Nebraska Health Network, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

35,290 p84

Savings Rate

2.13% p27

Quality Score

90.33 p85

Per Capita Expenditure, Total ($)

$12,571 p47

Generated Savings/Losses ($)

$9,471,019

Earned Savings/Losses ($)

$6,961,199

Updated Benchmark ($)

$12,844 p40

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	1/1/2024
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	35,290 p84	13,159	32,860
2	Historical Benchmark (per capita)	$11,963 p61	$11,439	$11,985
3	Regional Adjustment	+$67
4	Prior Savings Adjustment	+$100
5	Adjustment Category	Prior Savings Adjustment
6	Updated Benchmark (per capita)	$12,844 p40	$13,279	$13,301

7	Total Benchmark (all beneficiaries)	$445,526,314
8	Total Expenditure (all beneficiaries)	$436,055,295
9	Per Capita Expenditure (PY)	$12,571 p47	$12,693	$12,813
10	Generated Savings / Losses	$9,471,019	$6,931,306	—

11	Savings Rate	2.13% p27	4.21%	3.39%
12	Minimum Savings Rate (threshold)	1.00%
13	Guardrail Applied	No
14	Final Shared Savings Rate	75.00%
15	Final Shared Loss Rate	40.00%
16	Earned Savings / Losses	$6,961,199	$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)	$86,610	$87,256	$98,176	$101,654	↑	$94,706	+$6,948
Disabled	$11,143	$11,082	$11,663	$12,104	↑	$13,609	−$1,505
Aged, Dual-Eligible	$19,343	$20,410	$21,764	$21,801	↑	$20,941	+$860
Aged, Non-Dual	$9,811	$10,392	$11,501	$12,243	↑	$12,168	+$75
Total				$12,571		$12,693	$12,813

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)	1.030	1.076	1.034	1.014	→	+0.044	0.967
Disabled	1.165	1.106	1.123	1.127	↓	+0.183	0.934
Aged, Dual-Eligible	1.134	1.133	1.154	1.106	→	+0.052	0.954
Aged, Non-Dual	1.016	1.011	1.003	1.009	→	+0.025	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)	0.975	0.970
Disabled	0.944	0.944
Aged, Dual-Eligible	1.045	1.054
Aged, Non-Dual	0.986	0.984

Risk Redistribution Weights (PY)

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

ESRD Weight	1.6%
Disabled Weight	4.5%
Aged Dual Weight	3.3%
Aged Non-Dual Weight	90.6%

Beneficiary Demographics

Distribution of 35,290 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

4.6%

Age 65–74

50.7%

Age 75–84

33.6%

Age 85+

11.2%

Gender

Female

58.6%

Male

41.4%

Race / Ethnicity

White

92.8%

Black

2.2%

Hispanic

0.3%

Asian

0.5%

Native American

0.1%

Other

0.6%

Unknown

3.5%

Special Populations

4.07% p22 Dual-Eligible (MSSP median: 6.9%)

1.54% p72 Long-Term Institutionalized (MSSP median: 0.89%)

188 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	64	64
Disabled	1,759	1,532
Aged, Dual-Eligible	758	614
Aged, Non-Dual	32,104	32,476
Total (PY)		34,686

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	$3,092 p28	24.1%	$3,410	$3,467
Inpatient — Short-Term Acute	$2,887		$2,914	—
Inpatient — Long-Term	$69		$59	—
Inpatient — Rehab	$148		$367	—
Inpatient — Psychiatric	$14		$37	—
Hospice	$328	2.6%	$258	$333
Skilled Nursing Facility	$843 p70	6.6%	$655	$640
Outpatient	$3,576 p70	27.9%	$3,078	$2,872
Physician / Supplier (Part B)	$4,001 p40	31.2%	$4,341	$4,756
Ambulance	$92	0.7%	$134	$113
Home Health	$453	3.5%	$470	$420
Durable Medical Equipment	$440	3.4%	$405	$391

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

31.1% ED-to-Hospitalization Conversion Rate

0.94:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	246 p44	251	252
Short-Term Acute Admissions (per 1,000)	239	229	—
Long-Term Admissions (per 1,000)	2	1	—
Rehab Admissions (per 1,000)	4	15	—
Psychiatric Admissions (per 1,000)	1	3	—
ED Visits (per 1,000)	576 p33	618	585
ED Visits Resulting in Hospitalization (per 1,000)	179	179	—
CT Scans (per 1,000)	786 p58	751	752
MRI Scans (per 1,000)	228 p35	247	267
E&M Visits — Total (per 1,000)	11,386	12,433	—
E&M Visits — Primary Care (per 1,000)	4,245 p51	4,192	4,262
E&M Visits — Specialist (per 1,000)	4,500 p39	4,821	5,610
Nurse Practitioner Visits (per 1,000)	2,515 p53	2,464	2,834
FQHC / RHC Visits (per 1,000)	127 p46	160	50
SNF Admissions (per 1,000)	53	40	42
SNF Average Length of Stay (days)	28 p58	27	26
SNF Average Payment per Stay	$15,036 p45	$15,338	$14,520

Provider Composition

Facilities

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

Clinicians

Primary Care Physicians	567
Specialists	1,323
Nurse Practitioners	595
Physician Assistants	395
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 p71

86.4

How Well Providers Communicate p64

94.7

Patient's Rating of Provider p91

94.7

Access to Specialists p90

80.8

Health Promotion & Education p91

71.2

Shared Decision-Making p71

64.7

Health Status / Functional Status p61

75.2

Courteous & Helpful Office Staff p99

90.1

Care Coordination p64

93.8

Stewardship of Patient Resources p99

39.8

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) p85	90.33	83.13	88.32
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p63	0.16	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	31.13
Falls: Screening for Future Fall Risk p67	94.46	91.53	92.88
Influenza Immunization p81	79.25	70.06	72.96
Tobacco Use: Screening & Cessation Intervention p19	68.00	82.86	85.71
Colorectal Cancer Screening p85	86.27	80.23	83.06
Breast Cancer Screening p99	94.50	82.59	84.04
Statin Therapy for CVD Prevention p67	89.34	87.36	87.15
Depression Remission at 12 Months p11	4.65	14.29	11.11
Depression Screening & Follow-Up Plan p78 Reporting pathways Web Interface: 90.35 eCQM: - MIPS CQM: - Medicare CQM: -	90.35	83.73	86.37
Diabetes: HbA1c Poor Control (>9%) (lower is better) p18 Reporting pathways Web Interface: 5.92 eCQM: - MIPS CQM: - Medicare CQM: -	5.92	8.44	7.86
Controlling High Blood Pressure p44 Reporting pathways Web Interface: 79.06 eCQM: - MIPS CQM: - Medicare CQM: -	79.06	80.24	80.99

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

View 30 peer ACOs

A5318 A5170 A4868 A3473 A2098 A4931 A1242 A1501 A4979 A5176 A5331 A2057 A4516 A3834 A3053 A4976 A5049 A1026 A3521 A4548 A3324 A3380 A1403 A2029 A5372 A5124 A2019 A2205 A2811 A4922

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	1,617	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	17,882	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	11,846	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	3,945	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	758	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	614	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	32,104	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	32,476	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	162	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	781	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	146	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	35,102	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	1,759	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	1,532	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	4.07%	6.89%	p22	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	1,412	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	64	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	64	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	20,696	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	112	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	1.54%	0.89%	p72	`Perc_LTI`
Beneficiary Demographics	Male	14,594	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	34	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	33,274	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	226	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	34,686	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	1,235	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	42	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	32,740	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	80.84	75.90	p90	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	93.75	93.24	p64	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	90.12	86.22	p99	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	86.44	84.11	p71	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	71.18	65.66	p91	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	75.23	74.69	p61	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	94.73	94.26	p64	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	94.65	92.70	p91	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	64.69	62.57	p71	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	39.83	27.09	p99	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.16	0.15	p63	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	94.50	82.59	p99	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	86.27	80.23	p85	`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)	79.06	80.24	p44	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	4.65	14.29	p11	`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)	90.35	83.73	p78	`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)	5.92	8.44	p18	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	94.46	91.53	p67	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	79.25	70.06	p81	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	90.33	83.13	p85	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	89.34	87.36	p67	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	68.00	82.86	p19	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (BY3)	1.045	1.003		`Demog_RiskScore_AGDU_BY3`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.054	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (BY3)	0.986	1.003		`Demog_RiskScore_AGND_BY3`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.984	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (BY3)	0.944	0.980		`Demog_RiskScore_DIS_BY3`
Demographic Risk Scores	Disabled (PY)	0.944	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.975	0.991		`Demog_RiskScore_ESRD_BY3`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.970	0.987		`Demog_RiskScore_ESRD_PY`
Financial Performance	Adjustment Category	Prior Savings 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	35,290	13,159	p84	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$9,471,019	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$6,961,199	$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	$9,471,019	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	✗	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$11,963	$11,439	p61	`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)	$12,571	$12,693	p47	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	$100	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$67	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	2.13%	4.21%	p27	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$445,526,314	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$436,055,295	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$12,844	$13,279	p40	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$19,343	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$20,410	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$21,764	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$21,801	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,811	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$10,392	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$11,501	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,243	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$11,143	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$11,082	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$11,663	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$12,104	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$86,610	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$87,256	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$98,176	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$101,654	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$92	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$440	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$453	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$328	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,092	$3,410	p28	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$69	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$14	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$148	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,887	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$3,576	$3,078	p70	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,001	$4,341	p40	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$843	$655	p70	`CapAnn_SNF`
Program Structure	ACO ID	A3273	—		`ACO_ID`
Program Structure	ACO Name	Nebraska Health Network, 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	1/1/2024	—		`Current_Start_Date`
Provider Composition	Clinical Nurse Specialists	0	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	0	0		`N_Hosp`
Provider Composition	Nurse Practitioners	595	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	395	89		`N_PA`
Provider Composition	Primary Care Physicians	567	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	1,323	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)	1.134	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.133	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.154	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.106	0.954	p88	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.016	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.011	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.003	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.009	0.983	p63	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	1.165	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	1.106	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	1.123	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	1.127	0.934	p92	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.030	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.076	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.034	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.014	0.967	p75	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	786	751	p58	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	4,245	4,192	p51	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	4,500	4,821	p39	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	11,386	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	576	618	p33	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	179	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	127	160	p46	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	246	251	p44	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	2	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	228	247	p35	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,515	2,464	p53	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	1	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	4	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	239	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	53	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	28	27	p58	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$15,036	$15,338	p45	`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 →