 12 Months p0	0.00	14.29	13.51
Depression Screening & Follow-Up Plan p88 Reporting pathways Web Interface: 93.68 eCQM: - MIPS CQM: - Medicare CQM: -	93.68	83.73	87.95
Diabetes: HbA1c Poor Control (>9%) (lower is better) p14 Reporting pathways Web Interface: 5.48 eCQM: - MIPS CQM: - Medicare CQM: -	5.48	8.44	7.07
Controlling High Blood Pressure p92 Reporting pathways Web Interface: 88.66 eCQM: - MIPS CQM: - Medicare CQM: -	88.66	80.24	83.52

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

A5387 A5249 A5386 A4516 A5245 A1242 A5056 A2205 A4979 A2809 A1199 A5116 A1051 A4862 A1501 A4649 A3891 A5012 A4996 A5360 A2021 A4575 A5331 A3280 A3273 A4986 A4976 A5318 A4794 A5309

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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Source	Metric	Value	National Median	Pctl.	Raw key
Beneficiary Demographics	Age 0–64	799	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	8,759	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	6,673	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	2,302	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	1,773	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	435	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	25,254	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	17,005	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	83	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	519	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	79	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	18,421	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	2,793	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	756	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	4.84%	6.89%	p30	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	882	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	170	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	28	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	10,329	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	*	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	1.25%	0.89%	p65	`Perc_LTI`
Beneficiary Demographics	Male	8,204	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	17,342	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	83	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	18,224	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	540	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	33	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	17,279	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	77.27	75.90	p62	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	92.08	93.24	p27	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	86.74	86.22	p61	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	81.71	84.11	p28	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	57.37	65.66	p2	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	74.57	74.69	p47	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	95.18	94.26	p76	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	94.38	92.70	p89	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	64.69	62.57	p71	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	28.90	27.09	p65	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.14	0.15	p23	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	83.82	82.59	p60	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	84.23	80.23	p77	`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)	88.66	80.24	p92	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	0.00	14.29	p0	`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)	93.68	83.73	p88	`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)	5.48	8.44	p14	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	88.56	91.53	p33	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	62.58	70.06	p29	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	89.60	83.13	p82	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	86.46	87.36	p41	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	76.32	82.86	p35	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.051	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.007	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.994	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	18,533	13,159	p64	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$22,288,276	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$10,921,255	$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	$22,288,276	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$10,664	$11,439	p31	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	1.00%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$11,453	$12,693	p23	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$341	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	9.65%	4.21%	p88	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$231,011,465	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$208,723,189	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$12,676	$13,279	p37	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$18,225	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$17,889	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$17,941	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$22,429	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$8,874	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$9,046	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$9,244	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$11,053	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$8,816	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$9,213	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$9,534	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$10,373	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$82,091	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$79,172	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$94,183	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$111,085	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$91	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$440	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$395	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$396	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,159	$3,410	p32	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	*	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$41	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$356	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,751	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,721	$3,078	p35	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$3,609	$4,341	p26	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$891	$655	p74	`CapAnn_SNF`
Program Structure	ACO ID	A1403	—		`ACO_ID`
Program Structure	ACO Name	AHN Accountable Care Organization, LLC	—		`ACO_Name`
Program Structure	Agreement Period	3	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Renewal	—		`Agree_Type`
Program Structure	Assignment Type	Prospective	—		`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	86	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	44	89		`N_PA`
Provider Composition	Primary Care Physicians	116	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	73	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	0.90%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.04%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.01%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	1.195	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.135	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.166	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.178	0.954	p94	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.074	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.061	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.071	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.059	0.983	p80	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	1.097	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	1.060	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	1.052	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	1.001	0.934	p73	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.019	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.054	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.065	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.991	0.967	p62	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	741	751	p46	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	4,373	4,192	p56	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	4,194	4,821	p32	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	11,596	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	585	618	p38	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	177	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	67	160	p40	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	253	251	p52	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	207	247	p19	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,962	2,464	p75	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	*	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	16	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	233	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	52	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	$15,836	$15,338	p57	`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 →