MSSP Performance — Key Metrics

Assigned Beneficiaries
38,249 p86
Savings Rate
7.57% p77
Quality Score
84.34 p57
Per Capita Expenditure, Total ($)
$13,602 p70
Generated Savings/Losses ($)
$41,981,431
Earned Savings/Losses ($)
$30,856,352
Updated Benchmark ($)
$14,715 p79
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 4
Start Date 1/1/2024
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 38,249 p86 13,159 37,765
2 Historical Benchmark (per capita) $13,293 p87 $11,439 $11,522
3 Regional Adjustment +$322
4 Prior Savings Adjustment +$238
5 Adjustment Category Regional Adjustment
6 Updated Benchmark (per capita) $14,715 p79 $13,279 $13,815
7 Total Benchmark (all beneficiaries) $554,796,903
8 Total Expenditure (all beneficiaries) $512,815,471
9 Per Capita Expenditure (PY) $13,602 p70 $12,693 $13,238
10 Generated Savings / Losses $41,981,431 $6,931,306
11 Savings Rate 7.57% p77 4.21% 3.75%
12 Minimum Savings Rate (threshold) 0.50%
13 Guardrail Applied No
14 Final Shared Savings Rate 75.00%
15 Final Shared Loss Rate 40.00%
16 Earned Savings / Losses $30,856,352 $3,685,876
Revenue-to-Expense Category High 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) $86,484 $87,846 $94,635 $104,308 $98,535 +$5,773
Disabled $10,479 $11,079 $12,570 $12,653 $13,307 −$654
Aged, Dual-Eligible $19,954 $21,546 $23,285 $29,563 $24,557 +$5,006
Aged, Non-Dual $10,896 $11,046 $12,228 $13,206 $14,857 −$1,651
Total $13,602 $12,693 $13,238
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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) 1.076 1.011 1.076 1.055 +0.095 0.967
Disabled 1.012 1.004 1.034 1.102 +0.163 0.934
Aged, Dual-Eligible 1.130 1.203 1.235 1.297 +0.266 0.954
Aged, Non-Dual 1.133 1.143 1.184 1.232 +0.228 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) 0.970 0.960
Disabled 0.939 0.939
Aged, Dual-Eligible 1.033 1.031
Aged, Non-Dual 1.006 1.004

Risk Redistribution Weights (PY)

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

ESRD Weight 1.2%
Disabled Weight 3.8%
Aged Dual Weight 3.2%
Aged Non-Dual Weight 91.8%
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Beneficiary Demographics

Distribution of 38,249 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64
4.1%
Age 65–74
48.0%
Age 75–84
35.9%
Age 85+
12.0%

Gender

Female
58.9%
Male
41.1%

Race / Ethnicity

White
91.6%
Black
3.2%
Hispanic
0.0%
Asian
0.9%
Native American
0.0%
Other
1.0%
Unknown
2.6%

Special Populations

2.96% p11 Dual-Eligible (MSSP median: 6.9%)
0.61% p36 Long-Term Institutionalized (MSSP median: 0.89%)
337 VA Beneficiaries

Enrollment by Category (Person-Years)

Category BY3 PY
ESRD 65 60
Disabled 1,584 1,497
Aged, Dual-Eligible 764 626
Aged, Non-Dual 33,683 35,519
Total (PY) 37,702
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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 $3,247 p38 23.3% $3,410 $3,456
Inpatient — Short-Term Acute $2,802 $2,914
Inpatient — Long-Term $52 $59
Inpatient — Rehab $402 $367
Inpatient — Psychiatric $11 $37
Hospice $295 2.1% $258 $342
Skilled Nursing Facility $683 p54 4.9% $655 $690
Outpatient $2,404 p21 17.3% $3,078 $3,440
Physician / Supplier (Part B) $6,129 p92 44.0% $4,341 $4,386
Ambulance $122 0.9% $134 $125
Home Health $636 4.6% $470 $498
Durable Medical Equipment $417 3.0% $405 $430
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Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

34.9% ED-to-Hospitalization Conversion Rate
0.47:1 PCP-to-Specialist Visit Ratio
Metric This ACO MSSP Median Peer Median
Hospital Admissions (per 1,000) 262 p60 251 256
Short-Term Acute Admissions (per 1,000) 244 229
Long-Term Admissions (per 1,000) 1 1
Rehab Admissions (per 1,000) 16 15
Psychiatric Admissions (per 1,000) 1 3
ED Visits (per 1,000) 604 p45 618 622
ED Visits Resulting in Hospitalization (per 1,000) 211 179
CT Scans (per 1,000) 923 p90 751 800
MRI Scans (per 1,000) 334 p92 247 257
E&M Visits — Total (per 1,000) 14,255 12,433
E&M Visits — Primary Care (per 1,000) 3,640 p33 4,192 3,890
E&M Visits — Specialist (per 1,000) 7,763 p96 4,821 5,077
Nurse Practitioner Visits (per 1,000) 2,811 p67 2,464 2,910
FQHC / RHC Visits (per 1,000) 41 p32 160 106
SNF Admissions (per 1,000) 47 40 45
SNF Average Length of Stay (days) 26 p34 27 26
SNF Average Payment per Stay $13,457 p20 $15,338 $14,473
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Provider Composition

Facilities

Hospitals 10
Critical Access Hospitals 0
FQHCs 0
Rural Health Clinics 0
Extension of Treatment Areas 0
Other Facilities 13

Clinicians

Primary Care Physicians 502
Specialists 1,565
Nurse Practitioners 575
Physician Assistants 539
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 p27
81.5
How Well Providers Communicate p54
94.4
Patient's Rating of Provider p67
93.4
Access to Specialists p34
74.3
Health Promotion & Education p89
70.7
Shared Decision-Making p67
64.1
Health Status / Functional Status p79
76.3
Courteous & Helpful Office Staff p36
85.5
Care Coordination p40
92.9
Stewardship of Patient Resources p38
25.6
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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) p57 84.34 83.13 89.01
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p87 0.16 0.15 0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ? p44 35.32 36.11 35.47
Falls: Screening for Future Fall Risk p84 97.33 91.53 93.11
Influenza Immunization p53 70.63 70.06 71.65
Tobacco Use: Screening & Cessation Intervention p88 100.00 82.86 87.50
Colorectal Cancer Screening p79 84.46 80.23 82.38
Breast Cancer Screening p94 90.34 82.59 85.00
Statin Therapy for CVD Prevention p35 85.82 87.36 88.66
Depression Remission at 12 Months p18 7.02 14.29 10.53
Depression Screening & Follow-Up Plan p60
Reporting pathways
  • Web Interface: 86.49
  • eCQM: -
  • MIPS CQM: -
  • Medicare CQM: -
86.49 83.73 82.23
Diabetes: HbA1c Poor Control (>9%) (lower is better) p7
Reporting pathways
  • Web Interface: 4.81
  • eCQM: -
  • MIPS CQM: -
  • Medicare CQM: -
4.81 8.44 7.71
Controlling High Blood Pressure p33
Reporting pathways
  • Web Interface: 77.00
  • eCQM: -
  • MIPS CQM: -
  • Medicare CQM: -
77.00 80.24 80.85

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, above-average acuity, hospital-affiliated 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 189 rows
Source Metric Value National Median Pctl. Raw key
Beneficiary Demographics Age 0–64 1,581 1,168 N_Ben_Age_0_64
Beneficiary Demographics Age 65–74 18,349 6,091 N_Ben_Age_65_74
Beneficiary Demographics Age 75–84 13,717 4,264 N_Ben_Age_75_84
Beneficiary Demographics Age 85+ 4,602 1,534 N_Ben_Age_85plus
Beneficiary Demographics Aged Dual (BY3) 764 796 N_AB_Year_AGED_Dual_BY3
Beneficiary Demographics Aged Dual (PY) 626 614 N_AB_Year_AGED_Dual_PY
Beneficiary Demographics Aged Non-Dual (BY3) 33,683 11,181 N_AB_Year_AGED_NonDual_BY3
Beneficiary Demographics Aged Non-Dual (PY) 35,519 10,940 N_AB_Year_AGED_NonDual_PY
Beneficiary Demographics Asian 335 140 N_Ben_Race_Asian
Beneficiary Demographics Black 1,230 673 N_Ben_Race_Black
Beneficiary Demographics CBA and VA 252 75 N_Ben_CBA_and_VA
Beneficiary Demographics CBA Only 37,912 13,232 N_Ben_CBA_Only
Beneficiary Demographics Disabled (BY3) 1,584 1,369 N_AB_Year_DIS_BY3
Beneficiary Demographics Disabled (PY) 1,497 902 N_AB_Year_DIS_PY
Beneficiary Demographics Dual-Eligible (%) 2.96% 6.89% p11 Perc_Dual
Beneficiary Demographics Dual-Eligible (PY) 1,115 1,011 N_AB_Year_Dual_PY
Beneficiary Demographics ESRD (BY3) 65 80 N_AB_Year_ESRD_BY3
Beneficiary Demographics ESRD (PY) 60 50 N_AB_Year_ESRD_PY
Beneficiary Demographics Female 22,520 7,529 N_Ben_Female
Beneficiary Demographics Hispanic * 163 N_Ben_Race_Hisp
Beneficiary Demographics Long-Term Institutionalized (%) 0.61% 0.89% p36 Perc_LTI
Beneficiary Demographics Male 15,729 5,674 N_Ben_Male
Beneficiary Demographics Native American/Alaska Native * 28 N_Ben_Race_Native
Beneficiary Demographics Non-Dual (PY) 36,587 11,332 N_AB_Year_NonDual_PY
Beneficiary Demographics Other 379 150 N_Ben_Race_Other
Beneficiary Demographics Total Person-Years (PY) 37,702 12,891 N_AB_Year_PY
Beneficiary Demographics Unknown 1,004 347 N_Ben_Race_Unknown
Beneficiary Demographics VA Only 85 35 N_Ben_VA_Only
Beneficiary Demographics White 35,053 11,625 N_Ben_Race_White
CAHPS Patient Experience Access to Specialists 74.26 75.90 p34 CAHPS_4
CAHPS Patient Experience Care Coordination 92.88 93.24 p40 CAHPS_9
CAHPS Patient Experience Courteous & Helpful Office Staff 85.52 86.22 p36 CAHPS_8
CAHPS Patient Experience Getting Timely Care, Appointments & Information 81.55 84.11 p27 CAHPS_1
CAHPS Patient Experience Health Promotion & Education 70.71 65.66 p89 CAHPS_5
CAHPS Patient Experience Health Status / Functional Status 76.27 74.69 p79 CAHPS_7
CAHPS Patient Experience How Well Providers Communicate 94.40 94.26 p54 CAHPS_2
CAHPS Patient Experience Patient's Rating of Provider 93.39 92.70 p67 CAHPS_3
CAHPS Patient Experience Shared Decision-Making 64.07 62.57 p67 CAHPS_6
CAHPS Patient Experience Stewardship of Patient Resources 25.61 27.09 p38 CAHPS_11
Clinical Quality Measures All-Cause Unplanned Admissions (risk-adjusted rate) 0.16 0.15 p87 Measure_479
Clinical Quality Measures Breast Cancer Screening 90.34 82.59 p94 QualityID_112
Clinical Quality Measures Colorectal Cancer Screening 84.46 80.23 p79 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) 77.00 80.24 p33 QualityID_236_WI
Clinical Quality Measures Depression Remission at 12 Months 7.02 14.29 p18 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) 86.49 83.73 p60 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) 4.81 8.44 p7 QualityID_001_WI
Clinical Quality Measures Falls: Screening for Future Fall Risk 97.33 91.53 p84 QualityID_318
Clinical Quality Measures Influenza Immunization 70.63 70.06 p53 QualityID_110
Clinical Quality Measures Overall Quality Score (Composite) 84.34 83.13 p57 QualScore
Clinical Quality Measures Risk-Standardized All-Condition Readmission Rate 35.32 36.11 p44 Measure_484
Clinical Quality Measures Statin Therapy for Cardiovascular Disease Prevention 85.82 87.36 p35 QualityID_438
Clinical Quality Measures Tobacco Use: Screening & Cessation Intervention 100.00 82.86 p88 QualityID_226
Demographic Risk Scores Aged, Dual-Eligible (BY3) 1.033 1.003 Demog_RiskScore_AGDU_BY3
Demographic Risk Scores Aged, Dual-Eligible (PY) 1.031 1.014 Demog_RiskScore_AGDU_PY
Demographic Risk Scores Aged, Non-Dual (BY3) 1.006 1.003 Demog_RiskScore_AGND_BY3
Demographic Risk Scores Aged, Non-Dual (PY) 1.004 1.005 Demog_RiskScore_AGND_PY
Demographic Risk Scores Disabled (BY3) 0.939 0.980 Demog_RiskScore_DIS_BY3
Demographic Risk Scores Disabled (PY) 0.939 0.979 Demog_RiskScore_DIS_PY
Demographic Risk Scores End-Stage Renal Disease (ESRD) (BY3) 0.970 0.991 Demog_RiskScore_ESRD_BY3
Demographic Risk Scores End-Stage Renal Disease (ESRD) (PY) 0.960 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 38,249 13,159 p86 N_AB
Financial Performance Benchmark Minus Expenditure $41,981,431 $7,074,069 BnchmkMinExp
Financial Performance Disaster Adjustment $0 $0 DisAdj
Financial Performance Earned Savings / Losses $30,856,352 $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 $41,981,431 $6,931,306 GenSaveLoss
Financial Performance Guardrail Applied Guardrail
Financial Performance Historical Benchmark (per capita) $13,293 $11,439 p87 HistBnchmk
Financial Performance Mid-Year Termination Impact $0 $0 Impact_Mid_Year_Termination
Financial Performance Minimum Savings Rate (threshold) 0.50% 2.00% MinSavPerc
Financial Performance Per Capita Expenditure (PY) $13,602 $12,693 p70 Per_Capita_Exp_TOTAL_PY
Financial Performance Prior Savings Adjustment $238 $156 PriorSavAdj
Financial Performance Reduced Shared Savings ReducedSS
Financial Performance Regional Adjustment $322 $182 RegAdj
Financial Performance Revenue-to-Expense Category High Revenue Rev_Exp_Cat
Financial Performance Savings Rate 7.57% 4.21% p77 Sav_rate
Financial Performance Total Benchmark (all beneficiaries) $554,796,903 $177,890,820 ABtotBnchmk
Financial Performance Total Expenditure (all beneficiaries) $512,815,471 $167,748,494 ABtotExp
Financial Performance Updated Benchmark (per capita) $14,715 $13,279 p79 UpdatedBnchmk
Per Capita Expenditure by Population Segment Aged, Dual-Eligible (BY1) $19,954 $15,751 Per_Capita_Exp_ALL_AGDU_BY1
Per Capita Expenditure by Population Segment Aged, Dual-Eligible (BY2) $21,546 $15,879 Per_Capita_Exp_ALL_AGDU_BY2
Per Capita Expenditure by Population Segment Aged, Dual-Eligible (BY3) $23,285 $16,313 Per_Capita_Exp_ALL_AGDU_BY3
Per Capita Expenditure by Population Segment Aged, Dual-Eligible (PY) $29,563 $18,934 Per_Capita_Exp_ALL_AGDU_PY
Per Capita Expenditure by Population Segment Aged, Non-Dual (BY1) $10,896 $9,631 Per_Capita_Exp_ALL_AGND_BY1
Per Capita Expenditure by Population Segment Aged, Non-Dual (BY2) $11,046 $9,541 Per_Capita_Exp_ALL_AGND_BY2
Per Capita Expenditure by Population Segment Aged, Non-Dual (BY3) $12,228 $10,288 Per_Capita_Exp_ALL_AGND_BY3
Per Capita Expenditure by Population Segment Aged, Non-Dual (PY) $13,206 $12,059 Per_Capita_Exp_ALL_AGND_PY
Per Capita Expenditure by Population Segment Disabled (BY1) $10,479 $10,226 Per_Capita_Exp_ALL_DIS_BY1
Per Capita Expenditure by Population Segment Disabled (BY2) $11,079 $10,191 Per_Capita_Exp_ALL_DIS_BY2
Per Capita Expenditure by Population Segment Disabled (BY3) $12,570 $10,605 Per_Capita_Exp_ALL_DIS_BY3
Per Capita Expenditure by Population Segment Disabled (PY) $12,653 $12,075 Per_Capita_Exp_ALL_DIS_PY
Per Capita Expenditure by Population Segment End-Stage Renal Disease (ESRD) (BY1) $86,484 $84,276 Per_Capita_Exp_ALL_ESRD_BY1
Per Capita Expenditure by Population Segment End-Stage Renal Disease (ESRD) (BY2) $87,846 $84,661 Per_Capita_Exp_ALL_ESRD_BY2
Per Capita Expenditure by Population Segment End-Stage Renal Disease (ESRD) (BY3) $94,635 $88,267 Per_Capita_Exp_ALL_ESRD_BY3
Per Capita Expenditure by Population Segment End-Stage Renal Disease (ESRD) (PY) $104,308 $93,398 Per_Capita_Exp_ALL_ESRD_PY
Per Capita Spending by Service Category Ambulance $122 $134 CapAnn_AmbPay
Per Capita Spending by Service Category Durable Medical Equipment $417 $405 CapAnn_DME
Per Capita Spending by Service Category Home Health $636 $470 CapAnn_HHA
Per Capita Spending by Service Category Hospice $295 $258 CapAnn_HSP
Per Capita Spending by Service Category Inpatient — All $3,247 $3,410 p38 CapAnn_INP_All
Per Capita Spending by Service Category Inpatient — Long-Term $52 $59 CapAnn_INP_L_trm
Per Capita Spending by Service Category Inpatient — Psychiatric $11 $37 CapAnn_INP_Psych
Per Capita Spending by Service Category Inpatient — Rehab $402 $367 CapAnn_INP_Rehab
Per Capita Spending by Service Category Inpatient — Short-Term Acute $2,802 $2,914 CapAnn_INP_S_trm
Per Capita Spending by Service Category Outpatient $2,404 $3,078 p21 CapAnn_OPD
Per Capita Spending by Service Category Physician / Supplier (Part B) $6,129 $4,341 p92 CapAnn_PB
Per Capita Spending by Service Category Skilled Nursing Facility $683 $655 p54 CapAnn_SNF
Program Structure ACO ID A2592 ACO_ID
Program Structure ACO Name BayCare Physician Partners ACO, LLC ACO_Name
Program Structure Agreement Period 4 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 1/1/2024 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 10 0 N_Hosp
Provider Composition Nurse Practitioners 575 215 N_NP
Provider Composition Other Facilities 13 0 N_Fac_Other
Provider Composition Physician Assistants 539 89 N_PA
Provider Composition Primary Care Physicians 502 206 N_PCP
Provider Composition Rural Health Clinics 0 0 N_RHC
Provider Composition Specialists 1,565 300 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 0.92% 0.85% RR_weight_AGND_PY
Risk Redistribution Weights Disabled Weight 0.04% 0.06% RR_weight_DIS_PY
Risk Redistribution Weights ESRD Weight 0.01% 0.03% RR_weight_ESRD_PY
Risk Scores Aged, Dual-Eligible (BY1) 1.130 0.994 CMS_HCC_RiskScore_AGDU_BY1
Risk Scores Aged, Dual-Eligible (BY2) 1.203 0.988 CMS_HCC_RiskScore_AGDU_BY2
Risk Scores Aged, Dual-Eligible (BY3) 1.235 0.983 CMS_HCC_RiskScore_AGDU_BY3
Risk Scores Aged, Dual-Eligible (PY) 1.297 0.954 p98 CMS_HCC_RiskScore_AGDU_PY
Risk Scores Aged, Non-Dual (BY1) 1.133 0.993 CMS_HCC_RiskScore_AGND_BY1
Risk Scores Aged, Non-Dual (BY2) 1.143 0.992 CMS_HCC_RiskScore_AGND_BY2
Risk Scores Aged, Non-Dual (BY3) 1.184 0.996 CMS_HCC_RiskScore_AGND_BY3
Risk Scores Aged, Non-Dual (PY) 1.232 0.983 p97 CMS_HCC_RiskScore_AGND_PY
Risk Scores Disabled (BY1) 1.012 0.974 CMS_HCC_RiskScore_DIS_BY1
Risk Scores Disabled (BY2) 1.004 0.967 CMS_HCC_RiskScore_DIS_BY2
Risk Scores Disabled (BY3) 1.034 0.965 CMS_HCC_RiskScore_DIS_BY3
Risk Scores Disabled (PY) 1.102 0.934 p91 CMS_HCC_RiskScore_DIS_PY
Risk Scores End-Stage Renal Disease (ESRD) (BY1) 1.076 1.011 CMS_HCC_RiskScore_ESRD_BY1
Risk Scores End-Stage Renal Disease (ESRD) (BY2) 1.011 1.011 CMS_HCC_RiskScore_ESRD_BY2
Risk Scores End-Stage Renal Disease (ESRD) (BY3) 1.076 1.006 CMS_HCC_RiskScore_ESRD_BY3
Risk Scores End-Stage Renal Disease (ESRD) (PY) 1.055 0.967 p90 CMS_HCC_RiskScore_ESRD_PY
Utilization — Admissions & Visits CT Scans (per 1,000) 923 751 p90 P_CT_VIS
Utilization — Admissions & Visits E&M Visits — Primary Care (per 1,000) 3,640 4,192 p33 P_EM_PCP_Vis
Utilization — Admissions & Visits E&M Visits — Specialist (per 1,000) 7,763 4,821 p96 P_EM_SP_Vis
Utilization — Admissions & Visits E&M Visits — Total (per 1,000) 14,255 12,433 P_EM_Total
Utilization — Admissions & Visits ED Visits (per 1,000) 604 618 p45 P_EDV_Vis
Utilization — Admissions & Visits ED Visits Resulting in Hospitalization (per 1,000) 211 179 P_EDV_Vis_HOSP
Utilization — Admissions & Visits FQHC / RHC Visits (per 1,000) 41 160 p32 P_FQHC_RHC_Vis
Utilization — Admissions & Visits Hospital Admissions (per 1,000) 262 251 p60 ADM
Utilization — Admissions & Visits Long-Term Admissions (per 1,000) 1 1 ADM_L_Trm
Utilization — Admissions & Visits MRI Scans (per 1,000) 334 247 p92 P_MRI_VIS
Utilization — Admissions & Visits Nurse Practitioner Visits (per 1,000) 2,811 2,464 p67 P_Nurse_Vis
Utilization — Admissions & Visits Psychiatric Admissions (per 1,000) 1 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) 244 229 ADM_S_Trm
Utilization — Admissions & Visits SNF Admissions (per 1,000) 47 40 P_SNF_ADM
Utilization — Admissions & Visits SNF Average Length of Stay (days) 26 27 p34 SNF_LOS
Utilization — Admissions & Visits SNF Average Payment per Stay $13,457 $15,338 p20 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 →