MSSP Performance — Key Metrics

Assigned Beneficiaries
74,586 p96
Savings Rate
5.91% p67
Quality Score
87.46 p71
Per Capita Expenditure, Total ($)
$12,573 p47
Generated Savings/Losses ($)
$57,978,208
Earned Savings/Losses ($)
$42,613,983
Updated Benchmark ($)
$13,363 p51
Bottom quartile Middle Top quartile MSSP median shown in gray · Peer median in blue
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Program Structure

Current Track EN
Agreement Type Renewal
Agreement Period 3
Start Date 1/1/2020
Risk Model ? Two-Sided
Assignment Type ? Prospective
SNF 3-Day Waiver ?
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Financial Performance

Step-by-step savings calculation from historical benchmark to earned savings/losses.

Step Description Value MSSP Median Peer Median
1 Assigned Beneficiaries 74,586 p96 13,159 38,123
2 Historical Benchmark (per capita) $11,002 p40 $11,439 $11,963
3 Regional Adjustment +$282
4 Prior Savings Adjustment +-
5 Adjustment Category Regional Adjustment
6 Updated Benchmark (per capita) $13,363 p51 $13,279 $13,101
7 Total Benchmark (all beneficiaries) $980,720,925
8 Total Expenditure (all beneficiaries) $922,742,718
9 Per Capita Expenditure (PY) $12,573 p47 $12,693 $12,657
10 Generated Savings / Losses $57,978,208 $6,931,306
11 Savings Rate 5.91% p67 4.21% 6.23%
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 $42,613,983 $3,685,876
Revenue-to-Expense Category Low Revenue
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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 BY1BY2BY3PY Trend Risk-Adj. Expected Difference
End-Stage Renal Disease (ESRD) $82,984 $83,102 $85,531 $100,230 $89,475 +$10,755
Disabled $8,860 $9,105 $9,235 $11,049 $11,194 −$145
Aged, Dual-Eligible $14,884 $15,203 $15,909 $18,006 $17,987 +$19
Aged, Non-Dual $9,289 $9,527 $9,934 $12,243 $12,324 −$81
Total $12,573 $12,693 $12,657
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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 BY1BY2BY3PY Trend Coding Gap MSSP Med.
End-Stage Renal Disease (ESRD) 1.011 1.012 0.997 0.958 -0.035 0.967
Disabled 0.949 0.958 0.933 0.927 -0.028 0.934
Aged, Dual-Eligible 0.995 0.985 0.985 0.950 -0.099 0.954
Aged, Non-Dual 1.023 1.026 1.019 1.022 +0.005 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 BY3PY
End-Stage Renal Disease (ESRD) 0.993
Disabled 0.955
Aged, Dual-Eligible 1.049
Aged, Non-Dual 1.017

Risk Redistribution Weights (PY)

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

ESRD Weight 1.8%
Disabled Weight 4.3%
Aged Dual Weight 5.3%
Aged Non-Dual Weight 88.6%
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Beneficiary Demographics

Distribution of 74,586 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64
4.8%
Age 65–74
47.0%
Age 75–84
35.4%
Age 85+
12.8%

Gender

Female
55.8%
Male
44.2%

Race / Ethnicity

White
88.2%
Black
4.6%
Hispanic
0.8%
Asian
2.1%
Native American
0.1%
Other
1.8%
Unknown
2.5%

Special Populations

5.31% p35 Dual-Eligible (MSSP median: 6.9%)
0.65% p38 Long-Term Institutionalized (MSSP median: 0.89%)
1372 VA Beneficiaries

Enrollment by Category (Person-Years)

Category BY3 PY
ESRD 608 160
Disabled 8,036 3,409
Aged, Dual-Eligible 4,794 2,472
Aged, Non-Dual 75,391 67,349
Total (PY) 73,390
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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 $3,225 p37 25.0% $3,410 $3,228
Inpatient — Short-Term Acute $2,807 $2,914
Inpatient — Long-Term $48 $59
Inpatient — Rehab $374 $367
Inpatient — Psychiatric $19 $37
Hospice $438 3.4% $258 $328
Skilled Nursing Facility $770 p63 6.0% $655 $664
Outpatient $2,661 p33 20.6% $3,078 $2,874
Physician / Supplier (Part B) $4,756 p64 36.8% $4,341 $4,546
Ambulance $126 1.0% $134 $114
Home Health $547 4.2% $470 $445
Durable Medical Equipment $399 3.1% $405 $370
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Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

32.2% ED-to-Hospitalization Conversion Rate
0.98:1 PCP-to-Specialist Visit Ratio
Metric This ACO MSSP Median Peer Median
Hospital Admissions (per 1,000) 237 p33 251 246
Short-Term Acute Admissions (per 1,000) 218 229
Long-Term Admissions (per 1,000) 1 1
Rehab Admissions (per 1,000) 16 15
Psychiatric Admissions (per 1,000) 2 3
ED Visits (per 1,000) 549 p23 618 576
ED Visits Resulting in Hospitalization (per 1,000) 177 179
CT Scans (per 1,000) 737 p45 751 751
MRI Scans (per 1,000) 255 p54 247 267
E&M Visits — Total (per 1,000) 12,954 12,433
E&M Visits — Primary Care (per 1,000) 5,031 p71 4,192 4,262
E&M Visits — Specialist (per 1,000) 5,129 p56 4,821 5,569
Nurse Practitioner Visits (per 1,000) 2,543 p55 2,464 2,541
FQHC / RHC Visits (per 1,000) 250 p57 160 66
SNF Admissions (per 1,000) 42 40 42
SNF Average Length of Stay (days) 27 p46 27 27
SNF Average Payment per Stay $17,057 p69 $15,338 $15,036
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Provider Composition

Facilities

Hospitals 0
Critical Access Hospitals 0
FQHCs 3
Rural Health Clinics 7
Extension of Treatment Areas 0
Other Facilities 0

Clinicians

Primary Care Physicians 642
Specialists 466
Nurse Practitioners 502
Physician Assistants 316
Clinical Nurse Specialists 1
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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 p80
87.3
How Well Providers Communicate p57
94.5
Patient's Rating of Provider p23
91.4
Access to Specialists p60
77.1
Health Promotion & Education p62
67.0
Shared Decision-Making p69
64.4
Health Status / Functional Status p90
77.1
Courteous & Helpful Office Staff p54
86.4
Care Coordination p39
92.8
Stewardship of Patient Resources p54
27.6
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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) p71 87.46 83.13 87.92
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p31 0.15 0.15 0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ? - 36.11 40.64
Falls: Screening for Future Fall Risk p43 90.55 91.53 92.88
Influenza Immunization p60 72.12 70.06 72.96
Tobacco Use: Screening & Cessation Intervention p27 72.73 82.86 87.50
Colorectal Cancer Screening p45 79.09 80.23 83.13
Breast Cancer Screening p41 80.80 82.59 84.04
Statin Therapy for CVD Prevention p19 83.18 87.36 87.15
Depression Remission at 12 Months p35 11.11 14.29 11.46
Depression Screening & Follow-Up Plan p22
Reporting pathways
  • Web Interface: 75.69
  • eCQM: -
  • MIPS CQM: -
  • Medicare CQM: -
75.69 83.73 86.37
Diabetes: HbA1c Poor Control (>9%) (lower is better) p62
Reporting pathways
  • Web Interface: 9.23
  • eCQM: -
  • MIPS CQM: -
  • Medicare CQM: -
9.23 8.44 7.71
Controlling High Blood Pressure p67
Reporting pathways
  • Web Interface: 83.20
  • eCQM: -
  • MIPS CQM: -
  • Medicare CQM: -
83.20 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
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Peer Cohort

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

View 30 peer ACOs

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 3,584 1,168 N_Ben_Age_0_64
Beneficiary Demographics Age 65–74 35,074 6,091 N_Ben_Age_65_74
Beneficiary Demographics Age 75–84 26,416 4,264 N_Ben_Age_75_84
Beneficiary Demographics Age 85+ 9,512 1,534 N_Ben_Age_85plus
Beneficiary Demographics Aged Dual (BY3) 4,794 796 N_AB_Year_AGED_Dual_BY3
Beneficiary Demographics Aged Dual (PY) 2,472 614 N_AB_Year_AGED_Dual_PY
Beneficiary Demographics Aged Non-Dual (BY3) 75,391 11,181 N_AB_Year_AGED_NonDual_BY3
Beneficiary Demographics Aged Non-Dual (PY) 67,349 10,940 N_AB_Year_AGED_NonDual_PY
Beneficiary Demographics Asian 1,538 140 N_Ben_Race_Asian
Beneficiary Demographics Black 3,398 673 N_Ben_Race_Black
Beneficiary Demographics CBA and VA 1,005 75 N_Ben_CBA_and_VA
Beneficiary Demographics CBA Only 73,214 13,232 N_Ben_CBA_Only
Beneficiary Demographics Disabled (BY3) 8,036 1,369 N_AB_Year_DIS_BY3
Beneficiary Demographics Disabled (PY) 3,409 902 N_AB_Year_DIS_PY
Beneficiary Demographics Dual-Eligible (%) 5.31% 6.89% p35 Perc_Dual
Beneficiary Demographics Dual-Eligible (PY) 3,897 1,011 N_AB_Year_Dual_PY
Beneficiary Demographics ESRD (BY3) 608 80 N_AB_Year_ESRD_BY3
Beneficiary Demographics ESRD (PY) 160 50 N_AB_Year_ESRD_PY
Beneficiary Demographics Female 41,651 7,529 N_Ben_Female
Beneficiary Demographics Hispanic 576 163 N_Ben_Race_Hisp
Beneficiary Demographics Long-Term Institutionalized (%) 0.65% 0.89% p38 Perc_LTI
Beneficiary Demographics Male 32,935 5,674 N_Ben_Male
Beneficiary Demographics Native American/Alaska Native 72 28 N_Ben_Race_Native
Beneficiary Demographics Non-Dual (PY) 69,493 11,332 N_AB_Year_NonDual_PY
Beneficiary Demographics Other 1,327 150 N_Ben_Race_Other
Beneficiary Demographics Total Person-Years (PY) 73,390 12,891 N_AB_Year_PY
Beneficiary Demographics Unknown 1,896 347 N_Ben_Race_Unknown
Beneficiary Demographics VA Only 367 35 N_Ben_VA_Only
Beneficiary Demographics White 65,779 11,625 N_Ben_Race_White
CAHPS Patient Experience Access to Specialists 77.12 75.90 p60 CAHPS_4
CAHPS Patient Experience Care Coordination 92.83 93.24 p39 CAHPS_9
CAHPS Patient Experience Courteous & Helpful Office Staff 86.44 86.22 p54 CAHPS_8
CAHPS Patient Experience Getting Timely Care, Appointments & Information 87.27 84.11 p80 CAHPS_1
CAHPS Patient Experience Health Promotion & Education 67.03 65.66 p62 CAHPS_5
CAHPS Patient Experience Health Status / Functional Status 77.09 74.69 p90 CAHPS_7
CAHPS Patient Experience How Well Providers Communicate 94.48 94.26 p57 CAHPS_2
CAHPS Patient Experience Patient's Rating of Provider 91.42 92.70 p23 CAHPS_3
CAHPS Patient Experience Shared Decision-Making 64.41 62.57 p69 CAHPS_6
CAHPS Patient Experience Stewardship of Patient Resources 27.57 27.09 p54 CAHPS_11
Clinical Quality Measures All-Cause Unplanned Admissions (risk-adjusted rate) 0.15 0.15 p31 Measure_479
Clinical Quality Measures Breast Cancer Screening 80.80 82.59 p41 QualityID_112
Clinical Quality Measures Colorectal Cancer Screening 79.09 80.23 p45 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) 83.20 80.24 p67 QualityID_236_WI
Clinical Quality Measures Depression Remission at 12 Months 11.11 14.29 p35 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) 75.69 83.73 p22 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) 9.23 8.44 p62 QualityID_001_WI
Clinical Quality Measures Falls: Screening for Future Fall Risk 90.55 91.53 p43 QualityID_318
Clinical Quality Measures Influenza Immunization 72.12 70.06 p60 QualityID_110
Clinical Quality Measures Overall Quality Score (Composite) 87.46 83.13 p71 QualScore
Clinical Quality Measures Risk-Standardized All-Condition Readmission Rate - 36.11 Measure_484
Clinical Quality Measures Statin Therapy for Cardiovascular Disease Prevention 83.18 87.36 p19 QualityID_438
Clinical Quality Measures Tobacco Use: Screening & Cessation Intervention 72.73 82.86 p27 QualityID_226
Demographic Risk Scores Aged, Dual-Eligible (PY) 1.049 1.014 Demog_RiskScore_AGDU_PY
Demographic Risk Scores Aged, Non-Dual (PY) 1.017 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) 0.993 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 74,586 13,159 p96 N_AB
Financial Performance Benchmark Minus Expenditure $57,978,208 $7,074,069 BnchmkMinExp
Financial Performance Disaster Adjustment $0 $0 DisAdj
Financial Performance Earned Savings / Losses $42,613,983 $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 $57,978,208 $6,931,306 GenSaveLoss
Financial Performance Guardrail Applied - Guardrail
Financial Performance Historical Benchmark (per capita) $11,002 $11,439 p40 HistBnchmk
Financial Performance Mid-Year Termination Impact $0 $0 Impact_Mid_Year_Termination
Financial Performance Minimum Savings Rate (threshold) 0.00% 2.00% MinSavPerc
Financial Performance Per Capita Expenditure (PY) $12,573 $12,693 p47 Per_Capita_Exp_TOTAL_PY
Financial Performance Prior Savings Adjustment - $156 PriorSavAdj
Financial Performance Reduced Shared Savings ReducedSS
Financial Performance Regional Adjustment $282 $182 RegAdj
Financial Performance Revenue-to-Expense Category Low Revenue Rev_Exp_Cat
Financial Performance Savings Rate 5.91% 4.21% p67 Sav_rate
Financial Performance Total Benchmark (all beneficiaries) $980,720,925 $177,890,820 ABtotBnchmk
Financial Performance Total Expenditure (all beneficiaries) $922,742,718 $167,748,494 ABtotExp
Financial Performance Updated Benchmark (per capita) $13,363 $13,279 p51 UpdatedBnchmk
Per Capita Expenditure by Population Segment Aged, Dual-Eligible (BY1) $14,884 $15,751 Per_Capita_Exp_ALL_AGDU_BY1
Per Capita Expenditure by Population Segment Aged, Dual-Eligible (BY2) $15,203 $15,879 Per_Capita_Exp_ALL_AGDU_BY2
Per Capita Expenditure by Population Segment Aged, Dual-Eligible (BY3) $15,909 $16,313 Per_Capita_Exp_ALL_AGDU_BY3
Per Capita Expenditure by Population Segment Aged, Dual-Eligible (PY) $18,006 $18,934 Per_Capita_Exp_ALL_AGDU_PY
Per Capita Expenditure by Population Segment Aged, Non-Dual (BY1) $9,289 $9,631 Per_Capita_Exp_ALL_AGND_BY1
Per Capita Expenditure by Population Segment Aged, Non-Dual (BY2) $9,527 $9,541 Per_Capita_Exp_ALL_AGND_BY2
Per Capita Expenditure by Population Segment Aged, Non-Dual (BY3) $9,934 $10,288 Per_Capita_Exp_ALL_AGND_BY3
Per Capita Expenditure by Population Segment Aged, Non-Dual (PY) $12,243 $12,059 Per_Capita_Exp_ALL_AGND_PY
Per Capita Expenditure by Population Segment Disabled (BY1) $8,860 $10,226 Per_Capita_Exp_ALL_DIS_BY1
Per Capita Expenditure by Population Segment Disabled (BY2) $9,105 $10,191 Per_Capita_Exp_ALL_DIS_BY2
Per Capita Expenditure by Population Segment Disabled (BY3) $9,235 $10,605 Per_Capita_Exp_ALL_DIS_BY3
Per Capita Expenditure by Population Segment Disabled (PY) $11,049 $12,075 Per_Capita_Exp_ALL_DIS_PY
Per Capita Expenditure by Population Segment End-Stage Renal Disease (ESRD) (BY1) $82,984 $84,276 Per_Capita_Exp_ALL_ESRD_BY1
Per Capita Expenditure by Population Segment End-Stage Renal Disease (ESRD) (BY2) $83,102 $84,661 Per_Capita_Exp_ALL_ESRD_BY2
Per Capita Expenditure by Population Segment End-Stage Renal Disease (ESRD) (BY3) $85,531 $88,267 Per_Capita_Exp_ALL_ESRD_BY3
Per Capita Expenditure by Population Segment End-Stage Renal Disease (ESRD) (PY) $100,230 $93,398 Per_Capita_Exp_ALL_ESRD_PY
Per Capita Spending by Service Category Ambulance $126 $134 CapAnn_AmbPay
Per Capita Spending by Service Category Durable Medical Equipment $399 $405 CapAnn_DME
Per Capita Spending by Service Category Home Health $547 $470 CapAnn_HHA
Per Capita Spending by Service Category Hospice $438 $258 CapAnn_HSP
Per Capita Spending by Service Category Inpatient — All $3,225 $3,410 p37 CapAnn_INP_All
Per Capita Spending by Service Category Inpatient — Long-Term $48 $59 CapAnn_INP_L_trm
Per Capita Spending by Service Category Inpatient — Psychiatric $19 $37 CapAnn_INP_Psych
Per Capita Spending by Service Category Inpatient — Rehab $374 $367 CapAnn_INP_Rehab
Per Capita Spending by Service Category Inpatient — Short-Term Acute $2,807 $2,914 CapAnn_INP_S_trm
Per Capita Spending by Service Category Outpatient $2,661 $3,078 p33 CapAnn_OPD
Per Capita Spending by Service Category Physician / Supplier (Part B) $4,756 $4,341 p64 CapAnn_PB
Per Capita Spending by Service Category Skilled Nursing Facility $770 $655 p63 CapAnn_SNF
Program Structure ACO ID A2098 ACO_ID
Program Structure ACO Name The Accountable Care Organization, Ltd. 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 EN Current_Track
Program Structure Risk Model Two-Sided Risk_Model
Program Structure SNF 3-Day Waiver SNF_Waiver
Program Structure Start Date 1/1/2020 Current_Start_Date
Provider Composition Clinical Nurse Specialists 1 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 0 0 N_Hosp
Provider Composition Nurse Practitioners 502 215 N_NP
Provider Composition Other Facilities 0 0 N_Fac_Other
Provider Composition Physician Assistants 316 89 N_PA
Provider Composition Primary Care Physicians 642 206 N_PCP
Provider Composition Rural Health Clinics 7 0 N_RHC
Provider Composition Specialists 466 300 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 0.89% 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) 0.995 0.994 CMS_HCC_RiskScore_AGDU_BY1
Risk Scores Aged, Dual-Eligible (BY2) 0.985 0.988 CMS_HCC_RiskScore_AGDU_BY2
Risk Scores Aged, Dual-Eligible (BY3) 0.985 0.983 CMS_HCC_RiskScore_AGDU_BY3
Risk Scores Aged, Dual-Eligible (PY) 0.950 0.954 p48 CMS_HCC_RiskScore_AGDU_PY
Risk Scores Aged, Non-Dual (BY1) 1.023 0.993 CMS_HCC_RiskScore_AGND_BY1
Risk Scores Aged, Non-Dual (BY2) 1.026 0.992 CMS_HCC_RiskScore_AGND_BY2
Risk Scores Aged, Non-Dual (BY3) 1.019 0.996 CMS_HCC_RiskScore_AGND_BY3
Risk Scores Aged, Non-Dual (PY) 1.022 0.983 p69 CMS_HCC_RiskScore_AGND_PY
Risk Scores Disabled (BY1) 0.949 0.974 CMS_HCC_RiskScore_DIS_BY1
Risk Scores Disabled (BY2) 0.958 0.967 CMS_HCC_RiskScore_DIS_BY2
Risk Scores Disabled (BY3) 0.933 0.965 CMS_HCC_RiskScore_DIS_BY3
Risk Scores Disabled (PY) 0.927 0.934 p46 CMS_HCC_RiskScore_DIS_PY
Risk Scores End-Stage Renal Disease (ESRD) (BY1) 1.011 1.011 CMS_HCC_RiskScore_ESRD_BY1
Risk Scores End-Stage Renal Disease (ESRD) (BY2) 1.012 1.011 CMS_HCC_RiskScore_ESRD_BY2
Risk Scores End-Stage Renal Disease (ESRD) (BY3) 0.997 1.006 CMS_HCC_RiskScore_ESRD_BY3
Risk Scores End-Stage Renal Disease (ESRD) (PY) 0.958 0.967 p41 CMS_HCC_RiskScore_ESRD_PY
Utilization — Admissions & Visits CT Scans (per 1,000) 737 751 p45 P_CT_VIS
Utilization — Admissions & Visits E&M Visits — Primary Care (per 1,000) 5,031 4,192 p71 P_EM_PCP_Vis
Utilization — Admissions & Visits E&M Visits — Specialist (per 1,000) 5,129 4,821 p56 P_EM_SP_Vis
Utilization — Admissions & Visits E&M Visits — Total (per 1,000) 12,954 12,433 P_EM_Total
Utilization — Admissions & Visits ED Visits (per 1,000) 549 618 p23 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) 250 160 p57 P_FQHC_RHC_Vis
Utilization — Admissions & Visits Hospital Admissions (per 1,000) 237 251 p33 ADM
Utilization — Admissions & Visits Long-Term Admissions (per 1,000) 1 1 ADM_L_Trm
Utilization — Admissions & Visits MRI Scans (per 1,000) 255 247 p54 P_MRI_VIS
Utilization — Admissions & Visits Nurse Practitioner Visits (per 1,000) 2,543 2,464 p55 P_Nurse_Vis
Utilization — Admissions & Visits Psychiatric Admissions (per 1,000) 2 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) 218 229 ADM_S_Trm
Utilization — Admissions & Visits SNF Admissions (per 1,000) 42 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 $17,057 $15,338 p69 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 →