SSM ACO, LLC | CareGraph

MSSP Performance — Key Metrics

Assigned Beneficiaries

15,288 p56

Savings Rate

5.61% p64

Quality Score

75.60 p15

Per Capita Expenditure, Total ($)

$13,120 p58

Generated Savings/Losses ($)

$11,745,595

Earned Savings/Losses ($)

$8,633,012

Updated Benchmark ($)

$13,900 p64

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	1/1/2022
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	15,288 p56	13,159	20,491
2	Historical Benchmark (per capita)	$11,490 p50	$11,439	$11,522
3	Regional Adjustment	+$492
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$13,900 p64	$13,279	$13,815

7	Total Benchmark (all beneficiaries)	$209,208,036
8	Total Expenditure (all beneficiaries)	$197,462,442
9	Per Capita Expenditure (PY)	$13,120 p58	$12,693	$13,164
10	Generated Savings / Losses	$11,745,595	$6,931,306	—

11	Savings Rate	5.61% p64	4.21%	3.50%
12	Minimum Savings Rate (threshold)	2.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	75.00%
15	Final Shared Loss Rate	43.30%
16	Earned Savings / Losses	$8,633,012	$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)	$96,701	$89,408	$104,574	$95,939	→	$93,398	+$2,541
Disabled	$11,135	$9,630	$10,027	$12,369	↑	$13,234	−$865
Aged, Dual-Eligible	$19,065	$17,787	$17,890	$21,360	↑	$20,771	+$589
Aged, Non-Dual	$10,646	$9,385	$10,370	$12,782	↑	$13,928	−$1,146
Total				$13,120		$12,693	$13,164

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)	1.055	1.062	1.035	1.000	↓	+0.039	0.967
Disabled	1.164	1.080	1.066	1.096	↓	+0.150	0.934
Aged, Dual-Eligible	1.253	1.242	1.186	1.097	↓	+0.062	0.954
Aged, Non-Dual	1.211	1.168	1.176	1.155	↓	+0.153	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)	—	0.961
Disabled	—	0.946
Aged, Dual-Eligible	—	1.035
Aged, Non-Dual	—	1.002

Risk Redistribution Weights (PY)

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

ESRD Weight	1.7%
Disabled Weight	6.3%
Aged Dual Weight	3.8%
Aged Non-Dual Weight	88.2%

Beneficiary Demographics

Distribution of 15,288 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

6.8%

Age 65–74

48.6%

Age 75–84

33.6%

Age 85+

11.0%

Gender

Female

56.0%

Male

44.0%

Race / Ethnicity

White

89.3%

Black

7.2%

Hispanic

0.0%

Asian

0.5%

Native American

0.0%

Other

0.6%

Unknown

2.4%

Special Populations

4.71% p28 Dual-Eligible (MSSP median: 6.9%)

0.57% p34 Long-Term Institutionalized (MSSP median: 0.89%)

213 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	70	30
Disabled	1,582	972
Aged, Dual-Eligible	556	346
Aged, Non-Dual	14,458	13,702
Total (PY)		15,051

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	$4,023 p81	29.9%	$3,410	$3,467
Inpatient — Short-Term Acute	$2,997		$2,914	—
Inpatient — Long-Term	$62		$59	—
Inpatient — Rehab	$977		$367	—
Inpatient — Psychiatric	$32		$37	—
Hospice	$260	1.9%	$258	$354
Skilled Nursing Facility	$580 p38	4.3%	$655	$664
Outpatient	$3,813 p75	28.3%	$3,078	$3,430
Physician / Supplier (Part B)	$3,883 p36	28.8%	$4,341	$4,072
Ambulance	$128	1.0%	$134	$119
Home Health	$366	2.7%	$470	$484
Durable Medical Equipment	$415	3.1%	$405	$430

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

34.0% ED-to-Hospitalization Conversion Rate

0.64:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	319 p90	251	262
Short-Term Acute Admissions (per 1,000)	274	229	—
Long-Term Admissions (per 1,000)	1	1	—
Rehab Admissions (per 1,000)	42	15	—
Psychiatric Admissions (per 1,000)	2	3	—
ED Visits (per 1,000)	665 p70	618	622
ED Visits Resulting in Hospitalization (per 1,000)	226	179	—
CT Scans (per 1,000)	781 p57	751	816
MRI Scans (per 1,000)	230 p37	247	243
E&M Visits — Total (per 1,000)	10,768	12,433	—
E&M Visits — Primary Care (per 1,000)	3,082 p20	4,192	3,755
E&M Visits — Specialist (per 1,000)	4,792 p49	4,821	4,752
Nurse Practitioner Visits (per 1,000)	2,836 p68	2,464	2,973
FQHC / RHC Visits (per 1,000)	59 p38	160	104
SNF Admissions (per 1,000)	39	40	42
SNF Average Length of Stay (days)	25 p20	27	26
SNF Average Payment per Stay	$13,605 p23	$15,338	$14,264

Provider Composition

Facilities

Hospitals	5
Critical Access Hospitals	0
FQHCs	0
Rural Health Clinics	0
Extension of Treatment Areas	0
Other Facilities	6

Clinicians

Primary Care Physicians	323
Specialists	545
Nurse Practitioners	423
Physician Assistants	66
Clinical Nurse Specialists	1

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 p32

82.4

How Well Providers Communicate p6

91.0

Patient's Rating of Provider p5

89.3

Access to Specialists p40

75.0

Health Promotion & Education p52

66.0

Shared Decision-Making p75

65.1

Health Status / Functional Status p14

72.3

Courteous & Helpful Office Staff p11

83.5

Care Coordination p36

92.7

Stewardship of Patient Resources p24

23.7

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) p15	75.60	83.13	88.59
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	35.47
Falls: Screening for Future Fall Risk	-	91.53	92.95
Influenza Immunization	-	70.06	70.64
Tobacco Use: Screening & Cessation Intervention	-	82.86	87.50
Colorectal Cancer Screening	-	80.23	82.31
Breast Cancer Screening	-	82.59	85.00
Statin Therapy for CVD Prevention	-	87.36	87.63
Depression Remission at 12 Months	-	14.29	13.51
Depression Screening & Follow-Up Plan Reporting pathways Web Interface: - eCQM: 74.12 MIPS CQM: - Medicare CQM: -	74.12	83.73	85.89
Diabetes: HbA1c Poor Control (>9%) (lower is better) Reporting pathways Web Interface: - eCQM: 20.91 MIPS CQM: - Medicare CQM: -	20.91	8.44	8.09
Controlling High Blood Pressure Reporting pathways Web Interface: - eCQM: 73.89 MIPS CQM: - Medicare CQM: -	73.89	80.24	81.74

Quality Reporting Flags

✓ Met Quality Performance Standard (QPS)

? Met Alternative QPS

✗ Met 40th Percentile Threshold

✓ Met SSP Quality Reporting Requirements

✗ Reported via Web Interface

✓ Reported via eCQM / CQM / Medicare CQM

✗ First-Year ACO Quality Pass

✓ Met Incentive Threshold

✗ Received 40th Percentile Bonus

✗ Disaster / Affected Quality Waiver Applied

Peer Cohort

30 similar mid-size, ENHANCED-track, average acuity, hospital-affiliated ACOs

View 30 peer ACOs

A4575 A4976 A5331 A3380 A2592 A1196 A3632 A2550 A3053 A2506 A2286 A2205 A4977 A4649 A4931 A2266 A4937 A2217 A2021 A5124 A5056 A3631 A4979 A1175 A3324 A5040 A5176 A5012 A3730 A3016

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	1,038	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	7,429	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	5,142	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	1,679	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	556	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	346	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	14,458	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	13,702	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	72	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	1,097	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	166	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	15,075	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	1,582	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	972	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	4.71%	6.89%	p28	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	710	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	70	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	30	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	8,558	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	*	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	0.57%	0.89%	p34	`Perc_LTI`
Beneficiary Demographics	Male	6,730	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	14,341	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	85	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	15,051	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	360	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	47	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	13,647	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	75.00	75.90	p40	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	92.67	93.24	p36	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	83.51	86.22	p11	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	82.38	84.11	p32	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	66.03	65.66	p52	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	72.25	74.69	p14	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	91.00	94.26	p6	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	89.32	92.70	p5	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	65.08	62.57	p75	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	23.73	27.09	p24	`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	-	82.59		`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	-	80.23		`QualityID_113`
Clinical Quality Measures	Controlling High Blood Pressure (eCQM)	73.89	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)	74.12	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)	20.91	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)	75.60	83.13	p15	`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)	1.035	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.002	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.946	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.961	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	15,288	13,159	p56	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$11,745,595	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$8,633,012	$3,685,876		`EarnSaveLoss`
Financial Performance	Final Shared Loss Rate	43.30%	40.00%		`FinalLossRate`
Financial Performance	Final Shared Savings Rate	75.00%	50.00%		`FinalShareRate`
Financial Performance	Generated Savings / Losses	$11,745,595	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$11,490	$11,439	p50	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	2.00%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$13,120	$12,693	p58	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$492	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	5.61%	4.21%	p64	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$209,208,036	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$197,462,442	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$13,900	$13,279	p64	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$19,065	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$17,787	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$17,890	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$21,360	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$10,646	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$9,385	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,370	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,782	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$11,135	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$9,630	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$10,027	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$12,369	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$96,701	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$89,408	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$104,574	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$95,939	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$128	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$415	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$366	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$260	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$4,023	$3,410	p81	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$62	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$32	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$977	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,997	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$3,813	$3,078	p75	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$3,883	$4,341	p36	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$580	$655	p38	`CapAnn_SNF`
Program Structure	ACO ID	A2272	—		`ACO_ID`
Program Structure	ACO Name	SSM ACO, 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	EN	—		`Current_Track`
Program Structure	Risk Model	Two-Sided	—		`Risk_Model`
Program Structure	SNF 3-Day Waiver	✓	✗		`SNF_Waiver`
Program Structure	Start Date	1/1/2022	—		`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	0	0		`N_FQHC`
Provider Composition	Hospitals	5	0		`N_Hosp`
Provider Composition	Nurse Practitioners	423	215		`N_NP`
Provider Composition	Other Facilities	6	0		`N_Fac_Other`
Provider Composition	Physician Assistants	66	89		`N_PA`
Provider Composition	Primary Care Physicians	323	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	545	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	0.04%	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	0.02%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	1.253	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.242	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.186	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.097	0.954	p86	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.211	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.168	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.176	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.155	0.983	p93	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	1.164	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	1.080	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	1.066	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	1.096	0.934	p90	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.055	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.062	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.035	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.000	0.967	p67	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	781	751	p57	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	3,082	4,192	p20	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	4,792	4,821	p49	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	10,768	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	665	618	p70	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	226	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	59	160	p38	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	319	251	p90	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	1	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	230	247	p37	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,836	2,464	p68	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	2	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	42	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	274	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	39	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	$13,605	$15,338	p23	`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 →