Bellin Health Partners, Inc.

MSSP Performance — Key Metrics

Assigned Beneficiaries

10,308 p35

Savings Rate

10.98% p91

Quality Score

98.56 p99

Per Capita Expenditure, Total ($)

$10,661 p8

Generated Savings/Losses ($)

$13,303,059

Earned Savings/Losses ($)

$9,777,748

Updated Benchmark ($)

$11,977 p22

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

Program Structure

Current Track	EN
Agreement Type	Initial
Agreement Period	1
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	10,308 p35	13,159	13,446
2	Historical Benchmark (per capita)	$9,892 p11	$11,439	$11,454
3	Regional Adjustment	+$313
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$11,977 p22	$13,279	$13,538

7	Total Benchmark (all beneficiaries)	$121,125,007
8	Total Expenditure (all beneficiaries)	$107,821,948
9	Per Capita Expenditure (PY)	$10,661 p8	$12,693	$12,883
10	Generated Savings / Losses	$13,303,059	$6,931,306	—

11	Savings Rate	10.98% p91	4.21%	4.02%
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	$9,777,748	$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)	$75,341	$76,572	$87,961	$76,995	→	$93,585	−$16,590
Disabled	$8,826	$8,277	$8,537	$8,453	↓	$11,266	−$2,813
Aged, Dual-Eligible	$14,292	$14,934	$17,366	$18,337	↑	$23,043	−$4,706
Aged, Non-Dual	$8,668	$7,686	$8,794	$10,268	↑	$12,855	−$2,587
Total				$10,661		$12,693	$12,883

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	1.038	1.044	1.002	→	+0.015	0.967
Disabled	0.949	0.946	0.983	0.933	→	-0.055	0.934
Aged, Dual-Eligible	1.102	1.143	1.157	1.217	↑	+0.145	0.954
Aged, Non-Dual	1.037	1.029	1.041	1.066	→	+0.084	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)	—	0.987
Disabled	—	0.988
Aged, Dual-Eligible	—	1.072
Aged, Non-Dual	—	0.982

Risk Redistribution Weights (PY)

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

ESRD Weight	2.4%
Disabled Weight	7.9%
Aged Dual Weight	8.0%
Aged Non-Dual Weight	81.7%

Beneficiary Demographics

Distribution of 10,308 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

8.4%

Age 65–74

52.8%

Age 75–84

28.4%

Age 85+

10.4%

Gender

Female

54.9%

Male

45.1%

Race / Ethnicity

White

95.5%

Black

0.3%

Hispanic

0.3%

Asian

0.3%

Native American

0.4%

Other

0.4%

Unknown

2.9%

Special Populations

9.49% p67 Dual-Eligible (MSSP median: 6.9%)

1.8% p77 Long-Term Institutionalized (MSSP median: 0.89%)

VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	57	29
Disabled	1,318	831
Aged, Dual-Eligible	670	441
Aged, Non-Dual	10,120	8,812
Total (PY)		10,113

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	$2,676 p7	24.5%	$3,410	$3,514
Inpatient — Short-Term Acute	$2,435		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$238		$367	—
Inpatient — Psychiatric	$8		$37	—
Hospice	$353	3.2%	$258	$354
Skilled Nursing Facility	$582 p38	5.3%	$655	$643
Outpatient	$3,700 p73	33.8%	$3,078	$3,343
Physician / Supplier (Part B)	$2,889 p8	26.4%	$4,341	$4,016
Ambulance	$125	1.1%	$134	$123
Home Health	$267	2.4%	$470	$493
Durable Medical Equipment	$348	3.2%	$405	$415

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

20.8% ED-to-Hospitalization Conversion Rate

1.05:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	196 p8	251	274
Short-Term Acute Admissions (per 1,000)	187	229	—
Long-Term Admissions (per 1,000)	*	1	—
Rehab Admissions (per 1,000)	8	15	—
Psychiatric Admissions (per 1,000)	*	3	—
ED Visits (per 1,000)	576 p33	618	642
ED Visits Resulting in Hospitalization (per 1,000)	120	179	—
CT Scans (per 1,000)	622 p9	751	820
MRI Scans (per 1,000)	216 p25	247	249
E&M Visits — Total (per 1,000)	9,258	12,433	—
E&M Visits — Primary Care (per 1,000)	2,445 p13	4,192	3,890
E&M Visits — Specialist (per 1,000)	2,322 p1	4,821	4,623
Nurse Practitioner Visits (per 1,000)	2,909 p71	2,464	2,836
FQHC / RHC Visits (per 1,000)	1,581 p83	160	128
SNF Admissions (per 1,000)	41	40	42
SNF Average Length of Stay (days)	25 p20	27	26
SNF Average Payment per Stay	$13,928 p28	$15,338	$14,818

Provider Composition

Facilities

Hospitals	1
Critical Access Hospitals	2
FQHCs	0
Rural Health Clinics	12
Extension of Treatment Areas	0
Other Facilities	5

Clinicians

Primary Care Physicians	154
Specialists	352
Nurse Practitioners	277
Physician Assistants	135
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 p73

86.7

How Well Providers Communicate p63

94.7

Patient's Rating of Provider p71

93.5

Access to Specialists p65

77.5

Health Promotion & Education p90

70.9

Shared Decision-Making p46

62.2

Health Status / Functional Status p46

74.5

Courteous & Helpful Office Staff p75

87.5

Care Coordination p99

96.1

Stewardship of Patient Resources p31

24.8

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) p99	98.56	83.13	87.58
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p3	0.13	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	35.82
Falls: Screening for Future Fall Risk p95	99.19	91.53	93.67
Influenza Immunization p76	76.88	70.06	70.90
Tobacco Use: Screening & Cessation Intervention p87	97.50	82.86	83.33
Colorectal Cancer Screening p96	90.14	80.23	81.63
Breast Cancer Screening p90	88.93	82.59	85.00
Statin Therapy for CVD Prevention p95	94.17	87.36	87.13
Depression Remission at 12 Months p85	27.86	14.29	13.54
Depression Screening & Follow-Up Plan p97 Reporting pathways Web Interface: 97.41 eCQM: - MIPS CQM: - Medicare CQM: -	97.41	83.73	83.88
Diabetes: HbA1c Poor Control (>9%) (lower is better) p5 Reporting pathways Web Interface: 4.63 eCQM: - MIPS CQM: - Medicare CQM: -	4.63	8.44	8.21
Controlling High Blood Pressure p81 Reporting pathways Web Interface: 85.39 eCQM: - MIPS CQM: - Medicare CQM: -	85.39	80.24	79.17

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 A4988 A2506 A2205 A4979 A4776 A1522 A4649 A2272 A4799 A1459 A1196 A1242 A5080 A3016 A5124 A3380 A3730 A3630 A1216 A4551 A5386 A2207 A1488 A3365 A5331 A3632 A2021 A4976 A5370

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	862	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	5,443	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	2,932	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	1,071	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	670	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	441	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	10,120	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	8,812	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	35	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	26	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	*	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	10,269	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	1,318	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	831	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	9.49%	6.89%	p67	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	959	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	57	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	29	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	5,658	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	26	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	1.80%	0.89%	p77	`Perc_LTI`
Beneficiary Demographics	Male	4,650	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	46	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	9,154	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	40	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	10,113	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	294	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	*	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	9,841	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	77.52	75.90	p65	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	96.08	93.24	p99	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	87.49	86.22	p75	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	86.65	84.11	p73	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	70.93	65.66	p90	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	74.51	74.69	p46	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	94.72	94.26	p63	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	93.54	92.70	p71	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	62.23	62.57	p46	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	24.81	27.09	p31	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.13	0.15	p3	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	88.93	82.59	p90	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	90.14	80.23	p96	`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)	85.39	80.24	p81	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	27.86	14.29	p85	`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)	97.41	83.73	p97	`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)	4.63	8.44	p5	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	99.19	91.53	p95	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	76.88	70.06	p76	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	98.56	83.13	p99	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	94.17	87.36	p95	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	97.50	82.86	p87	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.072	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.982	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.988	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.987	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	10,308	13,159	p35	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$13,303,059	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$9,777,748	$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	$13,303,059	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$9,892	$11,439	p11	`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)	$10,661	$12,693	p8	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$313	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	10.98%	4.21%	p91	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$121,125,007	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$107,821,948	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$11,977	$13,279	p22	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$14,292	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$14,934	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$17,366	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$18,337	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$8,668	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$7,686	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$8,794	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$10,268	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$8,826	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$8,277	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$8,537	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$8,453	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$75,341	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$76,572	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$87,961	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$76,995	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$125	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$348	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$267	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$353	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$2,676	$3,410	p7	`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	$8	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$238	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,435	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$3,700	$3,078	p73	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$2,889	$4,341	p8	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$582	$655	p38	`CapAnn_SNF`
Program Structure	ACO ID	A4977	—		`ACO_ID`
Program Structure	ACO Name	Bellin Health Partners, Inc.	—		`ACO_Name`
Program Structure	Agreement Period	1	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Initial	—		`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	2	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	277	215		`N_NP`
Provider Composition	Other Facilities	5	0		`N_Fac_Other`
Provider Composition	Physician Assistants	135	89		`N_PA`
Provider Composition	Primary Care Physicians	154	206		`N_PCP`
Provider Composition	Rural Health Clinics	12	0		`N_RHC`
Provider Composition	Specialists	352	300		`N_Spec`
Quality Reporting Flags	Disaster / Affected Quality Waiver Applied	✗	✗		`DisAffQual`
Quality Reporting Flags	First-Year ACO Quality Pass	✗	✗		`Met_FirstYear`
Quality Reporting Flags	Met 40th Percentile Threshold	✓	✓		`Met_40pctl`
Quality Reporting Flags	Met Alternative QPS	-	✓		`Met_AltQPS`
Quality Reporting Flags	Met Incentive Threshold	✗	✗		`Met_Incentive`
Quality Reporting Flags	Met Quality Performance Standard (QPS)	✓	✓		`Met_QPS`
Quality Reporting Flags	Met SSP Quality Reporting Requirements	✓	✓		`Met_SSP_quality_reporting_requirements`
Quality Reporting Flags	Received 40th Percentile Bonus	✗	✗		`Recvd40p`
Quality Reporting Flags	Reported via eCQM / CQM / Medicare CQM	✗	✗		`Report_eCQM_CQM_MedicareCQM`
Quality Reporting Flags	Reported via Web Interface	✓	✓		`Report_WI`
Risk Redistribution Weights	Aged Dual Weight	0.08%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.82%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.08%	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)	1.102	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.143	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.157	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.217	0.954	p96	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.037	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.029	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.041	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.066	0.983	p82	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.949	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.946	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.983	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.933	0.934	p49	`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)	1.038	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.044	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.002	0.967	p68	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	622	751	p9	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	2,445	4,192	p13	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	2,322	4,821	p1	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	9,258	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	576	618	p33	`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)	1,581	160	p83	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	196	251	p8	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	216	247	p25	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,909	2,464	p71	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	*	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	8	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	187	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	$13,928	$15,338	p28	`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 →