Aledade Arkansas ACO, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

43,818 p89

Savings Rate

6.94% p74

Quality Score

89.64 p82

Per Capita Expenditure, Total ($)

$14,212 p80

Generated Savings/Losses ($)

$45,622,416

Earned Savings/Losses ($)

$33,532,476

Updated Benchmark ($)

$15,272 p85

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	1/1/2023
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	43,818 p89	13,159	27,479
2	Historical Benchmark (per capita)	$12,724 p79	$11,439	$11,625
3	Regional Adjustment	+$329
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$15,272 p85	$13,279	$12,884

7	Total Benchmark (all beneficiaries)	$657,081,738
8	Total Expenditure (all beneficiaries)	$611,459,322
9	Per Capita Expenditure (PY)	$14,212 p80	$12,693	$12,178
10	Generated Savings / Losses	$45,622,416	$6,931,306	—

11	Savings Rate	6.94% p74	4.21%	7.88%
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	$33,532,476	$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)	$103,652	$111,520	$104,093	$112,396	↑	$97,601	+$14,795
Disabled	$10,834	$11,429	$12,137	$14,117	↑	$12,063	+$2,054
Aged, Dual-Eligible	$15,431	$16,031	$17,196	$21,321	↑	$18,328	+$2,993
Aged, Non-Dual	$10,132	$10,791	$11,260	$13,346	↑	$11,975	+$1,371
Total				$14,212		$12,693	$12,178

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)	1.019	1.006	1.037	1.045	→	+0.033	0.967
Disabled	0.979	0.944	1.005	0.999	→	-0.038	0.934
Aged, Dual-Eligible	0.980	0.933	0.960	0.968	→	-0.025	0.954
Aged, Non-Dual	0.968	0.949	0.986	0.993	→	-0.011	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)	—	1.012
Disabled	—	1.037
Aged, Dual-Eligible	—	0.993
Aged, Non-Dual	—	1.004

Risk Redistribution Weights (PY)

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

ESRD Weight	2.7%
Disabled Weight	4.0%
Aged Dual Weight	9.6%
Aged Non-Dual Weight	83.8%

Beneficiary Demographics

Distribution of 43,818 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

6.1%

Age 65–74

47.3%

Age 75–84

34.0%

Age 85+

12.7%

Gender

Female

55.7%

Male

44.3%

Race / Ethnicity

White

88.9%

Black

1.2%

Hispanic

3.2%

Asian

1.6%

Native American

0.2%

Other

2.4%

Unknown

2.4%

Special Populations

9.03% p66 Dual-Eligible (MSSP median: 6.9%)

0.58% p35 Long-Term Institutionalized (MSSP median: 0.89%)

642 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	132	138
Disabled	2,085	1,643
Aged, Dual-Eligible	2,746	2,796
Aged, Non-Dual	37,219	38,447
Total (PY)		43,024

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	$3,758 p70	25.7%	$3,410	$3,245
Inpatient — Short-Term Acute	$3,408		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$345		$367	—
Inpatient — Psychiatric	$18		$37	—
Hospice	$361	2.5%	$258	$233
Skilled Nursing Facility	$858 p72	5.9%	$655	$536
Outpatient	$2,958 p44	20.2%	$3,078	$2,471
Physician / Supplier (Part B)	$5,462 p82	37.3%	$4,341	$4,903
Ambulance	$125	0.9%	$134	$120
Home Health	$783	5.4%	$470	$422
Durable Medical Equipment	$321	2.2%	$405	$362

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

26.0% ED-to-Hospitalization Conversion Rate

0.97:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	203 p11	251	236
Short-Term Acute Admissions (per 1,000)	191	229	—
Long-Term Admissions (per 1,000)	*	1	—
Rehab Admissions (per 1,000)	11	15	—
Psychiatric Admissions (per 1,000)	*	3	—
ED Visits (per 1,000)	565 p30	618	525
ED Visits Resulting in Hospitalization (per 1,000)	147	179	—
CT Scans (per 1,000)	697 p29	751	724
MRI Scans (per 1,000)	308 p84	247	278
E&M Visits — Total (per 1,000)	12,832	12,433	—
E&M Visits — Primary Care (per 1,000)	5,615 p77	4,192	4,941
E&M Visits — Specialist (per 1,000)	5,800 p72	4,821	5,569
Nurse Practitioner Visits (per 1,000)	1,360 p5	2,464	2,216
FQHC / RHC Visits (per 1,000)	56 p36	160	21
SNF Admissions (per 1,000)	36	40	32
SNF Average Length of Stay (days)	27 p46	27	27
SNF Average Payment per Stay	$21,876 p88	$15,338	$15,267

Provider Composition

Facilities

Hospitals	1
Critical Access Hospitals	0
FQHCs	0
Rural Health Clinics	2
Extension of Treatment Areas	0
Other Facilities	2

Clinicians

Primary Care Physicians	265
Specialists	280
Nurse Practitioners	107
Physician Assistants	83
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 p31

82.3

How Well Providers Communicate p42

94.0

Patient's Rating of Provider p50

92.7

Access to Specialists p4

69.0

Health Promotion & Education p16

61.1

Shared Decision-Making p18

58.7

Health Status / Functional Status p99

79.3

Courteous & Helpful Office Staff p8

83.1

Care Coordination p7

90.1

Stewardship of Patient Resources p60

28.2

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) p82	89.64	83.13	87.30
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p38	0.15	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	33.46
Falls: Screening for Future Fall Risk p51	91.82	91.53	90.83
Influenza Immunization p65	73.16	70.06	72.39
Tobacco Use: Screening & Cessation Intervention p79	93.75	82.86	80.65
Colorectal Cancer Screening p71	83.13	80.23	81.79
Breast Cancer Screening p83	87.39	82.59	84.04
Statin Therapy for CVD Prevention p43	86.68	87.36	85.60
Depression Remission at 12 Months p92	34.48	14.29	13.79
Depression Screening & Follow-Up Plan p25 Reporting pathways Web Interface: 76.31 eCQM: - MIPS CQM: - Medicare CQM: -	76.31	83.73	81.37
Diabetes: HbA1c Poor Control (>9%) (lower is better) p75 Reporting pathways Web Interface: 10.67 eCQM: - MIPS CQM: - Medicare CQM: -	10.67	8.44	6.93
Controlling High Blood Pressure p64 Reporting pathways Web Interface: 82.58 eCQM: - MIPS CQM: - Medicare CQM: -	82.58	80.24	85.07

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

A1059 A3336 A4733 A1026 A5049 A4548 A4709 A5372 A2809 A5088 A4986 A2811 A4894 A2057 A1539 A4992 A1501 A4775 A1252 A3677 A5045 A3458 A3236 A5331 A1001 A4999 A3899 A2019 A4556 A3891

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	2,654	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	20,721	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	14,898	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	5,545	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	2,746	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	2,796	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	37,219	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	38,447	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	716	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	518	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	435	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	43,176	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	2,085	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	1,643	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	9.03%	6.89%	p66	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	3,886	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	132	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	138	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	24,385	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	1,397	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	0.58%	0.89%	p35	`Perc_LTI`
Beneficiary Demographics	Male	19,433	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	86	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	39,138	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	1,073	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	43,024	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	1,053	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	207	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	38,975	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	68.99	75.90	p4	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	90.11	93.24	p7	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	83.14	86.22	p8	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	82.31	84.11	p31	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	61.07	65.66	p16	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	79.27	74.69	p99	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	94.01	94.26	p42	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	92.72	92.70	p50	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	58.68	62.57	p18	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	28.17	27.09	p60	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.15	0.15	p38	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	87.39	82.59	p83	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	83.13	80.23	p71	`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)	82.58	80.24	p64	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	34.48	14.29	p92	`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)	76.31	83.73	p25	`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)	10.67	8.44	p75	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	91.82	91.53	p51	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	73.16	70.06	p65	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	89.64	83.13	p82	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	86.68	87.36	p43	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	93.75	82.86	p79	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	0.993	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.004	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	1.037	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.012	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	43,818	13,159	p89	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$45,622,416	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$33,532,476	$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	$45,622,416	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$12,724	$11,439	p79	`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)	$14,212	$12,693	p80	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$329	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	6.94%	4.21%	p74	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$657,081,738	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$611,459,322	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$15,272	$13,279	p85	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$15,431	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$16,031	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$17,196	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$21,321	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$10,132	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$10,791	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$11,260	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$13,346	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$10,834	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$11,429	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$12,137	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$14,117	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$103,652	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$111,520	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$104,093	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$112,396	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$125	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$321	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$783	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$361	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,758	$3,410	p70	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	*	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$18	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$345	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$3,408	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,958	$3,078	p44	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$5,462	$4,341	p82	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$858	$655	p72	`CapAnn_SNF`
Program Structure	ACO ID	A3299	—		`ACO_ID`
Program Structure	ACO Name	Aledade Arkansas ACO, 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	1/1/2023	—		`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	1	0		`N_Hosp`
Provider Composition	Nurse Practitioners	107	215		`N_NP`
Provider Composition	Other Facilities	2	0		`N_Fac_Other`
Provider Composition	Physician Assistants	83	89		`N_PA`
Provider Composition	Primary Care Physicians	265	206		`N_PCP`
Provider Composition	Rural Health Clinics	2	0		`N_RHC`
Provider Composition	Specialists	280	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	0.10%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.84%	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)	0.980	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	0.933	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	0.960	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.968	0.954	p54	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.968	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.949	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.986	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.993	0.983	p55	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.979	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.944	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	1.005	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.999	0.934	p73	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.019	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.006	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.037	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.045	0.967	p88	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	697	751	p29	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	5,615	4,192	p77	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	5,800	4,821	p72	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	12,832	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	565	618	p30	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	147	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	56	160	p36	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	203	251	p11	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	308	247	p84	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	1,360	2,464	p5	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	*	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	11	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	191	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	36	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	27	27	p46	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$21,876	$15,338	p88	`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 →