MultiCare Connected Care, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

31,863 p81

Savings Rate

1.03% p19

Quality Score

82.59 p47

Per Capita Expenditure, Total ($)

$13,322 p64

Generated Savings/Losses ($)

$4,319,229

Earned Savings/Losses ($)

$3,174,634

Updated Benchmark ($)

$13,461 p54

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	1/1/2022
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	31,863 p81	13,159	37,765
2	Historical Benchmark (per capita)	$10,953 p38	$11,439	$11,522
3	Regional Adjustment	+$197
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$13,461 p54	$13,279	$13,758

7	Total Benchmark (all beneficiaries)	$420,714,510
8	Total Expenditure (all beneficiaries)	$416,395,281
9	Per Capita Expenditure (PY)	$13,322 p64	$12,693	$13,164
10	Generated Savings / Losses	$4,319,229	$6,931,306	—

11	Savings Rate	1.03% p19	4.21%	4.65%
12	Minimum Savings Rate (threshold)	0.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	75.00%
15	Final Shared Loss Rate	40.00%
16	Earned Savings / Losses	$3,174,634	$3,685,876	—

	Revenue-to-Expense Category	High 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)	$90,903	$82,574	$92,213	$101,603	↑	$94,052	+$7,551
Disabled	$9,714	$8,949	$9,042	$10,057	↑	$10,819	−$762
Aged, Dual-Eligible	$16,784	$16,208	$14,603	$19,663	↑	$18,404	+$1,259
Aged, Non-Dual	$10,244	$9,234	$10,250	$12,953	↑	$12,903	+$50
Total				$13,322		$12,693	$13,164

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)	1.025	1.036	1.028	1.007	→	+0.029	0.967
Disabled	0.942	0.929	0.947	0.896	↓	-0.041	0.934
Aged, Dual-Eligible	1.020	1.050	1.066	0.972	↓	-0.047	0.954
Aged, Non-Dual	1.070	1.053	1.084	1.070	→	+0.017	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)	—	0.978
Disabled	—	0.937
Aged, Dual-Eligible	—	1.019
Aged, Non-Dual	—	1.053

Risk Redistribution Weights (PY)

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

ESRD Weight	3.4%
Disabled Weight	5.4%
Aged Dual Weight	3.8%
Aged Non-Dual Weight	87.4%

Beneficiary Demographics

Distribution of 31,863 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

6.3%

Age 65–74

41.7%

Age 75–84

37.6%

Age 85+

14.4%

Gender

Female

56.0%

Male

44.0%

Race / Ethnicity

White

91.2%

Black

2.1%

Hispanic

0.4%

Asian

1.8%

Native American

0.5%

Other

1.7%

Unknown

2.4%

Special Populations

5.26% p35 Dual-Eligible (MSSP median: 6.9%)

0.32% p16 Long-Term Institutionalized (MSSP median: 0.89%)

522 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	206	132
Disabled	2,797	1,892
Aged, Dual-Eligible	1,078	786
Aged, Non-Dual	30,008	28,445
Total (PY)		31,255

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	$3,424 p50	25.1%	$3,410	$3,467
Inpatient — Short-Term Acute	$3,213		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$182		$367	—
Inpatient — Psychiatric	$31		$37	—
Hospice	$299	2.2%	$258	$362
Skilled Nursing Facility	$871 p73	6.4%	$655	$778
Outpatient	$3,585 p70	26.3%	$3,078	$3,497
Physician / Supplier (Part B)	$4,386 p51	32.1%	$4,341	$4,006
Ambulance	$139	1.0%	$134	$130
Home Health	$520	3.8%	$470	$524
Durable Medical Equipment	$422	3.1%	$405	$417

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

26.6% ED-to-Hospitalization Conversion Rate

0.93:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	234 p31	251	262
Short-Term Acute Admissions (per 1,000)	226	229	—
Long-Term Admissions (per 1,000)	*	1	—
Rehab Admissions (per 1,000)	7	15	—
Psychiatric Admissions (per 1,000)	*	3	—
ED Visits (per 1,000)	685 p75	618	625
ED Visits Resulting in Hospitalization (per 1,000)	182	179	—
CT Scans (per 1,000)	877 p82	751	815
MRI Scans (per 1,000)	234 p39	247	252
E&M Visits — Total (per 1,000)	10,856	12,433	—
E&M Visits — Primary Care (per 1,000)	3,530 p30	4,192	3,824
E&M Visits — Specialist (per 1,000)	3,791 p22	4,821	4,931
Nurse Practitioner Visits (per 1,000)	3,430 p88	2,464	2,850
FQHC / RHC Visits (per 1,000)	104 p43	160	159
SNF Admissions (per 1,000)	49	40	46
SNF Average Length of Stay (days)	25 p20	27	26
SNF Average Payment per Stay	$17,031 p68	$15,338	$14,790

Provider Composition

Facilities

Hospitals	10
Critical Access Hospitals	0
FQHCs	0
Rural Health Clinics	1
Extension of Treatment Areas	0
Other Facilities	12

Clinicians

Primary Care Physicians	918
Specialists	2,076
Nurse Practitioners	1,003
Physician Assistants	765
Clinical Nurse Specialists	2

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 p7

77.4

How Well Providers Communicate p23

93.2

Patient's Rating of Provider p23

91.4

Access to Specialists p4

68.7

Health Promotion & Education p23

62.3

Shared Decision-Making p17

58.4

Health Status / Functional Status p56

75.0

Courteous & Helpful Office Staff p27

84.8

Care Coordination p87

94.8

Stewardship of Patient Resources p2

18.1

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) p47	82.59	83.13	87.58
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p20	0.14	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ? p47	35.47	36.11	35.32
Falls: Screening for Future Fall Risk p53	92.23	91.53	94.06
Influenza Immunization p42	67.33	70.06	72.43
Tobacco Use: Screening & Cessation Intervention p30	75.00	82.86	85.71
Colorectal Cancer Screening p51	80.43	80.23	84.12
Breast Cancer Screening p40	80.45	82.59	86.59
Statin Therapy for CVD Prevention p45	86.90	87.36	87.97
Depression Remission at 12 Months p11	4.76	14.29	10.87
Depression Screening & Follow-Up Plan p18 Reporting pathways Web Interface: 74.09 eCQM: - MIPS CQM: - Medicare CQM: -	74.09	83.73	83.22
Diabetes: HbA1c Poor Control (>9%) (lower is better) p44 Reporting pathways Web Interface: 8.01 eCQM: - MIPS CQM: - Medicare CQM: -	8.01	8.44	7.71
Controlling High Blood Pressure p65 Reporting pathways Web Interface: 82.72 eCQM: - MIPS CQM: - Medicare CQM: -	82.72	80.24	81.78

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, hospital-affiliated ACOs

View 30 peer ACOs

A1694 A2550 A1204 A3380 A4938 A2419 A2217 A5331 A1535 A4949 A5124 A5040 A3521 A2729 A1033 A2592 A2272 A1175 A2024 A3053 A4551 A4931 A4575 A1061 A4559 A1196 A1552 A2342 A2021 A4527

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	1,996	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	13,281	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	11,991	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	4,595	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	1,078	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	786	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	30,008	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	28,445	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	572	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	665	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	405	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	31,341	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	2,797	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	1,892	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	5.26%	6.89%	p35	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	1,645	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	206	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	132	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	17,854	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	132	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	0.32%	0.89%	p16	`Perc_LTI`
Beneficiary Demographics	Male	14,009	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	148	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	29,611	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	552	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	31,255	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	750	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	117	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	29,044	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	68.65	75.90	p4	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	94.82	93.24	p87	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	84.80	86.22	p27	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	77.38	84.11	p7	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	62.30	65.66	p23	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	74.99	74.69	p56	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	93.16	94.26	p23	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	91.42	92.70	p23	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	58.44	62.57	p17	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	18.06	27.09	p2	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.14	0.15	p20	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	80.45	82.59	p40	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	80.43	80.23	p51	`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)	82.72	80.24	p65	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	4.76	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)	74.09	83.73	p18	`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)	8.01	8.44	p44	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	92.23	91.53	p53	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	67.33	70.06	p42	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	82.59	83.13	p47	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	35.47	36.11	p47	`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	86.90	87.36	p45	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	75.00	82.86	p30	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.019	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.053	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.937	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.978	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	31,863	13,159	p81	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$4,319,229	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$3,174,634	$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	$4,319,229	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$10,953	$11,439	p38	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	0.00%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$13,322	$12,693	p64	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$197	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	1.03%	4.21%	p19	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$420,714,510	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$416,395,281	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$13,461	$13,279	p54	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$16,784	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$16,208	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$14,603	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$19,663	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$10,244	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$9,234	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,250	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,953	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$9,714	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$8,949	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$9,042	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$10,057	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$90,903	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$82,574	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$92,213	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$101,603	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$139	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$422	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$520	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$299	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,424	$3,410	p50	`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	$31	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$182	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$3,213	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$3,585	$3,078	p70	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,386	$4,341	p51	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$871	$655	p73	`CapAnn_SNF`
Program Structure	ACO ID	A3631	—		`ACO_ID`
Program Structure	ACO Name	MultiCare Connected Care, LLC	—		`ACO_Name`
Program Structure	Agreement Period	2	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	1/1/2022	—		`Current_Start_Date`
Provider Composition	Clinical Nurse Specialists	2	0		`N_CNS`
Provider Composition	Critical Access Hospitals	0	0		`N_CAH`
Provider Composition	Extension of Treatment Areas	0	0		`N_ETA`
Provider Composition	FQHCs	0	0		`N_FQHC`
Provider Composition	Hospitals	10	0		`N_Hosp`
Provider Composition	Nurse Practitioners	1,003	215		`N_NP`
Provider Composition	Other Facilities	12	0		`N_Fac_Other`
Provider Composition	Physician Assistants	765	89		`N_PA`
Provider Composition	Primary Care Physicians	918	206		`N_PCP`
Provider Composition	Rural Health Clinics	1	0		`N_RHC`
Provider Composition	Specialists	2,076	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	0.87%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.05%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.03%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	1.020	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.050	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.066	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.972	0.954	p55	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.070	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.053	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.084	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.070	0.983	p83	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.942	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.929	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.947	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.896	0.934	p33	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.025	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.036	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.028	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.007	0.967	p71	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	877	751	p82	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	3,530	4,192	p30	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	3,791	4,821	p22	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	10,856	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	685	618	p75	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	182	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	104	160	p43	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	234	251	p31	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	234	247	p39	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	3,430	2,464	p88	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	*	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)	226	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	49	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	$17,031	$15,338	p68	`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 →