Indiana Lakes ACO, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

5,946 p10

Savings Rate

2.67% p33

Quality Score

91.30 p88

Per Capita Expenditure, Total ($)

$10,509 p5

Generated Savings/Losses ($)

$1,675,755

Earned Savings/Losses ($)

$1,231,680

Updated Benchmark ($)

$10,798 p2

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

Program Structure

Current Track	EN
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	5,946 p10	13,159	9,213
2	Historical Benchmark (per capita)	$8,925 p0	$11,439	$10,995
3	Regional Adjustment	+$112
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$10,798 p2	$13,279	$12,151

7	Total Benchmark (all beneficiaries)	$62,730,462
8	Total Expenditure (all beneficiaries)	$61,054,707
9	Per Capita Expenditure (PY)	$10,509 p5	$12,693	$11,775
10	Generated Savings / Losses	$1,675,755	$6,931,306	—

11	Savings Rate	2.67% p33	4.21%	4.89%
12	Minimum Savings Rate (threshold)	0.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	75.00%
15	Final Shared Loss Rate	40.00%
16	Earned Savings / Losses	$1,231,680	$3,685,876	—

	Revenue-to-Expense Category	High 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)	$65,862	$73,012	$74,534	*		—	—
Disabled	$9,893	$9,263	$8,738	$7,791	↓	$10,095	−$2,304
Aged, Dual-Eligible	$12,411	$11,733	$13,615	$15,020	↑	$15,564	−$544
Aged, Non-Dual	$7,314	$7,866	$8,307	$10,467	↑	$10,877	−$410
Total				$10,509		$12,693	$11,775

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)	0.998	1.023	0.938	*		—	0.967
Disabled	0.996	0.985	0.945	0.836	↓	-0.119	0.934
Aged, Dual-Eligible	0.929	0.875	0.845	0.822	↓	-0.169	0.954
Aged, Non-Dual	0.907	0.922	0.925	0.902	→	-0.088	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)	—	*
Disabled	—	0.955
Aged, Dual-Eligible	—	0.991
Aged, Non-Dual	—	0.990

Risk Redistribution Weights (PY)

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

ESRD Weight	*
Disabled Weight	6.0%
Aged Dual Weight	5.5%
Aged Non-Dual Weight	88.0%

Beneficiary Demographics

Distribution of 5,946 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

7.9%

Age 65–74

47.9%

Age 75–84

31.1%

Age 85+

13.2%

Gender

Female

56.1%

Male

43.9%

Race / Ethnicity

White

95.1%

Black

0.4%

Hispanic

1.1%

Asian

0.0%

Native American

0.0%

Other

0.5%

Unknown

2.5%

Special Populations

6.97% p50 Dual-Eligible (MSSP median: 6.9%)

1.72% p76 Long-Term Institutionalized (MSSP median: 0.89%)

VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	29	*
Disabled	719	323
Aged, Dual-Eligible	499	*
Aged, Non-Dual	6,066	5,276
Total (PY)		5,810

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	$2,408 p2	22.5%	$3,410	$3,164
Inpatient — Short-Term Acute	$2,242		$2,914	—
Inpatient — Long-Term	$0		$59	—
Inpatient — Rehab	$136		$367	—
Inpatient — Psychiatric	$34		$37	—
Hospice	$292	2.7%	$258	$234
Skilled Nursing Facility	$783 p65	7.3%	$655	$505
Outpatient	$3,546 p69	33.1%	$3,078	$2,794
Physician / Supplier (Part B)	$3,146 p12	29.4%	$4,341	$4,436
Ambulance	$80	0.7%	$134	$119
Home Health	$168	1.6%	$470	$431
Durable Medical Equipment	$294	2.7%	$405	$402

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

27.8% ED-to-Hospitalization Conversion Rate

1.94:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	197 p9	251	236
Short-Term Acute Admissions (per 1,000)	190	229	—
Long-Term Admissions (per 1,000)	0	1	—
Rehab Admissions (per 1,000)	5	15	—
Psychiatric Admissions (per 1,000)	3	3	—
ED Visits (per 1,000)	515 p13	618	582
ED Visits Resulting in Hospitalization (per 1,000)	143	179	—
CT Scans (per 1,000)	765 p54	751	761
MRI Scans (per 1,000)	180 p8	247	247
E&M Visits — Total (per 1,000)	11,720	12,433	—
E&M Visits — Primary Care (per 1,000)	5,881 p82	4,192	4,779
E&M Visits — Specialist (per 1,000)	3,035 p8	4,821	4,430
Nurse Practitioner Visits (per 1,000)	2,693 p62	2,464	2,903
FQHC / RHC Visits (per 1,000)	111 p44	160	153
SNF Admissions (per 1,000)	46	40	34
SNF Average Length of Stay (days)	27 p46	27	27
SNF Average Payment per Stay	$15,075 p46	$15,338	$15,222

Provider Composition

Facilities

Hospitals	1
Critical Access Hospitals	0
FQHCs	3
Rural Health Clinics	0
Extension of Treatment Areas	0
Other Facilities	2

Clinicians

Primary Care Physicians	55
Specialists	177
Nurse Practitioners	113
Physician Assistants	22
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 p88

88.1

How Well Providers Communicate p80

95.4

Patient's Rating of Provider p75

93.7

Access to Specialists p68

77.8

Health Promotion & Education p38

64.3

Shared Decision-Making p88

67.2

Health Status / Functional Status p65

75.4

Courteous & Helpful Office Staff p78

87.7

Care Coordination p67

93.8

Stewardship of Patient Resources p92

33.8

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) p88	91.30	83.13	88.32
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	35.82
Falls: Screening for Future Fall Risk	-	91.53	91.07
Influenza Immunization	-	70.06	73.26
Tobacco Use: Screening & Cessation Intervention	-	82.86	83.33
Colorectal Cancer Screening	-	80.23	80.65
Breast Cancer Screening	-	82.59	83.37
Statin Therapy for CVD Prevention	-	87.36	86.39
Depression Remission at 12 Months	-	14.29	13.43
Depression Screening & Follow-Up Plan Reporting pathways Web Interface: - eCQM: - MIPS CQM: - Medicare CQM: 98.89	98.89	83.73	82.86
Diabetes: HbA1c Poor Control (>9%) (lower is better) Reporting pathways Web Interface: - eCQM: - MIPS CQM: - Medicare CQM: 7.03	7.03	8.44	7.67
Controlling High Blood Pressure Reporting pathways Web Interface: - eCQM: - MIPS CQM: - Medicare CQM: 82.81	82.81	80.24	80.61

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 small, ENHANCED-track, average acuity, physician-led ACOs

View 30 peer ACOs

A3094 A5304 A5038 A1063 A5037 A2778 A4638 A4650 A3630 A1225 A3617 A5260 A4768 A1216 A5039 A5012 A4701 A2266 A2019 A5349 A5203 A4707 A3692 A5255 A2543 A4649 A3632 A3507 A1488 A5378

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	467	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	2,846	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	1,851	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	782	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	499	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	*	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	6,066	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	5,276	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	*	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	26	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	*	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	5,910	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	719	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	323	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	6.97%	6.89%	p50	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	405	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	29	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	*	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	3,337	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	63	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	1.72%	0.89%	p76	`Perc_LTI`
Beneficiary Demographics	Male	2,609	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	5,404	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	27	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	5,810	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	151	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	*	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	5,655	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	77.82	75.90	p68	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	93.85	93.24	p67	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	87.66	86.22	p78	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	88.06	84.11	p88	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	64.33	65.66	p38	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	75.38	74.69	p65	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	95.37	94.26	p80	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	93.65	92.70	p75	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	67.20	62.57	p88	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	33.80	27.09	p92	`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	-	82.59		`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	-	80.23		`QualityID_113`
Clinical Quality Measures	Controlling High Blood Pressure (eCQM)	-	70.95		`QualityID_236_eCQM`
Clinical Quality Measures	Controlling High Blood Pressure (Medicare CQM)	82.81	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)	-	80.24		`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	-	14.29		`QualityID_370`
Clinical Quality Measures	Depression Screening (eCQM)	-	56.73		`QualityID_134_eCQM`
Clinical Quality Measures	Depression Screening (Medicare CQM)	98.89	79.70		`QualityID_134_MedicareCQM`
Clinical Quality Measures	Depression Screening (MIPS CQM)	-	61.02		`QualityID_134_MIPSCQM`
Clinical Quality Measures	Depression Screening (Web Interface)	-	83.73		`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)	7.03	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)	-	8.44		`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	-	91.53		`QualityID_318`
Clinical Quality Measures	Influenza Immunization	-	70.06		`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	91.30	83.13	p88	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	-	87.36		`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	-	82.86		`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	0.991	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.990	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.955	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	*	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	5,946	13,159	p10	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$1,675,755	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$1,231,680	$3,685,876		`EarnSaveLoss`
Financial Performance	Final Shared Loss Rate	40.00%	40.00%		`FinalLossRate`
Financial Performance	Final Shared Savings Rate	75.00%	50.00%		`FinalShareRate`
Financial Performance	Generated Savings / Losses	$1,675,755	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$8,925	$11,439	p0	`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)	$10,509	$12,693	p5	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$112	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	2.67%	4.21%	p33	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$62,730,462	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$61,054,707	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$10,798	$13,279	p2	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$12,411	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$11,733	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$13,615	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$15,020	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$7,314	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$7,866	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$8,307	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$10,467	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$9,893	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$9,263	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$8,738	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$7,791	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$65,862	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$73,012	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$74,534	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	*	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$80	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$294	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$168	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$292	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$2,408	$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	$34	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$136	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,242	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$3,546	$3,078	p69	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$3,146	$4,341	p12	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$783	$655	p65	`CapAnn_SNF`
Program Structure	ACO ID	A1494	—		`ACO_ID`
Program Structure	ACO Name	Indiana Lakes ACO, 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	EN	—		`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	3	0		`N_FQHC`
Provider Composition	Hospitals	1	0		`N_Hosp`
Provider Composition	Nurse Practitioners	113	215		`N_NP`
Provider Composition	Other Facilities	2	0		`N_Fac_Other`
Provider Composition	Physician Assistants	22	89		`N_PA`
Provider Composition	Primary Care Physicians	55	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	177	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	0.06%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.88%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.06%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	*	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	0.929	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	0.875	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	0.845	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.822	0.954	p15	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.907	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.922	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.925	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.902	0.983	p14	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.996	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.985	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.945	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.836	0.934	p15	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	0.998	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.023	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.938	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	*	0.967		`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	765	751	p54	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	5,881	4,192	p82	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	3,035	4,821	p8	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	11,720	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	515	618	p13	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	143	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	111	160	p44	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	197	251	p9	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	0	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	180	247	p8	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,693	2,464	p62	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	3	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	5	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	190	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	$15,075	$15,338	p46	`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 →