Bryan Health Connect ACO, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

21,853 p71

Savings Rate

5.83% p66

Quality Score

90.02 p84

Per Capita Expenditure, Total ($)

$13,420 p67

Generated Savings/Losses ($)

$17,711,847

Earned Savings/Losses ($)

$8,678,805

Updated Benchmark ($)

$14,250 p71

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

Program Structure

Current Track	E
Agreement Type	Initial
Agreement Period	1
Start Date	7/1/2019
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	21,853 p71	13,159	19,397
2	Historical Benchmark (per capita)	$11,286 p47	$11,439	$10,607
3	Regional Adjustment	+$-62
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$14,250 p71	$13,279	$12,571

7	Total Benchmark (all beneficiaries)	$303,990,704
8	Total Expenditure (all beneficiaries)	$286,278,858
9	Per Capita Expenditure (PY)	$13,420 p67	$12,693	$12,290
10	Generated Savings / Losses	$17,711,847	$6,931,306	—

11	Savings Rate	5.83% p66	4.21%	4.06%
12	Minimum Savings Rate (threshold)	1.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	50.00%
15	Final Shared Loss Rate	30.00%
16	Earned Savings / Losses	$8,678,805	$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)	$84,276	$85,060	$82,766	$103,514	↑	$92,090	+$11,424
Disabled	$9,298	$10,110	$10,805	$13,652	↑	$11,966	+$1,686
Aged, Dual-Eligible	$17,267	$17,456	$18,156	$24,092	↑	$20,771	+$3,321
Aged, Non-Dual	$10,091	$10,251	$10,523	$12,861	↑	$11,468	+$1,393
Total				$13,420		$12,693	$12,290

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)	0.964	0.961	1.020	0.986	→	+0.014	0.967
Disabled	0.915	0.943	0.960	0.991	↑	-0.012	0.934
Aged, Dual-Eligible	0.994	1.017	1.014	1.097	↑	+0.042	0.954
Aged, Non-Dual	0.924	0.929	0.937	0.951	→	-0.034	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)	—	0.972
Disabled	—	1.003
Aged, Dual-Eligible	—	1.055
Aged, Non-Dual	—	0.985

Risk Redistribution Weights (PY)

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

ESRD Weight	1.3%
Disabled Weight	4.4%
Aged Dual Weight	5.4%
Aged Non-Dual Weight	88.8%

Beneficiary Demographics

Distribution of 21,853 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

7.0%

Age 65–74

49.6%

Age 75–84

31.2%

Age 85+

12.3%

Gender

Female

56.6%

Male

43.4%

Race / Ethnicity

White

96.0%

Black

0.3%

Hispanic

0.4%

Asian

0.3%

Native American

0.1%

Other

0.4%

Unknown

2.5%

Special Populations

6.11% p42 Dual-Eligible (MSSP median: 6.9%)

2.82% p89 Long-Term Institutionalized (MSSP median: 0.89%)

119 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	62	36
Disabled	1,845	968
Aged, Dual-Eligible	974	701
Aged, Non-Dual	13,544	19,628
Total (PY)		21,333

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	$3,153 p32	23.1%	$3,410	$3,178
Inpatient — Short-Term Acute	$2,941		$2,914	—
Inpatient — Long-Term	$36		$59	—
Inpatient — Rehab	$158		$367	—
Inpatient — Psychiatric	$29		$37	—
Hospice	$239	1.8%	$258	$264
Skilled Nursing Facility	$1,043 p83	7.6%	$655	$729
Outpatient	$4,715 p91	34.6%	$3,078	$3,539
Physician / Supplier (Part B)	$3,605 p25	26.4%	$4,341	$3,559
Ambulance	$111	0.8%	$134	$147
Home Health	$309	2.3%	$470	$363
Durable Medical Equipment	$465	3.4%	$405	$416

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

21.9% ED-to-Hospitalization Conversion Rate

0.76:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	227 p25	251	237
Short-Term Acute Admissions (per 1,000)	216	229	—
Long-Term Admissions (per 1,000)	1	1	—
Rehab Admissions (per 1,000)	7	15	—
Psychiatric Admissions (per 1,000)	4	3	—
ED Visits (per 1,000)	548 p23	618	616
ED Visits Resulting in Hospitalization (per 1,000)	120	179	—
CT Scans (per 1,000)	745 p48	751	722
MRI Scans (per 1,000)	219 p29	247	226
E&M Visits — Total (per 1,000)	9,905	12,433	—
E&M Visits — Primary Care (per 1,000)	2,563 p13	4,192	3,326
E&M Visits — Specialist (per 1,000)	3,358 p13	4,821	3,670
Nurse Practitioner Visits (per 1,000)	2,169 p38	2,464	2,541
FQHC / RHC Visits (per 1,000)	1,815 p85	160	987
SNF Admissions (per 1,000)	54	40	40
SNF Average Length of Stay (days)	27 p46	27	27
SNF Average Payment per Stay	$18,894 p80	$15,338	$16,328

Provider Composition

Facilities

Hospitals	4
Critical Access Hospitals	14
FQHCs	0
Rural Health Clinics	24
Extension of Treatment Areas	0
Other Facilities	13

Clinicians

Primary Care Physicians	327
Specialists	1,074
Nurse Practitioners	443
Physician Assistants	380
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 p72

86.5

How Well Providers Communicate p74

95.1

Patient's Rating of Provider p50

92.7

Access to Specialists p81

79.6

Health Promotion & Education p60

66.8

Shared Decision-Making p57

63.3

Health Status / Functional Status p57

75.1

Courteous & Helpful Office Staff p92

88.7

Care Coordination p42

92.9

Stewardship of Patient Resources p97

36.8

Clinical Quality Measures

MSSP quality measures. Measures marked "lower is better" are inverted — a lower score indicates better performance.

Measure	This ACO	MSSP Median	Peer Median
Overall Quality Score (Composite) p84	90.02	83.13	83.71
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p21	0.14	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	34.02
Falls: Screening for Future Fall Risk p39	89.66	91.53	92.04
Influenza Immunization p64	72.99	70.06	73.00
Tobacco Use: Screening & Cessation Intervention p7	55.26	82.86	77.78
Colorectal Cancer Screening p84	85.88	80.23	82.41
Breast Cancer Screening p84	87.77	82.59	83.02
Statin Therapy for CVD Prevention p65	89.16	87.36	85.71
Depression Remission at 12 Months p13	5.63	14.29	13.79
Depression Screening & Follow-Up Plan p78 Reporting pathways Web Interface: 90.30 eCQM: - MIPS CQM: - Medicare CQM: -	90.30	83.73	86.10
Diabetes: HbA1c Poor Control (>9%) (lower is better) p12 Reporting pathways Web Interface: 5.28 eCQM: - MIPS CQM: - Medicare CQM: -	5.28	8.44	7.84
Controlling High Blood Pressure p36 Reporting pathways Web Interface: 77.58 eCQM: - MIPS CQM: - Medicare CQM: -	77.58	80.24	80.48

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, rural infrastructure ACOs

View 30 peer ACOs

A5226 A5231 A5358 A5323 A3289 A3229 A4998 A1459 A2207 A1061 A4949 A5039 A3029 A4988 A4692 A2600 A5025 A4652 A2217 A4527 A5003 A4776 A2916 A5181 A4938 A5349 A1204 A4768 A5370 A4657

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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Source	Metric	Value	National Median	Pctl.	Raw key
Beneficiary Demographics	Age 0–64	1,521	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	10,836	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	6,818	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	2,678	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	974	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	701	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	13,544	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	19,628	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	76	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	60	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	98	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	21,734	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	1,845	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	968	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	6.11%	6.89%	p42	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	1,303	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	62	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	36	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	12,377	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	92	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	2.82%	0.89%	p89	`Perc_LTI`
Beneficiary Demographics	Male	9,476	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	27	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	20,030	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	80	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	21,333	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	547	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	21	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	20,971	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	79.59	75.90	p81	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	92.93	93.24	p42	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	88.70	86.22	p92	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	86.55	84.11	p72	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	66.83	65.66	p60	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	75.06	74.69	p57	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	95.13	94.26	p74	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	92.72	92.70	p50	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	63.33	62.57	p57	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	36.77	27.09	p97	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.14	0.15	p21	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	87.77	82.59	p84	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	85.88	80.23	p84	`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)	77.58	80.24	p36	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	5.63	14.29	p13	`QualityID_370`
Clinical Quality Measures	Depression Screening (eCQM)	-	56.73		`QualityID_134_eCQM`
Clinical Quality Measures	Depression Screening (Medicare CQM)	-	79.70		`QualityID_134_MedicareCQM`
Clinical Quality Measures	Depression Screening (MIPS CQM)	-	61.02		`QualityID_134_MIPSCQM`
Clinical Quality Measures	Depression Screening (Web Interface)	90.30	83.73	p78	`QualityID_134_WI`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (eCQM)	-	27.96		`QualityID_001_eCQM`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (Medicare CQM)	-	29.76		`QualityID_001_MedicareCQM`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (MIPS CQM)	-	24.41		`QualityID_001_MIPSCQM`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (Web Interface)	5.28	8.44	p12	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	89.66	91.53	p39	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	72.99	70.06	p64	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	90.02	83.13	p84	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	89.16	87.36	p65	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	55.26	82.86	p7	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.055	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.985	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	1.003	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.972	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	21,853	13,159	p71	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$17,711,847	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$8,678,805	$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	$17,711,847	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$11,286	$11,439	p47	`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)	$13,420	$12,693	p67	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$-62	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	5.83%	4.21%	p66	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$303,990,704	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$286,278,858	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$14,250	$13,279	p71	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$17,267	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$17,456	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$18,156	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$24,092	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$10,091	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$10,251	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,523	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,861	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$9,298	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$10,110	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$10,805	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$13,652	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$84,276	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$85,060	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$82,766	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$103,514	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$111	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$465	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$309	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$239	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,153	$3,410	p32	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$36	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$29	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$158	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,941	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$4,715	$3,078	p91	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$3,605	$4,341	p25	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$1,043	$655	p83	`CapAnn_SNF`
Program Structure	ACO ID	A4573	—		`ACO_ID`
Program Structure	ACO Name	Bryan Health Connect ACO, LLC	—		`ACO_Name`
Program Structure	Agreement Period	1	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Initial	—		`Agree_Type`
Program Structure	Assignment Type	Retrospective	—		`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	14	0		`N_CAH`
Provider Composition	Extension of Treatment Areas	0	0		`N_ETA`
Provider Composition	FQHCs	0	0		`N_FQHC`
Provider Composition	Hospitals	4	0		`N_Hosp`
Provider Composition	Nurse Practitioners	443	215		`N_NP`
Provider Composition	Other Facilities	13	0		`N_Fac_Other`
Provider Composition	Physician Assistants	380	89		`N_PA`
Provider Composition	Primary Care Physicians	327	206		`N_PCP`
Provider Composition	Rural Health Clinics	24	0		`N_RHC`
Provider Composition	Specialists	1,074	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	0.05%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.89%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.04%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.01%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	0.994	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.017	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.014	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.097	0.954	p86	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.924	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.929	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.937	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.951	0.983	p33	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.915	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.943	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.960	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.991	0.934	p70	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	0.964	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	0.961	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.020	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.986	0.967	p60	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	745	751	p48	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	2,563	4,192	p13	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	3,358	4,821	p13	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	9,905	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	548	618	p23	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	120	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	1,815	160	p85	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	227	251	p25	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	1	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	219	247	p29	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,169	2,464	p38	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	4	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)	216	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	54	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	$18,894	$15,338	p80	`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 →