Aledade Kansas ACO, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

22,911 p73

Savings Rate

14.09% p96

Quality Score

96.72 p98

Per Capita Expenditure, Total ($)

$10,226 p2

Generated Savings/Losses ($)

$37,655,329

Earned Savings/Losses ($)

$27,676,666

Updated Benchmark ($)

$11,903 p20

Bottom quartile Middle Top quartile MSSP median shown in gray · Peer median in blue

Program Structure

Current Track	EN
Agreement Type	Renewal
Agreement Period	2
Start Date	7/1/2019
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	22,911 p73	13,159	18,750
2	Historical Benchmark (per capita)	$9,291 p2	$11,439	$10,879
3	Regional Adjustment	+$177
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$11,903 p20	$13,279	$12,538

7	Total Benchmark (all beneficiaries)	$267,304,308
8	Total Expenditure (all beneficiaries)	$229,648,979
9	Per Capita Expenditure (PY)	$10,226 p2	$12,693	$11,750
10	Generated Savings / Losses	$37,655,329	$6,931,306	—

11	Savings Rate	14.09% p96	4.21%	6.58%
12	Minimum Savings Rate (threshold)	1.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	75.00%
15	Final Shared Loss Rate	40.00%
16	Earned Savings / Losses	$27,676,666	$3,685,876	—

	Revenue-to-Expense Category	Low Revenue

Per Capita Expenditure by Population Segment

Annual per-beneficiary expenditure across benchmark years (BY1–BY3) and the performance year (PY). Includes Parts A and B FFS spending.

Population Segment	BY1	BY2	BY3	PY	Trend	Risk-Adj. Expected	Difference
End-Stage Renal Disease (ESRD)	$63,473	$65,210	$68,527	$81,850	↑	$88,541	−$6,691
Disabled	$9,872	$8,913	$9,282	$11,773	↑	$12,160	−$387
Aged, Dual-Eligible	$15,726	$16,291	$15,272	$19,255	↑	$19,862	−$607
Aged, Non-Dual	$7,843	$8,090	$8,266	$9,891	↑	$11,697	−$1,806
Total				$10,226		$12,693	$11,750

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)	0.955	1.027	0.968	0.948	→	-0.057	0.967
Disabled	0.942	0.896	0.924	1.007	↑	+0.064	0.934
Aged, Dual-Eligible	0.984	0.959	1.039	1.049	↑	+0.005	0.954
Aged, Non-Dual	0.873	0.888	0.923	0.970	↑	+0.009	0.983

Demographic Risk Scores

Demographic-only risk scores (age/sex/Medicaid status). Compared with HCC risk scores, the difference reflects clinical coding intensity.

Population Segment	BY3	PY
End-Stage Renal Disease (ESRD)	—	1.005
Disabled	—	0.943
Aged, Dual-Eligible	—	1.044
Aged, Non-Dual	—	0.961

Risk Redistribution Weights (PY)

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

ESRD Weight	0.8%
Disabled Weight	5.0%
Aged Dual Weight	3.5%
Aged Non-Dual Weight	90.7%

Beneficiary Demographics

Distribution of 22,911 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

7.1%

Age 65–74

52.8%

Age 75–84

30.1%

Age 85+

10.0%

Gender

Female

55.7%

Male

44.3%

Race / Ethnicity

White

93.5%

Black

2.1%

Hispanic

0.7%

Asian

0.6%

Native American

0.3%

Other

0.9%

Unknown

2.0%

Special Populations

3.5% p16 Dual-Eligible (MSSP median: 6.9%)

1.49% p70 Long-Term Institutionalized (MSSP median: 0.89%)

125 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	101	25
Disabled	1,984	1,031
Aged, Dual-Eligible	654	405
Aged, Non-Dual	19,056	20,996
Total (PY)		22,457

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	$2,464 p2	23.6%	$3,410	$2,973
Inpatient — Short-Term Acute	$2,245		$2,914	—
Inpatient — Long-Term	$29		$59	—
Inpatient — Rehab	$172		$367	—
Inpatient — Psychiatric	$20		$37	—
Hospice	$149	1.4%	$258	$182
Skilled Nursing Facility	$674 p53	6.4%	$655	$516
Outpatient	$2,387 p20	22.8%	$3,078	$2,450
Physician / Supplier (Part B)	$4,056 p43	38.8%	$4,341	$4,574
Ambulance	$104	1.0%	$134	$110
Home Health	$267	2.6%	$470	$393
Durable Medical Equipment	$358	3.4%	$405	$403

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

22.0% ED-to-Hospitalization Conversion Rate

1.60:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	190 p6	251	215
Short-Term Acute Admissions (per 1,000)	179	229	—
Long-Term Admissions (per 1,000)	1	1	—
Rehab Admissions (per 1,000)	7	15	—
Psychiatric Admissions (per 1,000)	2	3	—
ED Visits (per 1,000)	478 p5	618	527
ED Visits Resulting in Hospitalization (per 1,000)	105	179	—
CT Scans (per 1,000)	656 p18	751	718
MRI Scans (per 1,000)	218 p28	247	247
E&M Visits — Total (per 1,000)	10,633	12,433	—
E&M Visits — Primary Care (per 1,000)	4,807 p67	4,192	5,600
E&M Visits — Specialist (per 1,000)	3,011 p7	4,821	4,616
Nurse Practitioner Visits (per 1,000)	2,380 p45	2,464	2,414
FQHC / RHC Visits (per 1,000)	435 p65	160	132
SNF Admissions (per 1,000)	37	40	32
SNF Average Length of Stay (days)	25 p20	27	27
SNF Average Payment per Stay	$17,700 p73	$15,338	$15,465

Provider Composition

Facilities

Hospitals	0
Critical Access Hospitals	2
FQHCs	0
Rural Health Clinics	5
Extension of Treatment Areas	0
Other Facilities	0

Clinicians

Primary Care Physicians	157
Specialists	137
Nurse Practitioners	139
Physician Assistants	81
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 p68

86.2

How Well Providers Communicate p44

94.1

Patient's Rating of Provider p43

92.5

Access to Specialists p47

75.8

Health Promotion & Education p49

65.7

Shared Decision-Making p59

63.5

Health Status / Functional Status p83

76.5

Courteous & Helpful Office Staff p45

85.9

Care Coordination p79

94.4

Stewardship of Patient Resources p83

31.4

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) p98	96.72	83.13	87.42
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p4	0.13	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	30.93
Falls: Screening for Future Fall Risk p52	92.04	91.53	90.83
Influenza Immunization p86	81.88	70.06	74.83
Tobacco Use: Screening & Cessation Intervention p30	75.00	82.86	86.36
Colorectal Cancer Screening p75	84.04	80.23	80.00
Breast Cancer Screening p87	88.36	82.59	83.82
Statin Therapy for CVD Prevention p48	87.22	87.36	86.07
Depression Remission at 12 Months p63	17.65	14.29	10.77
Depression Screening & Follow-Up Plan p79 Reporting pathways Web Interface: 90.45 eCQM: - MIPS CQM: - Medicare CQM: -	90.45	83.73	83.28
Diabetes: HbA1c Poor Control (>9%) (lower is better) p40 Reporting pathways Web Interface: 7.84 eCQM: - MIPS CQM: - Medicare CQM: -	7.84	8.44	7.08
Controlling High Blood Pressure p96 Reporting pathways Web Interface: 91.08 eCQM: - MIPS CQM: - Medicare CQM: -	91.08	80.24	85.39

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, physician-led ACOs

View 30 peer ACOs

A2600 A5003 A5349 A4986 A2809 A4707 A4756 A4992 A5372 A5260 A3318 A4548 A2811 A5049 A2308 A2778 A3458 A4856 A3891 A3280 A5116 A5423 A5356 A4709 A4768 A4556 A4999 A1539 A4794 A4996

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.

Download CSV

Show 185 rows

Source	Metric	Value	National Median	Pctl.	Raw key
Beneficiary Demographics	Age 0–64	1,616	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	12,099	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	6,902	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	2,294	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	654	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	405	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	19,056	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	20,996	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	140	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	471	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	97	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	22,786	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	1,984	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	1,031	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	3.50%	6.89%	p16	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	786	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	101	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	25	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	12,772	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	150	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	1.49%	0.89%	p70	`Perc_LTI`
Beneficiary Demographics	Male	10,139	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	69	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	21,671	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	202	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	22,457	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	450	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	28	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	21,429	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	75.77	75.90	p47	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	94.38	93.24	p79	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	85.94	86.22	p45	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	86.15	84.11	p68	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	65.65	65.66	p49	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	76.46	74.69	p83	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	94.09	94.26	p44	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	92.48	92.70	p43	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	63.50	62.57	p59	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	31.43	27.09	p83	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.13	0.15	p4	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	88.36	82.59	p87	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	84.04	80.23	p75	`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)	91.08	80.24	p96	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	17.65	14.29	p63	`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)	90.45	83.73	p79	`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)	7.84	8.44	p40	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	92.04	91.53	p52	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	81.88	70.06	p86	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	96.72	83.13	p98	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	87.22	87.36	p48	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	75.00	82.86	p30	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.044	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.961	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.943	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.005	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	22,911	13,159	p73	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$37,655,329	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$27,676,666	$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	$37,655,329	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$9,291	$11,439	p2	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	1.00%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$10,226	$12,693	p2	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$177	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	14.09%	4.21%	p96	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$267,304,308	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$229,648,979	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$11,903	$13,279	p20	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$15,726	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$16,291	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$15,272	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$19,255	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$7,843	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$8,090	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$8,266	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$9,891	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$9,872	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$8,913	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$9,282	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$11,773	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$63,473	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$65,210	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$68,527	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$81,850	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$104	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$358	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$267	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$149	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$2,464	$3,410	p2	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$29	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$20	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$172	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,245	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,387	$3,078	p20	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,056	$4,341	p43	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$674	$655	p53	`CapAnn_SNF`
Program Structure	ACO ID	A2916	—		`ACO_ID`
Program Structure	ACO Name	Aledade Kansas ACO, LLC	—		`ACO_Name`
Program Structure	Agreement Period	2	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Renewal	—		`Agree_Type`
Program Structure	Assignment Type	Retrospective	—		`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	7/1/2019	—		`Current_Start_Date`
Provider Composition	Clinical Nurse Specialists	1	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	0	0		`N_Hosp`
Provider Composition	Nurse Practitioners	139	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	81	89		`N_PA`
Provider Composition	Primary Care Physicians	157	206		`N_PCP`
Provider Composition	Rural Health Clinics	5	0		`N_RHC`
Provider Composition	Specialists	137	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	0.91%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.05%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.01%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	0.984	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	0.959	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.039	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.049	0.954	p77	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.873	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.888	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.923	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.970	0.983	p42	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.942	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.896	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.924	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	1.007	0.934	p76	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	0.955	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.027	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)	0.948	0.967	p36	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	656	751	p18	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	4,807	4,192	p67	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	3,011	4,821	p7	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	10,633	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	478	618	p5	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	105	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	435	160	p65	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	190	251	p6	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	1	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	218	247	p28	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,380	2,464	p45	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	2	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	7	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	179	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	37	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	$17,700	$15,338	p73	`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 →