SolutionHealth ACO LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

13,446 p51

Savings Rate

-1.03% p6

Quality Score

87.58 p71

Per Capita Expenditure, Total ($)

$13,871 p75

Generated Savings/Losses ($)

$-1,845,651

Earned Savings/Losses ($)

$-551,873

Updated Benchmark ($)

$13,730 p60

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

Program Structure

Current Track	E
Agreement Type	Re-entering
Agreement Period	3
Start Date	7/1/2019
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	13,446 p51	13,159	13,532
2	Historical Benchmark (per capita)	$11,410 p49	$11,439	$12,060
3	Regional Adjustment	+$111
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$13,730 p60	$13,279	$13,916

7	Total Benchmark (all beneficiaries)	$180,007,309
8	Total Expenditure (all beneficiaries)	$181,852,960
9	Per Capita Expenditure (PY)	$13,871 p75	$12,693	$13,316
10	Generated Savings / Losses	$-1,845,651	$6,931,306	—

11	Savings Rate	-1.03% p6	4.21%	3.30%
12	Minimum Savings Rate (threshold)	0.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	50.00%
15	Final Shared Loss Rate	30.00%
16	Earned Savings / Losses	$-551,873	$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)	$89,933	$93,705	$93,062	$94,150	↑	$88,541	+$5,609
Disabled	$10,497	$9,620	$10,257	$13,516	↑	$10,529	+$2,987
Aged, Dual-Eligible	$17,872	$19,076	$20,407	$24,068	↑	$19,559	+$4,509
Aged, Non-Dual	$9,879	$9,994	$10,316	$12,917	↑	$11,806	+$1,111
Total				$13,871		$12,693	$13,316

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	1.049	1.009	0.948	↓	-0.054	0.967
Disabled	0.968	0.951	0.926	0.872	↓	-0.082	0.934
Aged, Dual-Eligible	1.172	1.070	1.079	1.033	↓	-0.048	0.954
Aged, Non-Dual	1.032	1.015	1.009	0.979	↓	-0.058	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)	—	1.002
Disabled	—	0.954
Aged, Dual-Eligible	—	1.081
Aged, Non-Dual	—	1.037

Risk Redistribution Weights (PY)

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

ESRD Weight	3.7%
Disabled Weight	6.1%
Aged Dual Weight	8.4%
Aged Non-Dual Weight	81.7%

Beneficiary Demographics

Distribution of 13,446 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

6.8%

Age 65–74

42.3%

Age 75–84

36.4%

Age 85+

14.6%

Gender

Female

59.1%

Male

40.9%

Race / Ethnicity

White

95.0%

Black

0.6%

Hispanic

0.0%

Asian

0.6%

Native American

0.0%

Other

0.7%

Unknown

2.8%

Special Populations

7.54% p56 Dual-Eligible (MSSP median: 6.9%)

3.85% p93 Long-Term Institutionalized (MSSP median: 0.89%)

128 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	89	60
Disabled	1,880	861
Aged, Dual-Eligible	989	634
Aged, Non-Dual	13,351	11,555
Total (PY)		13,111

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	$3,810 p73	26.8%	$3,410	$3,808
Inpatient — Short-Term Acute	$3,182		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$499		$367	—
Inpatient — Psychiatric	$107		$37	—
Hospice	$570	4.0%	$258	$368
Skilled Nursing Facility	$994 p80	7.0%	$655	$728
Outpatient	$4,234 p84	29.7%	$3,078	$3,192
Physician / Supplier (Part B)	$3,601 p25	25.3%	$4,341	$4,231
Ambulance	$177	1.2%	$134	$129
Home Health	$524	3.7%	$470	$645
Durable Medical Equipment	$326	2.3%	$405	$402

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

34.1% ED-to-Hospitalization Conversion Rate

0.56:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	289 p81	251	265
Short-Term Acute Admissions (per 1,000)	260	229	—
Long-Term Admissions (per 1,000)	*	1	—
Rehab Admissions (per 1,000)	21	15	—
Psychiatric Admissions (per 1,000)	*	3	—
ED Visits (per 1,000)	642 p60	618	618
ED Visits Resulting in Hospitalization (per 1,000)	219	179	—
CT Scans (per 1,000)	843 p74	751	820
MRI Scans (per 1,000)	285 p73	247	257
E&M Visits — Total (per 1,000)	12,107	12,433	—
E&M Visits — Primary Care (per 1,000)	2,919 p17	4,192	4,255
E&M Visits — Specialist (per 1,000)	5,253 p58	4,821	5,308
Nurse Practitioner Visits (per 1,000)	3,917 p94	2,464	2,733
FQHC / RHC Visits (per 1,000)	19 p20	160	57
SNF Admissions (per 1,000)	57	40	48
SNF Average Length of Stay (days)	29 p68	27	25
SNF Average Payment per Stay	$15,661 p54	$15,338	$14,818

Provider Composition

Facilities

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

Clinicians

Primary Care Physicians	202
Specialists	352
Nurse Practitioners	202
Physician Assistants	136
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 p47

83.9

How Well Providers Communicate p33

93.6

Patient's Rating of Provider p31

91.8

Access to Specialists p21

72.5

Health Promotion & Education p76

68.7

Shared Decision-Making p36

61.3

Health Status / Functional Status p29

73.7

Courteous & Helpful Office Staff p16

84.0

Care Coordination p93

95.2

Stewardship of Patient Resources p8

20.2

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) p71	87.58	83.13	87.38
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p61	0.15	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	35.82
Falls: Screening for Future Fall Risk p56	92.78	91.53	91.89
Influenza Immunization p64	72.98	70.06	73.26
Tobacco Use: Screening & Cessation Intervention p69	90.91	82.86	90.00
Colorectal Cancer Screening p76	84.12	80.23	81.63
Breast Cancer Screening p68	85.00	82.59	83.83
Statin Therapy for CVD Prevention p45	86.89	87.36	87.88
Depression Remission at 12 Months p7	3.12	14.29	11.46
Depression Screening & Follow-Up Plan p25 Reporting pathways Web Interface: 76.34 eCQM: - MIPS CQM: - Medicare CQM: -	76.34	83.73	80.86
Diabetes: HbA1c Poor Control (>9%) (lower is better) p46 Reporting pathways Web Interface: 8.09 eCQM: - MIPS CQM: - Medicare CQM: -	8.09	8.44	8.01
Controlling High Blood Pressure p30 Reporting pathways Web Interface: 76.32 eCQM: - MIPS CQM: - Medicare CQM: -	76.32	80.24	82.23

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, hospital-affiliated ACOs

View 30 peer ACOs

A2021 A3380 A4964 A5124 A1199 A5331 A2266 A1242 A4575 A1196 A4979 A5012 A4799 A1059 A4649 A3730 A3327 A4830 A3336 A5386 A2506 A5040 A2490 A3365 A5419 A5387 A4922 A1522 A5080 A1175

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 185 rows

Source	Metric	Value	National Median	Pctl.	Raw key
Beneficiary Demographics	Age 0–64	911	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	5,681	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	4,893	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	1,961	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	989	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	634	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	13,351	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	11,555	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	76	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	81	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	87	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	13,318	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	1,880	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	861	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	7.54%	6.89%	p56	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	988	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	89	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	60	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	7,941	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	*	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	3.85%	0.89%	p93	`Perc_LTI`
Beneficiary Demographics	Male	5,505	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	12,123	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	93	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	13,111	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	376	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	41	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	12,770	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	72.55	75.90	p21	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	95.20	93.24	p93	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	84.01	86.22	p16	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	83.88	84.11	p47	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	68.73	65.66	p76	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	73.71	74.69	p29	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	93.58	94.26	p33	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	91.85	92.70	p31	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	61.27	62.57	p36	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	20.19	27.09	p8	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.15	0.15	p61	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	85.00	82.59	p68	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	84.12	80.23	p76	`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)	76.32	80.24	p30	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	3.12	14.29	p7	`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)	76.34	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)	8.09	8.44	p46	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	92.78	91.53	p56	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	72.98	70.06	p64	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	87.58	83.13	p71	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	86.89	87.36	p45	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	90.91	82.86	p69	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.081	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.037	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.954	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.002	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	13,446	13,159	p51	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$-1,845,651	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$-1,822	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$-551,873	$3,685,876		`EarnSaveLoss`
Financial Performance	Final Shared Loss Rate	30.00%	40.00%		`FinalLossRate`
Financial Performance	Final Shared Savings Rate	50.00%	50.00%		`FinalShareRate`
Financial Performance	Generated Savings / Losses	$-1,845,651	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$11,410	$11,439	p49	`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)	$13,871	$12,693	p75	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$111	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	-1.03%	4.21%	p6	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$180,007,309	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$181,852,960	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$13,730	$13,279	p60	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$17,872	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$19,076	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$20,407	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$24,068	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,879	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$9,994	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,316	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,917	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$10,497	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$9,620	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$10,257	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$13,516	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$89,933	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$93,705	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$93,062	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$94,150	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$177	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$326	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$524	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$570	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,810	$3,410	p73	`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	$107	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$499	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$3,182	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$4,234	$3,078	p84	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$3,601	$4,341	p25	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$994	$655	p80	`CapAnn_SNF`
Program Structure	ACO ID	A4551	—		`ACO_ID`
Program Structure	ACO Name	SolutionHealth ACO LLC	—		`ACO_Name`
Program Structure	Agreement Period	3	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Re-entering	—		`Agree_Type`
Program Structure	Assignment Type	Prospective	—		`Assign_Type`
Program Structure	Current Track	E	—		`Current_Track`
Program Structure	Risk Model	Two-Sided	—		`Risk_Model`
Program Structure	SNF 3-Day Waiver	✓	✗		`SNF_Waiver`
Program Structure	Start Date	7/1/2019	—		`Current_Start_Date`
Provider Composition	Clinical Nurse Specialists	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	2	0		`N_Hosp`
Provider Composition	Nurse Practitioners	202	215		`N_NP`
Provider Composition	Other Facilities	2	0		`N_Fac_Other`
Provider Composition	Physician Assistants	136	89		`N_PA`
Provider Composition	Primary Care Physicians	202	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	352	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	0.08%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.82%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.06%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.04%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	1.172	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.070	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.079	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.033	0.954	p73	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.032	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.015	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.009	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.979	0.983	p47	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.968	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.951	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.926	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.872	0.934	p25	`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)	1.049	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.009	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.948	0.967	p36	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	843	751	p74	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	2,919	4,192	p17	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	5,253	4,821	p58	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	12,107	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	642	618	p60	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	219	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	19	160	p20	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	289	251	p81	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	285	247	p73	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	3,917	2,464	p94	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	*	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	21	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	260	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	57	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	29	27	p68	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$15,661	$15,338	p54	`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 →