ProHealth Solutions, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

13,410 p51

Savings Rate

-0.68% p8

Quality Score

80.32 p35

Per Capita Expenditure, Total ($)

$12,458 p44

Generated Savings/Losses ($)

$-1,113,409

Earned Savings/Losses ($)

$-443,014

Updated Benchmark ($)

$12,374 p31

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

Program Structure

Current Track	EN
Agreement Type	Re-entering
Agreement Period	2
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	13,410 p51	13,159	15,680
2	Historical Benchmark (per capita)	$10,052 p15	$11,439	$11,454
3	Regional Adjustment	+$159
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$12,374 p31	$13,279	$13,067

7	Total Benchmark (all beneficiaries)	$163,084,750
8	Total Expenditure (all beneficiaries)	$164,198,159
9	Per Capita Expenditure (PY)	$12,458 p44	$12,693	$12,657
10	Generated Savings / Losses	$-1,113,409	$6,931,306	—

11	Savings Rate	-0.68% p8	4.21%	3.33%
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	$-443,014	$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)	$80,854	$98,308	$97,016	$121,102	↑	$94,706	+$26,396
Disabled	$8,712	$8,648	$8,253	$10,327	↑	$10,783	−$456
Aged, Dual-Eligible	$17,738	$18,005	$19,322	$25,059	↑	$21,036	+$4,023
Aged, Non-Dual	$9,314	$8,469	$9,457	$11,955	↑	$12,252	−$297
Total				$12,458		$12,693	$12,657

Risk Scores

Hierarchical Condition Category risk scores. A score of 1.0 = national average. Below 1.0 means the population is healthier than average.

CMS-HCC Risk Scores

Population Segment	BY1	BY2	BY3	PY	Trend	Coding Gap	MSSP Med.
End-Stage Renal Disease (ESRD)	0.944	1.024	1.036	1.014	↑	+0.030	0.967
Disabled	0.984	0.948	0.960	0.893	↓	-0.087	0.934
Aged, Dual-Eligible	1.190	1.213	1.143	1.111	↓	+0.058	0.954
Aged, Non-Dual	1.016	0.983	0.995	1.016	→	+0.031	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)	—	0.984
Disabled	—	0.980
Aged, Dual-Eligible	—	1.053
Aged, Non-Dual	—	0.985

Risk Redistribution Weights (PY)

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

ESRD Weight	2.5%
Disabled Weight	5.2%
Aged Dual Weight	4.2%
Aged Non-Dual Weight	88.1%

Beneficiary Demographics

Distribution of 13,410 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

5.9%

Age 65–74

49.3%

Age 75–84

33.2%

Age 85+

11.6%

Gender

Female

56.7%

Male

43.3%

Race / Ethnicity

White

93.7%

Black

0.4%

Hispanic

0.3%

Asian

0.4%

Native American

0.1%

Other

0.5%

Unknown

4.6%

Special Populations

6.09% p42 Dual-Eligible (MSSP median: 6.9%)

1.07% p59 Long-Term Institutionalized (MSSP median: 0.89%)

78 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	58	35
Disabled	1,059	758
Aged, Dual-Eligible	350	312
Aged, Non-Dual	12,869	12,076
Total (PY)		13,180

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	$3,920 p78	30.7%	$3,410	$3,368
Inpatient — Short-Term Acute	$2,788		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$1,115		$367	—
Inpatient — Psychiatric	$19		$37	—
Hospice	$456	3.6%	$258	$340
Skilled Nursing Facility	$364 p9	2.9%	$655	$660
Outpatient	$3,828 p76	30.0%	$3,078	$3,192
Physician / Supplier (Part B)	$3,364 p18	26.4%	$4,341	$4,066
Ambulance	$113	0.9%	$134	$123
Home Health	$398	3.1%	$470	$492
Durable Medical Equipment	$322	2.5%	$405	$405

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

29.5% ED-to-Hospitalization Conversion Rate

0.73:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	285 p78	251	253
Short-Term Acute Admissions (per 1,000)	237	229	—
Long-Term Admissions (per 1,000)	*	1	—
Rehab Admissions (per 1,000)	45	15	—
Psychiatric Admissions (per 1,000)	*	3	—
ED Visits (per 1,000)	654 p66	618	594
ED Visits Resulting in Hospitalization (per 1,000)	193	179	—
CT Scans (per 1,000)	715 p34	751	770
MRI Scans (per 1,000)	255 p54	247	243
E&M Visits — Total (per 1,000)	9,635	12,433	—
E&M Visits — Primary Care (per 1,000)	3,063 p20	4,192	4,245
E&M Visits — Specialist (per 1,000)	4,168 p31	4,821	4,623
Nurse Practitioner Visits (per 1,000)	2,388 p46	2,464	2,962
FQHC / RHC Visits (per 1,000)	16 p18	160	111
SNF Admissions (per 1,000)	28	40	44
SNF Average Length of Stay (days)	25 p20	27	26
SNF Average Payment per Stay	$12,508 p8	$15,338	$15,036

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	194
Specialists	397
Nurse Practitioners	265
Physician Assistants	154
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 p22

80.8

How Well Providers Communicate p59

94.5

Patient's Rating of Provider p60

93.0

Access to Specialists p52

76.2

Health Promotion & Education p60

66.9

Shared Decision-Making p13

57.9

Health Status / Functional Status p83

76.5

Courteous & Helpful Office Staff p87

88.3

Care Coordination p88

94.9

Stewardship of Patient Resources p20

23.1

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) p35	80.32	83.13	89.08
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p26	0.15	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	54.41
Falls: Screening for Future Fall Risk	-	91.53	91.89
Influenza Immunization	-	70.06	73.26
Tobacco Use: Screening & Cessation Intervention	-	82.86	90.48
Colorectal Cancer Screening	-	80.23	82.48
Breast Cancer Screening	-	82.59	85.32
Statin Therapy for CVD Prevention	-	87.36	88.02
Depression Remission at 12 Months	-	14.29	10.64
Depression Screening & Follow-Up Plan Reporting pathways Web Interface: - eCQM: 55.31 MIPS CQM: - Medicare CQM: -	55.31	83.73	88.84
Diabetes: HbA1c Poor Control (>9%) (lower is better) Reporting pathways Web Interface: - eCQM: 18.56 MIPS CQM: - Medicare CQM: -	18.56	8.44	7.97
Controlling High Blood Pressure Reporting pathways Web Interface: - eCQM: 79.96 MIPS CQM: - Medicare CQM: -	79.96	80.24	81.78

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

A1242 A2205 A2266 A5386 A5387 A4649 A2021 A3273 A1403 A4516 A2506 A1522 A5318 A5331 A1199 A5012 A4551 A4976 A3280 A3630 A3380 A4799 A5372 A4977 A4575 A3730 A5170 A5124 A5260 A4556

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	794	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	6,612	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	4,453	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	1,551	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	350	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	312	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	12,869	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	12,076	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	48	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	57	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	63	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	13,332	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	1,059	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	758	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	6.09%	6.89%	p42	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	802	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	58	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	35	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	7,599	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	43	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	1.07%	0.89%	p59	`Perc_LTI`
Beneficiary Demographics	Male	5,811	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	12	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	12,378	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	68	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	13,180	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	613	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	15	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	12,569	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	76.18	75.90	p52	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	94.86	93.24	p88	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	88.27	86.22	p87	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	80.84	84.11	p22	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	66.90	65.66	p60	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	76.46	74.69	p83	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	94.53	94.26	p59	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	93.03	92.70	p60	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	57.85	62.57	p13	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	23.06	27.09	p20	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.15	0.15	p26	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	-	82.59		`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	-	80.23		`QualityID_113`
Clinical Quality Measures	Controlling High Blood Pressure (eCQM)	79.96	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)	-	80.24		`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	-	14.29		`QualityID_370`
Clinical Quality Measures	Depression Screening (eCQM)	55.31	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)	-	83.73		`QualityID_134_WI`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (eCQM)	18.56	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)	-	8.44		`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	-	91.53		`QualityID_318`
Clinical Quality Measures	Influenza Immunization	-	70.06		`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	80.32	83.13	p35	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	-	87.36		`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	-	82.86		`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.053	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.985	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.980	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.984	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	13,410	13,159	p51	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$-1,113,409	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$-2,350	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$-443,014	$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	$-1,113,409	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$10,052	$11,439	p15	`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)	$12,458	$12,693	p44	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$159	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	-0.68%	4.21%	p8	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$163,084,750	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$164,198,159	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$12,374	$13,279	p31	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$17,738	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$18,005	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$19,322	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$25,059	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,314	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$8,469	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$9,457	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$11,955	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$8,712	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$8,648	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$8,253	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$10,327	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$80,854	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$98,308	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$97,016	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$121,102	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$113	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$322	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$398	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$456	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,920	$3,410	p78	`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	$19	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$1,115	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,788	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$3,828	$3,078	p76	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$3,364	$4,341	p18	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$364	$655	p9	`CapAnn_SNF`
Program Structure	ACO ID	A4979	—		`ACO_ID`
Program Structure	ACO Name	ProHealth Solutions, 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	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	0	0		`N_Hosp`
Provider Composition	Nurse Practitioners	265	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	154	89		`N_PA`
Provider Composition	Primary Care Physicians	194	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	397	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	0.04%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.88%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.05%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.03%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	1.190	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.213	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.143	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.111	0.954	p89	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.016	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.983	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.995	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.016	0.983	p66	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.984	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.948	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.960	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.893	0.934	p31	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	0.944	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.024	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.036	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.014	0.967	p75	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	715	751	p34	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	3,063	4,192	p20	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	4,168	4,821	p31	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	9,635	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	654	618	p66	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	193	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	16	160	p18	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	285	251	p78	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	255	247	p54	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,388	2,464	p46	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	*	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	45	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	237	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	28	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	$12,508	$15,338	p8	`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 →