AMITA Health Accountable Care Organization, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

41,314 p88

Savings Rate

2.58% p31

Quality Score

77.05 p18

Per Capita Expenditure, Total ($)

$13,588 p69

Generated Savings/Losses ($)

$14,623,405

Earned Savings/Losses ($)

$7,165,468

Updated Benchmark ($)

$13,948 p66

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	41,314 p88	13,159	32,860
2	Historical Benchmark (per capita)	$12,458 p73	$11,439	$12,060
3	Regional Adjustment	+$-3
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$13,948 p66	$13,279	$13,301

7	Total Benchmark (all beneficiaries)	$566,644,302
8	Total Expenditure (all beneficiaries)	$552,020,898
9	Per Capita Expenditure (PY)	$13,588 p69	$12,693	$12,813
10	Generated Savings / Losses	$14,623,405	$6,931,306	—

11	Savings Rate	2.58% p31	4.21%	3.79%
12	Minimum Savings Rate (threshold)	2.29%
13	Guardrail Applied	—
14	Final Shared Savings Rate	50.00%
15	Final Shared Loss Rate	30.00%
16	Earned Savings / Losses	$7,165,468	$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)	$93,450	$95,290	$101,072	$115,893	↑	$88,821	+$27,072
Disabled	$10,952	$11,211	$11,149	$11,338	↑	$11,085	+$253
Aged, Dual-Eligible	$19,966	$19,952	$19,860	$20,273	→	$18,593	+$1,680
Aged, Non-Dual	$11,082	$11,484	$11,264	$13,120	↑	$11,878	+$1,242
Total				$13,588		$12,693	$12,813

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)	1.036	1.035	1.040	0.951	↓	-0.053	0.967
Disabled	1.020	1.032	1.000	0.918	↓	-0.091	0.934
Aged, Dual-Eligible	1.101	1.060	1.067	0.982	↓	-0.050	0.954
Aged, Non-Dual	1.097	1.090	1.054	0.985	↓	-0.037	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)	—	1.004
Disabled	—	1.009
Aged, Dual-Eligible	—	1.032
Aged, Non-Dual	—	1.022

Risk Redistribution Weights (PY)

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

ESRD Weight	1.8%
Disabled Weight	5.0%
Aged Dual Weight	8.0%
Aged Non-Dual Weight	85.3%

Beneficiary Demographics

Distribution of 41,314 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

5.4%

Age 65–74

45.7%

Age 75–84

35.1%

Age 85+

13.7%

Gender

Female

57.6%

Male

42.4%

Race / Ethnicity

White

86.9%

Black

3.8%

Hispanic

1.8%

Asian

2.6%

Native American

0.0%

Other

2.6%

Unknown

2.3%

Special Populations

7.33% p54 Dual-Eligible (MSSP median: 6.9%)

1.03% p57 Long-Term Institutionalized (MSSP median: 0.89%)

306 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	322	87
Disabled	3,576	2,120
Aged, Dual-Eligible	2,208	1,932
Aged, Non-Dual	38,156	36,488
Total (PY)		40,627

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	$3,708 p67	26.4%	$3,410	$3,380
Inpatient — Short-Term Acute	$3,158		$2,914	—
Inpatient — Long-Term	$59		$59	—
Inpatient — Rehab	$480		$367	—
Inpatient — Psychiatric	$53		$37	—
Hospice	$304	2.2%	$258	$344
Skilled Nursing Facility	$945 p78	6.7%	$655	$816
Outpatient	$3,005 p47	21.4%	$3,078	$2,958
Physician / Supplier (Part B)	$4,920 p68	35.1%	$4,341	$4,756
Ambulance	$134	1.0%	$134	$118
Home Health	$646	4.6%	$470	$453
Durable Medical Equipment	$358	2.6%	$405	$361

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

37.9% 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)	281 p74	251	245
Short-Term Acute Admissions (per 1,000)	258	229	—
Long-Term Admissions (per 1,000)	1	1	—
Rehab Admissions (per 1,000)	17	15	—
Psychiatric Admissions (per 1,000)	4	3	—
ED Visits (per 1,000)	583 p37	618	556
ED Visits Resulting in Hospitalization (per 1,000)	221	179	—
CT Scans (per 1,000)	720 p37	751	741
MRI Scans (per 1,000)	250 p51	247	267
E&M Visits — Total (per 1,000)	12,800	12,433	—
E&M Visits — Primary Care (per 1,000)	4,473 p60	4,192	4,320
E&M Visits — Specialist (per 1,000)	6,142 p77	4,821	5,705
Nurse Practitioner Visits (per 1,000)	2,166 p38	2,464	2,580
FQHC / RHC Visits (per 1,000)	20 p21	160	56
SNF Admissions (per 1,000)	57	40	44
SNF Average Length of Stay (days)	27 p46	27	27
SNF Average Payment per Stay	$15,551 p53	$15,338	$15,682

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	507
Specialists	560
Nurse Practitioners	187
Physician Assistants	63
Clinical Nurse Specialists	4

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 p39

82.9

How Well Providers Communicate p51

94.3

Patient's Rating of Provider p41

92.5

Access to Specialists p46

75.7

Health Promotion & Education p83

69.7

Shared Decision-Making p63

63.8

Health Status / Functional Status p76

76.0

Courteous & Helpful Office Staff p42

85.7

Care Coordination p23

91.9

Stewardship of Patient Resources p58

28.1

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) p18	77.05	83.13	88.59
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ?	-	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	—
Falls: Screening for Future Fall Risk	-	91.53	91.89
Influenza Immunization	-	70.06	73.16
Tobacco Use: Screening & Cessation Intervention	-	82.86	85.71
Colorectal Cancer Screening	-	80.23	81.79
Breast Cancer Screening	-	82.59	84.18
Statin Therapy for CVD Prevention	-	87.36	87.70
Depression Remission at 12 Months	-	14.29	11.46
Depression Screening & Follow-Up Plan Reporting pathways Web Interface: - eCQM: - MIPS CQM: - Medicare CQM: -	—	83.73	86.37
Diabetes: HbA1c Poor Control (>9%) (lower is better) Reporting pathways Web Interface: - eCQM: - MIPS CQM: - Medicare CQM: -	—	8.44	7.71
Controlling High Blood Pressure Reporting pathways Web Interface: - eCQM: - MIPS CQM: - Medicare CQM: -	—	80.24	82.69

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

View 30 peer ACOs

A5170 A2098 A4868 A3273 A1242 A5318 A1026 A1403 A3327 A3299 A3834 A1199 A5331 A3521 A5049 A5387 A5279 A4709 A4548 A4516 A4922 A5124 A3053 A3336 A2057 A3324 A4979 A1059 A4931 A3380

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

All Data

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

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Show 185 rows

Source	Metric	Value	National Median	Pctl.	Raw key
Beneficiary Demographics	Age 0–64	2,229	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	18,888	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	14,518	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	5,679	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	2,208	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	1,932	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	38,156	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	36,488	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	1,078	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	1,563	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	231	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	41,008	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	3,576	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	2,120	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	7.33%	6.89%	p54	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	2,978	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	322	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	87	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	23,781	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	759	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	1.03%	0.89%	p57	`Perc_LTI`
Beneficiary Demographics	Male	17,533	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	16	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	37,649	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	1,055	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	40,627	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	954	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	75	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	35,889	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	75.67	75.90	p46	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	91.88	93.24	p23	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	85.74	86.22	p42	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	82.91	84.11	p39	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	69.73	65.66	p83	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	75.96	74.69	p76	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	94.31	94.26	p51	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	92.45	92.70	p41	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	63.77	62.57	p63	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	28.05	27.09	p58	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	-	0.15		`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)	-	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)	-	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)	-	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)	77.05	83.13	p18	`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)	1.032	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.022	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	1.009	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.004	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	41,314	13,159	p88	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$14,623,405	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$7,165,468	$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	$14,623,405	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$12,458	$11,439	p73	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	2.29%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$13,588	$12,693	p69	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$-3	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	2.58%	4.21%	p31	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$566,644,302	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$552,020,898	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$13,948	$13,279	p66	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$19,966	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$19,952	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$19,860	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$20,273	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$11,082	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$11,484	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$11,264	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$13,120	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$10,952	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$11,211	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$11,149	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$11,338	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$93,450	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$95,290	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$101,072	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$115,893	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$134	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$358	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$646	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$304	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,708	$3,410	p67	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$59	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$53	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$480	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$3,158	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$3,005	$3,078	p47	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,920	$4,341	p68	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$945	$655	p78	`CapAnn_SNF`
Program Structure	ACO ID	A1501	—		`ACO_ID`
Program Structure	ACO Name	AMITA Health 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	4	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	187	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	63	89		`N_PA`
Provider Composition	Primary Care Physicians	507	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	560	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	0.08%	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	0.05%	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)	1.101	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.060	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.067	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.982	0.954	p57	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.097	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.090	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.054	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.985	0.983	p51	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	1.020	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	1.032	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	1.000	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.918	0.934	p42	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.036	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.035	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.040	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.951	0.967	p37	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	720	751	p37	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	4,473	4,192	p60	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	6,142	4,821	p77	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	12,800	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	583	618	p37	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	221	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)	281	251	p74	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	1	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	250	247	p51	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,166	2,464	p38	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	4	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	17	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	258	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	57	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	$15,551	$15,338	p53	`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 →