WellMed MSSP ACO, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

14,014 p53

Savings Rate

8.32% p83

Quality Score

78.49 p29

Per Capita Expenditure, Total ($)

$12,656 p49

Generated Savings/Losses ($)

$15,700,993

Earned Savings/Losses ($)

$7,693,487

Updated Benchmark ($)

$13,805 p61

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	1/1/2020
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	14,014 p53	13,159	12,754
2	Historical Benchmark (per capita)	$12,808 p81	$11,439	$11,812
3	Regional Adjustment	+$293
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$13,805 p61	$13,279	$13,538

7	Total Benchmark (all beneficiaries)	$188,757,807
8	Total Expenditure (all beneficiaries)	$173,056,814
9	Per Capita Expenditure (PY)	$12,656 p49	$12,693	$12,612
10	Generated Savings / Losses	$15,700,993	$6,931,306	—

11	Savings Rate	8.32% p83	4.21%	5.27%
12	Minimum Savings Rate (threshold)	2.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	50.00%
15	Final Shared Loss Rate	30.00%
16	Earned Savings / Losses	$7,693,487	$3,685,876	—

	Revenue-to-Expense Category	Low Revenue

Per Capita Expenditure by Population Segment

Annual per-beneficiary expenditure across benchmark years (BY1–BY3) and the performance year (PY). Includes Parts A and B FFS spending.

Population Segment	BY1	BY2	BY3	PY	Trend	Risk-Adj. Expected	Difference
End-Stage Renal Disease (ESRD)	$71,762	$78,740	$81,918	$86,475	↑	$89,569	−$3,094
Disabled	$9,808	$10,475	$11,509	$11,980	↑	$11,471	+$509
Aged, Dual-Eligible	$14,509	$14,812	$15,946	$16,578	↑	$18,631	−$2,053
Aged, Non-Dual	$8,888	$9,342	$9,485	$11,697	↑	$12,445	−$748
Total				$12,656		$12,693	$12,612

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)	1.009	1.004	1.016	0.959	↓	+0.002	0.967
Disabled	1.005	1.006	1.044	0.950	↓	+0.023	0.934
Aged, Dual-Eligible	0.990	1.004	1.046	0.984	→	-0.042	0.954
Aged, Non-Dual	1.008	1.016	1.016	1.032	→	+0.040	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)	—	0.957
Disabled	—	0.927
Aged, Dual-Eligible	—	1.026
Aged, Non-Dual	—	0.992

Risk Redistribution Weights (PY)

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

ESRD Weight	6.4%
Disabled Weight	8.5%
Aged Dual Weight	9.0%
Aged Non-Dual Weight	76.0%

Beneficiary Demographics

Distribution of 14,014 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

11.7%

Age 65–74

45.9%

Age 75–84

31.1%

Age 85+

11.3%

Gender

Female

58.1%

Male

41.9%

Race / Ethnicity

White

80.4%

Black

4.8%

Hispanic

9.1%

Asian

1.4%

Native American

0.1%

Other

2.4%

Unknown

1.8%

Special Populations

9.75% p68 Dual-Eligible (MSSP median: 6.9%)

0.28% p13 Long-Term Institutionalized (MSSP median: 0.89%)

460 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	471	118
Disabled	2,320	1,109
Aged, Dual-Eligible	2,557	814
Aged, Non-Dual	13,349	11,633
Total (PY)		13,674

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	$3,676 p64	28.3%	$3,410	$3,390
Inpatient — Short-Term Acute	$2,647		$2,914	—
Inpatient — Long-Term	$118		$59	—
Inpatient — Rehab	$909		$367	—
Inpatient — Psychiatric	$21		$37	—
Hospice	$338	2.6%	$258	$233
Skilled Nursing Facility	$441 p17	3.4%	$655	$584
Outpatient	$1,819 p3	14.0%	$3,078	$2,929
Physician / Supplier (Part B)	$5,498 p83	42.4%	$4,341	$4,461
Ambulance	$127	1.0%	$134	$145
Home Health	$720	5.5%	$470	$532
Durable Medical Equipment	$357	2.8%	$405	$394

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

28.3% ED-to-Hospitalization Conversion Rate

1.01:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	275 p72	251	248
Short-Term Acute Admissions (per 1,000)	231	229	—
Long-Term Admissions (per 1,000)	3	1	—
Rehab Admissions (per 1,000)	38	15	—
Psychiatric Admissions (per 1,000)	3	3	—
ED Visits (per 1,000)	651 p64	618	631
ED Visits Resulting in Hospitalization (per 1,000)	184	179	—
CT Scans (per 1,000)	746 p48	751	751
MRI Scans (per 1,000)	265 p60	247	249
E&M Visits — Total (per 1,000)	13,915	12,433	—
E&M Visits — Primary Care (per 1,000)	5,882 p82	4,192	5,115
E&M Visits — Specialist (per 1,000)	5,838 p72	4,821	5,191
Nurse Practitioner Visits (per 1,000)	1,699 p17	2,464	2,492
FQHC / RHC Visits (per 1,000)	495 p67	160	369
SNF Admissions (per 1,000)	27	40	37
SNF Average Length of Stay (days)	31 p84	27	28
SNF Average Payment per Stay	$15,460 p51	$15,338	$14,869

Provider Composition

Facilities

Hospitals	0
Critical Access Hospitals	0
FQHCs	53
Rural Health Clinics	1
Extension of Treatment Areas	0
Other Facilities	0

Clinicians

Primary Care Physicians	203
Specialists	60
Nurse Practitioners	223
Physician Assistants	86
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 p14

79.2

How Well Providers Communicate p30

93.4

Patient's Rating of Provider p48

92.7

Access to Specialists p33

74.2

Health Promotion & Education p62

67.0

Shared Decision-Making p64

63.8

Health Status / Functional Status p93

77.4

Courteous & Helpful Office Staff p8

83.0

Care Coordination p10

90.8

Stewardship of Patient Resources p33

25.0

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) p29	78.49	83.13	84.51
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p53	0.15	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	38.05
Falls: Screening for Future Fall Risk p12	78.82	91.53	92.11
Influenza Immunization p7	49.55	70.06	68.84
Tobacco Use: Screening & Cessation Intervention p81	94.12	82.86	82.35
Colorectal Cancer Screening p3	58.24	80.23	78.61
Breast Cancer Screening p5	66.54	82.59	80.35
Statin Therapy for CVD Prevention p19	83.16	87.36	86.86
Depression Remission at 12 Months p46	13.51	14.29	19.48
Depression Screening & Follow-Up Plan p15 Reporting pathways Web Interface: 72.62 eCQM: - MIPS CQM: - Medicare CQM: -	72.62	83.73	86.30
Diabetes: HbA1c Poor Control (>9%) (lower is better) p96 Reporting pathways Web Interface: 17.03 eCQM: - MIPS CQM: - Medicare CQM: -	17.03	8.44	9.42
Controlling High Blood Pressure p90 Reporting pathways Web Interface: 88.15 eCQM: - MIPS CQM: - Medicare CQM: -	88.15	80.24	80.46

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, physician-led ACOs

View 30 peer ACOs

A2120 A5357 A4737 A5230 A4592 A2710 A4825 A5216 A4830 A5370 A1401 A5363 A5002 A3047 A2802 A3899 A4654 A3922 A4764 A1241 A2500 A2490 A3720 A3667 A3236 A4776 A5347 A4556 A4924 A4992

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	1,635	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	6,432	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	4,364	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	1,583	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	2,557	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	814	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	13,349	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	11,633	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	197	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	666	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	297	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	13,554	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	2,320	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	1,109	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	9.75%	6.89%	p68	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	1,333	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	471	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	118	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	8,140	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	1,273	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	0.28%	0.89%	p13	`Perc_LTI`
Beneficiary Demographics	Male	5,874	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	16	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	12,341	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	342	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	13,674	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	252	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	163	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	11,268	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	74.23	75.90	p33	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	90.84	93.24	p10	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	83.01	86.22	p8	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	79.20	84.11	p14	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	67.03	65.66	p62	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	77.37	74.69	p93	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	93.42	94.26	p30	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	92.66	92.70	p48	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	63.84	62.57	p64	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	25.02	27.09	p33	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.15	0.15	p53	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	66.54	82.59	p5	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	58.24	80.23	p3	`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)	88.15	80.24	p90	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	13.51	14.29	p46	`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)	72.62	83.73	p15	`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)	17.03	8.44	p96	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	78.82	91.53	p12	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	49.55	70.06	p7	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	78.49	83.13	p29	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	83.16	87.36	p19	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	94.12	82.86	p81	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.026	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.992	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.927	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.957	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	14,014	13,159	p53	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$15,700,993	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$7,693,487	$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	$15,700,993	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$12,808	$11,439	p81	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	2.00%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$12,656	$12,693	p49	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$293	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	8.32%	4.21%	p83	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$188,757,807	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$173,056,814	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$13,805	$13,279	p61	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$14,509	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$14,812	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$15,946	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$16,578	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$8,888	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$9,342	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$9,485	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$11,697	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$9,808	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$10,475	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$11,509	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$11,980	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$71,762	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$78,740	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$81,918	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$86,475	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$127	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$357	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$720	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$338	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,676	$3,410	p64	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$118	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$21	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$909	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,647	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$1,819	$3,078	p3	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$5,498	$4,341	p83	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$441	$655	p17	`CapAnn_SNF`
Program Structure	ACO ID	A4895	—		`ACO_ID`
Program Structure	ACO Name	WellMed MSSP 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	1/1/2020	—		`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	53	0		`N_FQHC`
Provider Composition	Hospitals	0	0		`N_Hosp`
Provider Composition	Nurse Practitioners	223	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	86	89		`N_PA`
Provider Composition	Primary Care Physicians	203	206		`N_PCP`
Provider Composition	Rural Health Clinics	1	0		`N_RHC`
Provider Composition	Specialists	60	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	0.09%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.76%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.09%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.06%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	0.990	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.004	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.046	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.984	0.954	p58	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.008	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.016	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.016	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.032	0.983	p72	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	1.005	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	1.006	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	1.044	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.950	0.934	p55	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.009	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.004	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.016	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.959	0.967	p42	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	746	751	p48	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	5,882	4,192	p82	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	5,838	4,821	p72	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	13,915	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	651	618	p64	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	184	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	495	160	p67	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	275	251	p72	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	3	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	265	247	p60	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	1,699	2,464	p17	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	3	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	38	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	231	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	27	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	31	27	p84	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$15,460	$15,338	p51	`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 →