Mercycare Accountable Care Organization, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

9,005 p27

Savings Rate

5.20% p59

Quality Score

91.84 p90

Per Capita Expenditure, Total ($)

$11,622 p28

Generated Savings/Losses ($)

$5,633,188

Earned Savings/Losses ($)

$4,140,393

Updated Benchmark ($)

$12,259 p29

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	1/1/2022
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	9,005 p27	13,159	12,878
2	Historical Benchmark (per capita)	$10,211 p19	$11,439	$11,490
3	Regional Adjustment	+$386
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$12,259 p29	$13,279	$13,618

7	Total Benchmark (all beneficiaries)	$108,312,350
8	Total Expenditure (all beneficiaries)	$102,679,162
9	Per Capita Expenditure (PY)	$11,622 p28	$12,693	$12,979
10	Generated Savings / Losses	$5,633,188	$6,931,306	—

11	Savings Rate	5.20% p59	4.21%	3.00%
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	$4,140,393	$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)	$79,806	$68,037	$74,788	$94,590	↑	$96,947	−$2,357
Disabled	$10,498	$10,963	$11,247	$9,000	↓	$12,280	−$3,280
Aged, Dual-Eligible	$13,805	$13,093	$12,659	$17,296	↑	$19,767	−$2,471
Aged, Non-Dual	$9,052	$8,068	$9,481	$11,344	↑	$12,626	−$1,282
Total				$11,622		$12,693	$12,979

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)	1.021	1.013	1.000	1.038	→	+0.035	0.967
Disabled	1.175	1.123	1.155	1.017	↓	+0.019	0.934
Aged, Dual-Eligible	1.055	1.065	1.072	1.044	→	-0.006	0.954
Aged, Non-Dual	1.104	1.066	1.053	1.047	↓	+0.057	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)	—	1.003
Disabled	—	0.998
Aged, Dual-Eligible	—	1.050
Aged, Non-Dual	—	0.990

Risk Redistribution Weights (PY)

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

ESRD Weight	2.4%
Disabled Weight	4.3%
Aged Dual Weight	2.7%
Aged Non-Dual Weight	90.7%

Beneficiary Demographics

Distribution of 9,005 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

4.0%

Age 65–74

50.8%

Age 75–84

33.0%

Age 85+

12.2%

Gender

Female

56.0%

Male

44.0%

Race / Ethnicity

White

95.9%

Black

0.7%

Hispanic

0.4%

Asian

0.0%

Native American

0.0%

Other

0.5%

Unknown

2.2%

Special Populations

4.24% p25 Dual-Eligible (MSSP median: 6.9%)

2.09% p81 Long-Term Institutionalized (MSSP median: 0.89%)

116 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	44	27
Disabled	613	337
Aged, Dual-Eligible	277	169
Aged, Non-Dual	8,511	8,303
Total (PY)		8,835

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	$2,804 p12	23.6%	$3,410	$3,410
Inpatient — Short-Term Acute	$2,379		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$418		$367	—
Inpatient — Psychiatric	*		$37	—
Hospice	$340	2.9%	$258	$333
Skilled Nursing Facility	$571 p37	4.8%	$655	$640
Outpatient	$3,973 p80	33.5%	$3,078	$2,950
Physician / Supplier (Part B)	$3,475 p21	29.3%	$4,341	$4,378
Ambulance	$104	0.9%	$134	$121
Home Health	$255	2.2%	$470	$492
Durable Medical Equipment	$338	2.8%	$405	$405

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

25.9% ED-to-Hospitalization Conversion Rate

0.85:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	241 p38	251	265
Short-Term Acute Admissions (per 1,000)	220	229	—
Long-Term Admissions (per 1,000)	*	1	—
Rehab Admissions (per 1,000)	*	15	—
Psychiatric Admissions (per 1,000)	*	3	—
ED Visits (per 1,000)	687 p76	618	608
ED Visits Resulting in Hospitalization (per 1,000)	178	179	—
CT Scans (per 1,000)	825 p72	751	781
MRI Scans (per 1,000)	221 p30	247	255
E&M Visits — Total (per 1,000)	9,805	12,433	—
E&M Visits — Primary Care (per 1,000)	3,122 p20	4,192	4,234
E&M Visits — Specialist (per 1,000)	3,674 p20	4,821	4,792
Nurse Practitioner Visits (per 1,000)	2,733 p64	2,464	2,962
FQHC / RHC Visits (per 1,000)	275 p59	160	59
SNF Admissions (per 1,000)	41	40	44
SNF Average Length of Stay (days)	25 p20	27	26
SNF Average Payment per Stay	$12,884 p12	$15,338	$14,520

Provider Composition

Facilities

Hospitals	1
Critical Access Hospitals	0
FQHCs	0
Rural Health Clinics	2
Extension of Treatment Areas	0
Other Facilities	8

Clinicians

Primary Care Physicians	68
Specialists	114
Nurse Practitioners	108
Physician Assistants	36
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 p90

88.4

How Well Providers Communicate p84

95.6

Patient's Rating of Provider p77

93.8

Access to Specialists p56

76.6

Health Promotion & Education p88

70.5

Shared Decision-Making p76

65.2

Health Status / Functional Status p51

74.8

Courteous & Helpful Office Staff p98

89.8

Care Coordination p95

95.5

Stewardship of Patient Resources p73

29.9

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) p90	91.84	83.13	89.17
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p52	0.15	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	35.82
Falls: Screening for Future Fall Risk p99	100.00	91.53	91.89
Influenza Immunization p65	73.26	70.06	71.98
Tobacco Use: Screening & Cessation Intervention p88	100.00	82.86	87.50
Colorectal Cancer Screening p64	82.48	80.23	82.31
Breast Cancer Screening p97	90.96	82.59	85.00
Statin Therapy for CVD Prevention p47	87.13	87.36	88.28
Depression Remission at 12 Months p75	22.06	14.29	11.70
Depression Screening & Follow-Up Plan p50 Reporting pathways Web Interface: 83.88 eCQM: - MIPS CQM: - Medicare CQM: -	83.88	83.73	87.31
Diabetes: HbA1c Poor Control (>9%) (lower is better) p21 Reporting pathways Web Interface: 6.09 eCQM: - MIPS CQM: - Medicare CQM: -	6.09	8.44	7.91
Controlling High Blood Pressure p66 Reporting pathways Web Interface: 82.98 eCQM: - MIPS CQM: - Medicare CQM: -	82.98	80.24	82.79

Quality Reporting Flags

✓ Met Quality Performance Standard (QPS)

? Met Alternative QPS

✓ Met 40th Percentile Threshold

✓ Met SSP Quality Reporting Requirements

✓ Reported via Web Interface

✗ Reported via eCQM / CQM / Medicare CQM

✗ First-Year ACO Quality Pass

✗ Met Incentive Threshold

✗ Received 40th Percentile Bonus

✗ Disaster / Affected Quality Waiver Applied

Peer Cohort

30 similar mid-size, ENHANCED-track, average acuity, hospital-affiliated ACOs

View 30 peer ACOs

A2266 A2021 A2205 A5386 A4979 A5012 A3730 A2506 A5387 A4575 A4976 A1403 A1242 A5056 A1196 A4551 A5331 A4977 A4799 A3280 A3380 A1225 A1488 A2272 A4516 A5245 A3630 A2909 A1199 A3632

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	357	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	4,574	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	2,974	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	1,100	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	277	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	169	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	8,511	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	8,303	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	*	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	64	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	94	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	8,889	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	613	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	337	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	4.24%	6.89%	p25	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	375	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	44	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	27	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	5,040	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	32	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	2.09%	0.89%	p81	`Perc_LTI`
Beneficiary Demographics	Male	3,965	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	8,460	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	43	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	8,835	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	195	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	22	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	8,640	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	76.57	75.90	p56	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	95.52	93.24	p95	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	89.84	86.22	p98	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	88.43	84.11	p90	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	70.53	65.66	p88	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	74.77	74.69	p51	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	95.57	94.26	p84	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	93.76	92.70	p77	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	65.22	62.57	p76	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	29.95	27.09	p73	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.15	0.15	p52	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	90.96	82.59	p97	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	82.48	80.23	p64	`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)	82.98	80.24	p66	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	22.06	14.29	p75	`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)	83.88	83.73	p50	`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)	6.09	8.44	p21	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	100.00	91.53	p99	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	73.26	70.06	p65	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	91.84	83.13	p90	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	87.13	87.36	p47	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	100.00	82.86	p88	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.050	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.990	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.998	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.003	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	9,005	13,159	p27	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$5,633,188	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$4,140,393	$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	$5,633,188	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$10,211	$11,439	p19	`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)	$11,622	$12,693	p28	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$386	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	5.20%	4.21%	p59	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$108,312,350	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$102,679,162	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$12,259	$13,279	p29	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$13,805	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$13,093	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$12,659	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$17,296	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,052	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$8,068	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$9,481	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$11,344	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$10,498	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$10,963	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$11,247	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$9,000	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$79,806	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$68,037	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$74,788	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$94,590	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$104	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$338	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$255	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$340	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$2,804	$3,410	p12	`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	*	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$418	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,379	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$3,973	$3,078	p80	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$3,475	$4,341	p21	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$571	$655	p37	`CapAnn_SNF`
Program Structure	ACO ID	A4649	—		`ACO_ID`
Program Structure	ACO Name	Mercycare Accountable Care Organization, LLC	—		`ACO_Name`
Program Structure	Agreement Period	3	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	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	108	215		`N_NP`
Provider Composition	Other Facilities	8	0		`N_Fac_Other`
Provider Composition	Physician Assistants	36	89		`N_PA`
Provider Composition	Primary Care Physicians	68	206		`N_PCP`
Provider Composition	Rural Health Clinics	2	0		`N_RHC`
Provider Composition	Specialists	114	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	0.03%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.91%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.04%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.02%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	1.055	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.065	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.072	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.044	0.954	p76	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.104	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.066	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.053	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.047	0.983	p76	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	1.175	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	1.123	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	1.155	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	1.017	0.934	p78	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.021	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.013	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.000	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.038	0.967	p85	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	825	751	p72	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	3,122	4,192	p20	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	3,674	4,821	p20	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	9,805	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	687	618	p76	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	178	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	275	160	p59	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	241	251	p38	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	221	247	p30	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,733	2,464	p64	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	*	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	*	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	220	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	41	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	$12,884	$15,338	p12	`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 →