AdvantagePoint Health Alliance - Hot Springs, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

7,061 p17

Savings Rate

4.89% p56

Quality Score

51.27 p1

Per Capita Expenditure, Total ($)

$12,797 p52

Generated Savings/Losses ($)

$4,548,108

Earned Savings/Losses ($)

$2,228,573

Updated Benchmark ($)

$13,455 p54

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

Program Structure

Current Track	E
Agreement Type	Renewal
Agreement Period	2
Start Date	1/1/2024
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	7,061 p17	13,159	10,160
2	Historical Benchmark (per capita)	$12,147 p65	$11,439	$11,032
3	Regional Adjustment	+$366
4	Prior Savings Adjustment	+$121
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$13,455 p54	$13,279	$12,209

7	Total Benchmark (all beneficiaries)	$93,036,883
8	Total Expenditure (all beneficiaries)	$88,488,776
9	Per Capita Expenditure (PY)	$12,797 p52	$12,693	$11,720
10	Generated Savings / Losses	$4,548,108	$6,931,306	—

11	Savings Rate	4.89% p56	4.21%	5.29%
12	Minimum Savings Rate (threshold)	2.00%
13	Guardrail Applied	No
14	Final Shared Savings Rate	50.00%
15	Final Shared Loss Rate	30.00%
16	Earned Savings / Losses	$2,228,573	$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)	$66,427	$75,384	*	*		—	—
Disabled	$10,120	$10,492	$11,178	$10,436	↑	$10,252	+$184
Aged, Dual-Eligible	$14,267	$12,419	$13,484	$13,342	↓	$17,041	−$3,699
Aged, Non-Dual	$10,087	$10,484	$11,207	$12,929	↑	$12,674	+$255
Total				$12,797		$12,693	$11,720

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)	0.975	1.016	*	*		—	0.967
Disabled	0.954	0.941	0.899	0.849	↓	-0.096	0.934
Aged, Dual-Eligible	0.987	0.911	0.917	0.900	↓	-0.109	0.954
Aged, Non-Dual	1.029	1.015	1.016	1.051	→	+0.024	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)	*	*
Disabled	0.954	0.945
Aged, Dual-Eligible	0.982	1.009
Aged, Non-Dual	1.022	1.027

Risk Redistribution Weights (PY)

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

ESRD Weight	*
Disabled Weight	7.4%
Aged Dual Weight	3.6%
Aged Non-Dual Weight	88.3%

Beneficiary Demographics

Distribution of 7,061 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

10.5%

Age 65–74

46.7%

Age 75–84

33.1%

Age 85+

9.7%

Gender

Female

55.4%

Male

44.6%

Race / Ethnicity

White

95.5%

Black

1.9%

Hispanic

0.5%

Asian

0.3%

Native American

0.0%

Other

0.0%

Unknown

1.3%

Special Populations

6.06% p42 Dual-Eligible (MSSP median: 6.9%)

*% Long-Term Institutionalized (MSSP median: 0.89%)

73 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	*	*
Disabled	705	550
Aged, Dual-Eligible	266	*
Aged, Non-Dual	6,467	6,161
Total (PY)		6,915

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	$3,952 p79	30.3%	$3,410	$3,164
Inpatient — Short-Term Acute	$2,646		$2,914	—
Inpatient — Long-Term	$84		$59	—
Inpatient — Rehab	$1,166		$367	—
Inpatient — Psychiatric	$80		$37	—
Hospice	$269	2.1%	$258	$190
Skilled Nursing Facility	$333 p5	2.6%	$655	$548
Outpatient	$2,594 p31	19.9%	$3,078	$2,743
Physician / Supplier (Part B)	$4,659 p61	35.7%	$4,341	$4,380
Ambulance	$153	1.2%	$134	$114
Home Health	$515	3.9%	$470	$445
Durable Medical Equipment	$575	4.4%	$405	$417

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

30.2% ED-to-Hospitalization Conversion Rate

1.21:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	292 p82	251	240
Short-Term Acute Admissions (per 1,000)	227	229	—
Long-Term Admissions (per 1,000)	2	1	—
Rehab Admissions (per 1,000)	56	15	—
Psychiatric Admissions (per 1,000)	7	3	—
ED Visits (per 1,000)	592 p40	618	578
ED Visits Resulting in Hospitalization (per 1,000)	179	179	—
CT Scans (per 1,000)	778 p57	751	719
MRI Scans (per 1,000)	280 p70	247	240
E&M Visits — Total (per 1,000)	12,637	12,433	—
E&M Visits — Primary Care (per 1,000)	4,779 p66	4,192	4,726
E&M Visits — Specialist (per 1,000)	3,946 p26	4,821	4,527
Nurse Practitioner Visits (per 1,000)	3,695 p92	2,464	2,625
FQHC / RHC Visits (per 1,000)	217 p54	160	176
SNF Admissions (per 1,000)	19	40	34
SNF Average Length of Stay (days)	32 p88	27	27
SNF Average Payment per Stay	$15,725 p56	$15,338	$14,739

Provider Composition

Facilities

Hospitals	3
Critical Access Hospitals	0
FQHCs	0
Rural Health Clinics	1
Extension of Treatment Areas	0
Other Facilities	5

Clinicians

Primary Care Physicians	101
Specialists	116
Nurse Practitioners	106
Physician Assistants	12
Clinical Nurse Specialists	1

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 p67

85.9

How Well Providers Communicate p46

94.1

Patient's Rating of Provider p60

93.0

Access to Specialists p57

76.6

Health Promotion & Education p16

61.2

Shared Decision-Making p33

60.8

Health Status / Functional Status p30

73.7

Courteous & Helpful Office Staff p62

86.8

Care Coordination p89

94.9

Stewardship of Patient Resources p86

32.0

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) p1	51.27	83.13	86.22
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p89	0.16	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	30.98
Falls: Screening for Future Fall Risk	-	91.53	91.05
Influenza Immunization	-	70.06	70.63
Tobacco Use: Screening & Cessation Intervention	-	82.86	80.00
Colorectal Cancer Screening	-	80.23	79.69
Breast Cancer Screening	-	82.59	83.08
Statin Therapy for CVD Prevention	-	87.36	86.96
Depression Remission at 12 Months	-	14.29	9.09
Depression Screening & Follow-Up Plan Reporting pathways Web Interface: - eCQM: 33.84 MIPS CQM: - Medicare CQM: -	33.84	83.73	85.43
Diabetes: HbA1c Poor Control (>9%) (lower is better) Reporting pathways Web Interface: - eCQM: 55.80 MIPS CQM: - Medicare CQM: -	55.80	8.44	7.33
Controlling High Blood Pressure Reporting pathways Web Interface: - eCQM: 68.80 MIPS CQM: - Medicare CQM: -	68.80	80.24	80.95

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

A5038 A2597 A1063 A2801 A4650 A2778 A4768 A4638 A4701 A3692 A1539 A4711 A2643 A1225 A3617 A2918 A4707 A2207 A3016 A3318 A4856 A3630 A1494 A4585 A5260 A2164 A2809 A5039 A5304 A5349

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	739	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	3,297	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	2,337	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	688	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	266	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	*	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	6,467	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	6,161	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	24	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	136	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	49	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	6,988	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	705	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	550	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	6.06%	6.89%	p42	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	419	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	*	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	*	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	3,915	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	36	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	*	0.89%		`Perc_LTI`
Beneficiary Demographics	Male	3,146	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	6,496	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	*	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	6,915	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	92	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	24	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	6,746	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	76.61	75.90	p57	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	94.90	93.24	p89	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	86.82	86.22	p62	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	85.94	84.11	p67	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	61.16	65.66	p16	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	73.74	74.69	p30	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	94.14	94.26	p46	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	93.03	92.70	p60	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	60.83	62.57	p33	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	32.02	27.09	p86	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.16	0.15	p89	`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)	68.80	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)	33.84	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)	55.80	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)	51.27	83.13	p1	`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 (BY3)	0.982	1.003		`Demog_RiskScore_AGDU_BY3`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.009	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (BY3)	1.022	1.003		`Demog_RiskScore_AGND_BY3`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.027	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (BY3)	0.954	0.980		`Demog_RiskScore_DIS_BY3`
Demographic Risk Scores	Disabled (PY)	0.945	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	*	0.991		`Demog_RiskScore_ESRD_BY3`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	*	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	7,061	13,159	p17	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$4,548,108	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$2,228,573	$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	$4,548,108	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	✗	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$12,147	$11,439	p65	`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)	$12,797	$12,693	p52	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	$121	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$366	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	4.89%	4.21%	p56	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$93,036,883	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$88,488,776	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$13,455	$13,279	p54	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$14,267	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$12,419	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$13,484	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$13,342	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$10,087	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$10,484	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$11,207	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,929	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$10,120	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$10,492	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$11,178	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$10,436	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$66,427	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$75,384	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	*	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	*	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$153	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$575	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$515	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$269	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,952	$3,410	p79	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$84	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$80	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$1,166	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,646	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,594	$3,078	p31	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,659	$4,341	p61	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$333	$655	p5	`CapAnn_SNF`
Program Structure	ACO ID	A5037	—		`ACO_ID`
Program Structure	ACO Name	AdvantagePoint Health Alliance - Hot Springs, LLC	—		`ACO_Name`
Program Structure	Agreement Period	2	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Renewal	—		`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	1/1/2024	—		`Current_Start_Date`
Provider Composition	Clinical Nurse Specialists	1	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	3	0		`N_Hosp`
Provider Composition	Nurse Practitioners	106	215		`N_NP`
Provider Composition	Other Facilities	5	0		`N_Fac_Other`
Provider Composition	Physician Assistants	12	89		`N_PA`
Provider Composition	Primary Care Physicians	101	206		`N_PCP`
Provider Composition	Rural Health Clinics	1	0		`N_RHC`
Provider Composition	Specialists	116	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	0.07%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	*	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	0.987	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	0.911	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	0.917	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.900	0.954	p30	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.029	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.015	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)	1.051	0.983	p78	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.954	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.941	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.899	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.849	0.934	p19	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	0.975	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.016	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	*	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	*	0.967		`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	778	751	p57	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	4,779	4,192	p66	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	3,946	4,821	p26	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	12,637	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	592	618	p40	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	179	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	217	160	p54	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	292	251	p82	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	2	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	280	247	p70	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	3,695	2,464	p92	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	7	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	56	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	227	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	19	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	32	27	p88	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$15,725	$15,338	p56	`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 →