Prime Care Managers, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

20,005 p68

Savings Rate

3.00% p36

Quality Score

92.42 p91

Per Capita Expenditure, Total ($)

$13,302 p63

Generated Savings/Losses ($)

$8,082,198

Earned Savings/Losses ($)

$5,940,416

Updated Benchmark ($)

$13,714 p60

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 ?	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	20,005 p68	13,159	18,048
2	Historical Benchmark (per capita)	$12,539 p75	$11,439	$10,906
3	Regional Adjustment	+$450
4	Prior Savings Adjustment	+$315
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$13,714 p60	$13,279	$12,866

7	Total Benchmark (all beneficiaries)	$269,324,896
8	Total Expenditure (all beneficiaries)	$261,242,698
9	Per Capita Expenditure (PY)	$13,302 p63	$12,693	$12,028
10	Generated Savings / Losses	$8,082,198	$6,931,306	—

11	Savings Rate	3.00% p36	4.21%	7.41%
12	Minimum Savings Rate (threshold)	1.50%
13	Guardrail Applied	No
14	Final Shared Savings Rate	75.00%
15	Final Shared Loss Rate	40.00%
16	Earned Savings / Losses	$5,940,416	$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)	$71,178	$84,289	$86,408	$92,219	↑	$83,124	+$9,095
Disabled	$9,967	$9,049	$10,548	$12,061	↑	$10,711	+$1,350
Aged, Dual-Eligible	$23,224	$25,064	$24,059	$26,186	↑	$20,184	+$6,002
Aged, Non-Dual	$9,926	$10,566	$11,287	$12,766	↑	$12,204	+$562
Total				$13,302		$12,693	$12,028

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)	0.920	0.966	0.934	0.890	↓	-0.087	0.967
Disabled	0.925	0.872	0.922	0.887	↓	-0.048	0.934
Aged, Dual-Eligible	1.051	1.051	1.058	1.066	→	+0.017	0.954
Aged, Non-Dual	0.984	0.991	0.999	1.012	→	+0.012	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)	0.981	0.977
Disabled	0.937	0.935
Aged, Dual-Eligible	1.039	1.049
Aged, Non-Dual	0.993	1.000

Risk Redistribution Weights (PY)

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

ESRD Weight	2.5%
Disabled Weight	3.6%
Aged Dual Weight	4.2%
Aged Non-Dual Weight	89.7%

Beneficiary Demographics

Distribution of 20,005 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

5.9%

Age 65–74

48.5%

Age 75–84

34.7%

Age 85+

11.0%

Gender

Female

57.0%

Male

43.0%

Race / Ethnicity

White

91.2%

Black

6.6%

Hispanic

0.5%

Asian

0.2%

Native American

0.1%

Other

0.3%

Unknown

1.0%

Special Populations

3.08% p12 Dual-Eligible (MSSP median: 6.9%)

1.14% p61 Long-Term Institutionalized (MSSP median: 0.89%)

2277 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	75	74
Disabled	821	754
Aged, Dual-Eligible	441	387
Aged, Non-Dual	18,282	18,424
Total (PY)		19,639

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	$3,879 p76	28.5%	$3,410	$3,145
Inpatient — Short-Term Acute	$2,734		$2,914	—
Inpatient — Long-Term	$137		$59	—
Inpatient — Rehab	$1,005		$367	—
Inpatient — Psychiatric	$40		$37	—
Hospice	$371	2.7%	$258	$211
Skilled Nursing Facility	$516 p28	3.8%	$655	$538
Outpatient	$2,815 p38	20.7%	$3,078	$2,457
Physician / Supplier (Part B)	$4,356 p50	32.0%	$4,341	$4,672
Ambulance	$158	1.2%	$134	$114
Home Health	$1,011	7.4%	$470	$411
Durable Medical Equipment	$495	3.6%	$405	$399

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

26.0% ED-to-Hospitalization Conversion Rate

1.45:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	267 p65	251	229
Short-Term Acute Admissions (per 1,000)	218	229	—
Long-Term Admissions (per 1,000)	3	1	—
Rehab Admissions (per 1,000)	42	15	—
Psychiatric Admissions (per 1,000)	3	3	—
ED Visits (per 1,000)	628 p55	618	527
ED Visits Resulting in Hospitalization (per 1,000)	163	179	—
CT Scans (per 1,000)	842 p74	751	728
MRI Scans (per 1,000)	275 p67	247	261
E&M Visits — Total (per 1,000)	13,620	12,433	—
E&M Visits — Primary Care (per 1,000)	5,867 p81	4,192	5,798
E&M Visits — Specialist (per 1,000)	4,058 p28	4,821	5,097
Nurse Practitioner Visits (per 1,000)	3,633 p91	2,464	2,580
FQHC / RHC Visits (per 1,000)	62 p38	160	111
SNF Admissions (per 1,000)	28	40	32
SNF Average Length of Stay (days)	33 p91	27	27
SNF Average Payment per Stay	$16,588 p64	$15,338	$15,053

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	93
Specialists	79
Nurse Practitioners	129
Physician Assistants	22
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 p78

87.2

How Well Providers Communicate p75

95.2

Patient's Rating of Provider p40

92.4

Access to Specialists p95

82.3

Health Promotion & Education p5

58.3

Shared Decision-Making p21

59.3

Health Status / Functional Status p32

73.9

Courteous & Helpful Office Staff p58

86.6

Care Coordination p78

94.3

Stewardship of Patient Resources p90

33.3

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) p91	92.42	83.13	89.28
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p52	0.15	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	54.41
Falls: Screening for Future Fall Risk p60	93.12	91.53	91.57
Influenza Immunization p99	95.13	70.06	74.84
Tobacco Use: Screening & Cessation Intervention p79	93.75	82.86	82.35
Colorectal Cancer Screening p36	77.03	80.23	80.55
Breast Cancer Screening p94	90.26	82.59	85.33
Statin Therapy for CVD Prevention p91	93.51	87.36	85.97
Depression Remission at 12 Months p21	8.00	14.29	15.91
Depression Screening & Follow-Up Plan p93 Reporting pathways Web Interface: 94.88 eCQM: - MIPS CQM: - Medicare CQM: -	94.88	83.73	86.33
Diabetes: HbA1c Poor Control (>9%) (lower is better) p6 Reporting pathways Web Interface: 4.75 eCQM: - MIPS CQM: - Medicare CQM: -	4.75	8.44	6.93
Controlling High Blood Pressure p67 Reporting pathways Web Interface: 83.20 eCQM: - MIPS CQM: - Medicare CQM: -	83.20	80.24	86.79

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

A3630 A5260 A3899 A3236 A4986 A1225 A3783 A5372 A2809 A4556 A1488 A5378 A4992 A5356 A2811 A2909 A4996 A4856 A4960 A4794 A5116 A2916 A4548 A4979 A3047 A3016 A5360 A3891 A2778 A3507

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	1,171	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	9,697	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	6,936	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	2,201	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	441	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	387	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	18,282	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	18,424	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	47	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	1,312	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	1,523	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	17,728	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	821	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	754	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	3.08%	6.89%	p12	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	606	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	75	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	74	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	11,403	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	110	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	1.14%	0.89%	p61	`Perc_LTI`
Beneficiary Demographics	Male	8,602	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	28	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	19,033	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	68	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	19,639	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	205	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	754	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	18,235	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	82.30	75.90	p95	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	94.25	93.24	p78	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	86.63	86.22	p58	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	87.17	84.11	p78	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	58.32	65.66	p5	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	73.86	74.69	p32	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	95.16	94.26	p75	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	92.42	92.70	p40	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	59.27	62.57	p21	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	33.34	27.09	p90	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.15	0.15	p52	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	90.26	82.59	p94	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	77.03	80.23	p36	`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)	83.20	80.24	p67	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	8.00	14.29	p21	`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)	94.88	83.73	p93	`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)	4.75	8.44	p6	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	93.12	91.53	p60	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	95.13	70.06	p99	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	92.42	83.13	p91	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	93.51	87.36	p91	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	93.75	82.86	p79	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (BY3)	1.039	1.003		`Demog_RiskScore_AGDU_BY3`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.049	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (BY3)	0.993	1.003		`Demog_RiskScore_AGND_BY3`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.000	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (BY3)	0.937	0.980		`Demog_RiskScore_DIS_BY3`
Demographic Risk Scores	Disabled (PY)	0.935	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.981	0.991		`Demog_RiskScore_ESRD_BY3`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.977	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	20,005	13,159	p68	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$8,082,198	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$5,940,416	$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	$8,082,198	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	✗	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$12,539	$11,439	p75	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	1.50%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$13,302	$12,693	p63	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	$315	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$450	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	3.00%	4.21%	p36	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$269,324,896	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$261,242,698	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$13,714	$13,279	p60	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$23,224	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$25,064	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$24,059	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$26,186	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,926	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$10,566	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$11,287	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,766	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$9,967	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$9,049	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$10,548	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$12,061	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$71,178	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$84,289	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$86,408	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$92,219	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$158	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$495	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$1,011	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$371	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,879	$3,410	p76	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$137	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$40	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$1,005	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,734	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,815	$3,078	p38	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,356	$4,341	p50	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$516	$655	p28	`CapAnn_SNF`
Program Structure	ACO ID	A3280	—		`ACO_ID`
Program Structure	ACO Name	Prime Care Managers, LLC	—		`ACO_Name`
Program Structure	Agreement Period	3	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Renewal	—		`Agree_Type`
Program Structure	Assignment Type	Retrospective	—		`Assign_Type`
Program Structure	Current Track	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	129	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	22	89		`N_PA`
Provider Composition	Primary Care Physicians	93	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	79	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	0.90%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.04%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.03%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	1.051	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.051	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.058	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.066	0.954	p81	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.984	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.991	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.999	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.012	0.983	p64	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.925	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.872	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.922	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.887	0.934	p29	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	0.920	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	0.966	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.934	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.890	0.967	p9	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	842	751	p74	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	5,867	4,192	p81	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	4,058	4,821	p28	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	13,620	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	628	618	p55	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	163	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	62	160	p38	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	267	251	p65	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	3	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	275	247	p67	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	3,633	2,464	p91	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	3	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)	218	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	28	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	33	27	p91	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$16,588	$15,338	p64	`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 →