St Joseph Regional Health Partners ACO

MSSP Performance — Key Metrics

Assigned Beneficiaries

4,846 p2

Savings Rate

12.28% p93

Quality Score

91.60 p89

Per Capita Expenditure, Total ($)

$11,183 p16

Generated Savings/Losses ($)

$7,424,759

Earned Savings/Losses ($)

$3,638,132

Updated Benchmark ($)

$12,748 p38

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	1/1/2020
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	4,846 p2	13,159	9,950
2	Historical Benchmark (per capita)	$12,609 p76	$11,439	$10,614
3	Regional Adjustment	+$-27
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$12,748 p38	$13,279	$12,098

7	Total Benchmark (all beneficiaries)	$60,481,544
8	Total Expenditure (all beneficiaries)	$53,056,785
9	Per Capita Expenditure (PY)	$11,183 p16	$12,693	$11,513
10	Generated Savings / Losses	$7,424,759	$6,931,306	—

11	Savings Rate	12.28% p93	4.21%	4.09%
12	Minimum Savings Rate (threshold)	3.98%
13	Guardrail Applied	—
14	Final Shared Savings Rate	50.00%
15	Final Shared Loss Rate	30.00%
16	Earned Savings / Losses	$3,638,132	$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)	$79,477	$88,879	$82,612	$72,237	↓	$80,976	−$8,739
Disabled	$9,055	$10,892	$11,298	$11,667	↑	$10,071	+$1,596
Aged, Dual-Eligible	$21,073	$22,989	$21,181	$16,169	↓	$17,041	−$872
Aged, Non-Dual	$10,324	$10,802	$10,747	$10,876	↑	$10,901	−$25
Total				$11,183		$12,693	$11,513

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)	0.992	1.001	0.968	0.867	↓	-0.090	0.967
Disabled	0.912	0.957	0.929	0.834	↓	-0.094	0.934
Aged, Dual-Eligible	1.036	1.059	1.017	0.900	↓	-0.097	0.954
Aged, Non-Dual	0.970	0.973	0.962	0.904	↓	-0.063	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)	—	0.957
Disabled	—	0.928
Aged, Dual-Eligible	—	0.997
Aged, Non-Dual	—	0.967

Risk Redistribution Weights (PY)

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

ESRD Weight	2.2%
Disabled Weight	3.9%
Aged Dual Weight	3.2%
Aged Non-Dual Weight	90.7%

Beneficiary Demographics

Distribution of 4,846 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

6.8%

Age 65–74

49.6%

Age 75–84

33.2%

Age 85+

10.4%

Gender

Female

55.5%

Male

44.5%

Race / Ethnicity

White

90.5%

Black

3.9%

Hispanic

2.0%

Asian

0.0%

Native American

0.0%

Other

1.2%

Unknown

1.4%

Special Populations

3.13% p13 Dual-Eligible (MSSP median: 6.9%)

*% Long-Term Institutionalized (MSSP median: 0.89%)

36 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	101	14
Disabled	514	194
Aged, Dual-Eligible	450	78
Aged, Non-Dual	6,072	4,457
Total (PY)		4,744

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	$3,234 p37	28.3%	$3,410	$2,977
Inpatient — Short-Term Acute	$2,406		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$811		$367	—
Inpatient — Psychiatric	*		$37	—
Hospice	$168	1.5%	$258	$181
Skilled Nursing Facility	$310 p3	2.7%	$655	$549
Outpatient	$2,234 p14	19.6%	$3,078	$2,657
Physician / Supplier (Part B)	$4,449 p53	38.9%	$4,341	$3,981
Ambulance	$141	1.2%	$134	$120
Home Health	$573	5.0%	$470	$365
Durable Medical Equipment	$316	2.8%	$405	$400

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

27.6% ED-to-Hospitalization Conversion Rate

0.78:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	234 p31	251	219
Short-Term Acute Admissions (per 1,000)	196	229	—
Long-Term Admissions (per 1,000)	*	1	—
Rehab Admissions (per 1,000)	*	15	—
Psychiatric Admissions (per 1,000)	*	3	—
ED Visits (per 1,000)	510 p11	618	578
ED Visits Resulting in Hospitalization (per 1,000)	141	179	—
CT Scans (per 1,000)	586 p5	751	696
MRI Scans (per 1,000)	216 p25	247	218
E&M Visits — Total (per 1,000)	11,320	12,433	—
E&M Visits — Primary Care (per 1,000)	4,219 p50	4,192	4,268
E&M Visits — Specialist (per 1,000)	5,391 p62	4,821	4,187
Nurse Practitioner Visits (per 1,000)	1,690 p16	2,464	2,427
FQHC / RHC Visits (per 1,000)	19 p20	160	136
SNF Admissions (per 1,000)	15	40	34
SNF Average Length of Stay (days)	25 p20	27	27
SNF Average Payment per Stay	$20,452 p85	$15,338	$15,446

Provider Composition

Facilities

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

Clinicians

Primary Care Physicians	123
Specialists	158
Nurse Practitioners	63
Physician Assistants	41
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 p39

83.0

How Well Providers Communicate p47

94.2

Patient's Rating of Provider p42

92.5

Access to Specialists p46

75.7

Health Promotion & Education p65

67.3

Shared Decision-Making p82

65.9

Health Status / Functional Status p17

72.7

Courteous & Helpful Office Staff p95

89.0

Care Coordination p74

94.1

Stewardship of Patient Resources p79

30.6

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) p89	91.60	83.13	82.01
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p21	0.14	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	30.89
Falls: Screening for Future Fall Risk p82	97.18	91.53	84.59
Influenza Immunization p21	59.29	70.06	73.49
Tobacco Use: Screening & Cessation Intervention p21	69.23	82.86	75.00
Colorectal Cancer Screening p80	84.68	80.23	78.77
Breast Cancer Screening p49	82.35	82.59	81.02
Statin Therapy for CVD Prevention p31	85.28	87.36	84.60
Depression Remission at 12 Months p9	3.70	14.29	13.51
Depression Screening & Follow-Up Plan p57 Reporting pathways Web Interface: 86.04 eCQM: - MIPS CQM: - Medicare CQM: -	86.04	83.73	80.72
Diabetes: HbA1c Poor Control (>9%) (lower is better) p10 Reporting pathways Web Interface: 5.22 eCQM: - MIPS CQM: - Medicare CQM: -	5.22	8.44	8.31
Controlling High Blood Pressure p90 Reporting pathways Web Interface: 88.19 eCQM: - MIPS CQM: - Medicare CQM: -	88.19	80.24	79.21

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

A5025 A5039 A2207 A4768 A3507 A5378 A5321 A1539 A3617 A4657 A4707 A5364 A5038 A4960 A5003 A5349 A5203 A5012 A5181 A3318 A2600 A3730 A4794 A5423 A5362 A4652 A4701 A2308 A4996 A5360

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	331	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	2,402	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	1,608	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	505	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	450	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	78	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	6,072	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	4,457	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	*	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	191	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	25	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	4,810	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	514	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	194	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	3.13%	6.89%	p13	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	149	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	101	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	14	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	2,688	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	98	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	*	0.89%		`Perc_LTI`
Beneficiary Demographics	Male	2,158	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	4,596	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	56	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	4,744	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	68	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	11	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	4,386	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	75.72	75.90	p46	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	94.11	93.24	p74	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	89.00	86.22	p95	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	82.96	84.11	p39	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	67.34	65.66	p65	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	72.65	74.69	p17	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	94.18	94.26	p47	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	92.46	92.70	p42	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	65.92	62.57	p82	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	30.59	27.09	p79	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.14	0.15	p21	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	82.35	82.59	p49	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	84.68	80.23	p80	`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)	88.19	80.24	p90	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	3.70	14.29	p9	`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)	86.04	83.73	p57	`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)	5.22	8.44	p10	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	97.18	91.53	p82	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	59.29	70.06	p21	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	91.60	83.13	p89	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	85.28	87.36	p31	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	69.23	82.86	p21	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	0.997	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.967	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.928	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.957	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	4,846	13,159	p2	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$7,424,759	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$3,638,132	$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	$7,424,759	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$12,609	$11,439	p76	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	3.98%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$11,183	$12,693	p16	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$-27	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	12.28%	4.21%	p93	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$60,481,544	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$53,056,785	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$12,748	$13,279	p38	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$21,073	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$22,989	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$21,181	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$16,169	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$10,324	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$10,802	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,747	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$10,876	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$9,055	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$10,892	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$11,298	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$11,667	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$79,477	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$88,879	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$82,612	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$72,237	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$141	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$316	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$573	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$168	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,234	$3,410	p37	`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	*	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$811	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,406	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,234	$3,078	p14	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,449	$4,341	p53	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$310	$655	p3	`CapAnn_SNF`
Program Structure	ACO ID	A2247	—		`ACO_ID`
Program Structure	ACO Name	St Joseph Regional Health Partners ACO	—		`ACO_Name`
Program Structure	Agreement Period	3	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Renewal	—		`Agree_Type`
Program Structure	Assignment Type	Retrospective	—		`Assign_Type`
Program Structure	Current Track	E	—		`Current_Track`
Program Structure	Risk Model	Two-Sided	—		`Risk_Model`
Program Structure	SNF 3-Day Waiver	✓	✗		`SNF_Waiver`
Program Structure	Start Date	1/1/2020	—		`Current_Start_Date`
Provider Composition	Clinical Nurse Specialists	0	0		`N_CNS`
Provider Composition	Critical Access Hospitals	2	0		`N_CAH`
Provider Composition	Extension of Treatment Areas	0	0		`N_ETA`
Provider Composition	FQHCs	0	0		`N_FQHC`
Provider Composition	Hospitals	2	0		`N_Hosp`
Provider Composition	Nurse Practitioners	63	215		`N_NP`
Provider Composition	Other Facilities	1	0		`N_Fac_Other`
Provider Composition	Physician Assistants	41	89		`N_PA`
Provider Composition	Primary Care Physicians	123	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	158	300		`N_Spec`
Quality Reporting Flags	Disaster / Affected Quality Waiver Applied	✓	✗		`DisAffQual`
Quality Reporting Flags	First-Year ACO Quality Pass	✗	✗		`Met_FirstYear`
Quality Reporting Flags	Met 40th Percentile Threshold	✓	✓		`Met_40pctl`
Quality Reporting Flags	Met Alternative QPS	-	✓		`Met_AltQPS`
Quality Reporting Flags	Met Incentive Threshold	✗	✗		`Met_Incentive`
Quality Reporting Flags	Met Quality Performance Standard (QPS)	✓	✓		`Met_QPS`
Quality Reporting Flags	Met SSP Quality Reporting Requirements	✓	✓		`Met_SSP_quality_reporting_requirements`
Quality Reporting Flags	Received 40th Percentile Bonus	✗	✗		`Recvd40p`
Quality Reporting Flags	Reported via eCQM / CQM / Medicare CQM	✗	✗		`Report_eCQM_CQM_MedicareCQM`
Quality Reporting Flags	Reported via Web Interface	✓	✓		`Report_WI`
Risk Redistribution Weights	Aged Dual Weight	0.03%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.91%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.04%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.02%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	1.036	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.059	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.017	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.900	0.954	p30	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.970	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.973	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.962	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.904	0.983	p15	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.912	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.957	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.929	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.834	0.934	p14	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	0.992	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.001	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.968	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.867	0.967	p4	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	586	751	p5	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	4,219	4,192	p50	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	5,391	4,821	p62	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	11,320	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	510	618	p11	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	141	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	19	160	p20	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	234	251	p31	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	216	247	p25	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	1,690	2,464	p16	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	*	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	*	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	196	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	15	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	25	27	p20	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$20,452	$15,338	p85	`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 →