Peninsula Regional Clinically Integrated Network, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

6,207 p12

Savings Rate

3.89% p45

Quality Score

90.51 p86

Per Capita Expenditure, Total ($)

$13,997 p77

Generated Savings/Losses ($)

$3,448,080

Earned Savings/Losses ($)

$1,689,559

Updated Benchmark ($)

$14,563 p77

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	2
Start Date	1/1/2020
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	6,207 p12	13,159	11,527
2	Historical Benchmark (per capita)	$13,310 p87	$11,439	$11,144
3	Regional Adjustment	+$221
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$14,563 p77	$13,279	$13,101

7	Total Benchmark (all beneficiaries)	$88,721,783
8	Total Expenditure (all beneficiaries)	$85,273,703
9	Per Capita Expenditure (PY)	$13,997 p77	$12,693	$12,337
10	Generated Savings / Losses	$3,448,080	$6,931,306	—

11	Savings Rate	3.89% p45	4.21%	4.89%
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	$1,689,559	$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)	$96,910	$100,377	$85,972	$93,101	↓	$87,140	+$5,961
Disabled	$12,014	$12,696	$15,564	$14,533	↑	$11,894	+$2,639
Aged, Dual-Eligible	$17,316	$16,282	$18,126	$24,667	↑	$18,593	+$6,074
Aged, Non-Dual	$10,947	$11,228	$10,904	$12,866	↑	$11,770	+$1,096
Total				$13,997		$12,693	$12,337

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)	1.068	1.046	1.035	0.933	↓	-0.060	0.967
Disabled	1.228	1.176	1.164	0.985	↓	-0.044	0.934
Aged, Dual-Eligible	1.093	1.128	1.028	0.982	↓	-0.019	0.954
Aged, Non-Dual	1.104	1.115	1.085	0.976	↓	-0.041	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)	—	0.993
Disabled	—	1.029
Aged, Dual-Eligible	—	1.001
Aged, Non-Dual	—	1.017

Risk Redistribution Weights (PY)

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

ESRD Weight	5.6%
Disabled Weight	5.9%
Aged Dual Weight	5.5%
Aged Non-Dual Weight	83.1%

Beneficiary Demographics

Distribution of 6,207 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

5.7%

Age 65–74

46.6%

Age 75–84

37.6%

Age 85+

10.1%

Gender

Female

56.6%

Male

43.4%

Race / Ethnicity

White

89.6%

Black

7.0%

Hispanic

0.0%

Asian

0.3%

Native American

0.0%

Other

0.6%

Unknown

2.3%

Special Populations

6.6% p47 Dual-Eligible (MSSP median: 6.9%)

1.08% p59 Long-Term Institutionalized (MSSP median: 0.89%)

32 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	49	44
Disabled	384	328
Aged, Dual-Eligible	183	235
Aged, Non-Dual	2,634	5,485
Total (PY)		6,092

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	$4,488 p92	31.8%	$3,410	$3,390
Inpatient — Short-Term Acute	$3,669		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$850		$367	—
Inpatient — Psychiatric	*		$37	—
Hospice	$377	2.7%	$258	$277
Skilled Nursing Facility	$487 p24	3.4%	$655	$571
Outpatient	$3,437 p65	24.3%	$3,078	$2,881
Physician / Supplier (Part B)	$4,323 p49	30.6%	$4,341	$4,487
Ambulance	$170	1.2%	$134	$137
Home Health	$436	3.1%	$470	$524
Durable Medical Equipment	$417	3.0%	$405	$377

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

25.6% ED-to-Hospitalization Conversion Rate

0.65:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	238 p35	251	252
Short-Term Acute Admissions (per 1,000)	200	229	—
Long-Term Admissions (per 1,000)	*	1	—
Rehab Admissions (per 1,000)	36	15	—
Psychiatric Admissions (per 1,000)	*	3	—
ED Visits (per 1,000)	652 p64	618	608
ED Visits Resulting in Hospitalization (per 1,000)	167	179	—
CT Scans (per 1,000)	786 p58	751	752
MRI Scans (per 1,000)	236 p41	247	247
E&M Visits — Total (per 1,000)	11,346	12,433	—
E&M Visits — Primary Care (per 1,000)	3,243 p22	4,192	4,425
E&M Visits — Specialist (per 1,000)	5,007 p53	4,821	4,706
Nurse Practitioner Visits (per 1,000)	3,036 p79	2,464	2,580
FQHC / RHC Visits (per 1,000)	59 p38	160	57
SNF Admissions (per 1,000)	30	40	38
SNF Average Length of Stay (days)	26 p34	27	27
SNF Average Payment per Stay	$14,468 p37	$15,338	$15,182

Provider Composition

Facilities

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

Clinicians

Primary Care Physicians	56
Specialists	65
Nurse Practitioners	75
Physician Assistants	12
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 p63

85.6

How Well Providers Communicate p46

94.2

Patient's Rating of Provider p83

94.1

Access to Specialists p5

69.0

Health Promotion & Education p98

74.0

Shared Decision-Making p80

65.7

Health Status / Functional Status p75

75.9

Courteous & Helpful Office Staff p31

85.1

Care Coordination p33

92.5

Stewardship of Patient Resources p38

25.6

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) p86	90.51	83.13	87.58
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p15	0.14	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	35.82
Falls: Screening for Future Fall Risk p76	96.27	91.53	93.67
Influenza Immunization p4	47.26	70.06	71.65
Tobacco Use: Screening & Cessation Intervention p84	96.15	82.86	90.48
Colorectal Cancer Screening p74	83.87	80.23	80.79
Breast Cancer Screening p87	88.51	82.59	82.79
Statin Therapy for CVD Prevention p59	88.45	87.36	87.70
Depression Remission at 12 Months p97	54.93	14.29	19.05
Depression Screening & Follow-Up Plan p98 Reporting pathways Web Interface: 98.01 eCQM: - MIPS CQM: - Medicare CQM: -	98.01	83.73	84.43
Diabetes: HbA1c Poor Control (>9%) (lower is better) p9 Reporting pathways Web Interface: 5.08 eCQM: - MIPS CQM: - Medicare CQM: -	5.08	8.44	8.09
Controlling High Blood Pressure p15 Reporting pathways Web Interface: 73.34 eCQM: - MIPS CQM: - Medicare CQM: -	73.34	80.24	82.80

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

A3720 A2266 A3730 A3047 A4649 A5378 A2021 A4979 A5386 A1199 A4754 A3899 A3922 A1488 A3507 A4551 A2490 A3630 A1225 A5080 A3783 A2710 A2920 A5347 A1242 A3280 A4960 A5260 A4629 A4799

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	351	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	2,891	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	2,335	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	630	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	183	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	235	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	2,634	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	5,485	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	19	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	436	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	16	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	6,175	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	384	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	328	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	6.60%	6.89%	p47	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	402	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	49	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	44	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	3,516	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	*	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	1.08%	0.89%	p59	`Perc_LTI`
Beneficiary Demographics	Male	2,691	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	5,690	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	38	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	6,092	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	142	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	16	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	5,560	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	69.05	75.90	p5	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	92.54	93.24	p33	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	85.10	86.22	p31	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	85.64	84.11	p63	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	74.05	65.66	p98	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	75.87	74.69	p75	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	94.16	94.26	p46	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	94.07	92.70	p83	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	65.73	62.57	p80	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	25.58	27.09	p38	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.14	0.15	p15	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	88.51	82.59	p87	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	83.87	80.23	p74	`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)	73.34	80.24	p15	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	54.93	14.29	p97	`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)	98.01	83.73	p98	`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)	5.08	8.44	p9	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	96.27	91.53	p76	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	47.26	70.06	p4	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	90.51	83.13	p86	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	88.45	87.36	p59	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	96.15	82.86	p84	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.001	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.017	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	1.029	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.993	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	6,207	13,159	p12	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$3,448,080	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$1,689,559	$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	$3,448,080	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$13,310	$11,439	p87	`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)	$13,997	$12,693	p77	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$221	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	3.89%	4.21%	p45	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$88,721,783	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$85,273,703	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$14,563	$13,279	p77	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$17,316	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$16,282	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$18,126	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$24,667	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$10,947	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$11,228	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,904	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,866	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$12,014	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$12,696	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$15,564	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$14,533	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$96,910	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$100,377	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$85,972	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$93,101	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$170	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$417	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$436	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$377	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$4,488	$3,410	p92	`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	$850	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$3,669	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$3,437	$3,078	p65	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,323	$4,341	p49	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$487	$655	p24	`CapAnn_SNF`
Program Structure	ACO ID	A4924	—		`ACO_ID`
Program Structure	ACO Name	Peninsula Regional Clinically Integrated Network, LLC	—		`ACO_Name`
Program Structure	Agreement Period	2	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	1/1/2020	—		`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	0	0		`N_Hosp`
Provider Composition	Nurse Practitioners	75	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	12	89		`N_PA`
Provider Composition	Primary Care Physicians	56	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	65	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	0.06%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.83%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.06%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.06%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	1.093	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.128	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.028	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.982	0.954	p57	`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)	1.115	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.085	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.976	0.983	p46	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	1.228	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	1.176	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	1.164	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.985	0.934	p67	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.068	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.046	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.035	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.933	0.967	p27	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	786	751	p58	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	3,243	4,192	p22	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	5,007	4,821	p53	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	11,346	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	652	618	p64	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	167	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	59	160	p38	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	238	251	p35	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	236	247	p41	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	3,036	2,464	p79	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	*	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	36	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	200	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	30	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	26	27	p34	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$14,468	$15,338	p37	`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 →