Gundersen Health Accountable Care Organization, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

15,853 p58

Savings Rate

-1.15% p5

Quality Score

80.25 p35

Per Capita Expenditure, Total ($)

$13,811 p74

Generated Savings/Losses ($)

Earned Savings/Losses ($)

Updated Benchmark ($)

$13,654 p59

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

Program Structure

Current Track	EN
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	15,853 p58	13,159	18,595
2	Historical Benchmark (per capita)	$12,439 p73	$11,439	$11,692
3	Regional Adjustment	+$-141
4	Prior Savings Adjustment	+$51
5	Adjustment Category	Prior Savings Adjustment
6	Updated Benchmark (per capita)	$13,654 p59	$13,279	$13,292

7	Total Benchmark (all beneficiaries)	$210,777,089
8	Total Expenditure (all beneficiaries)	$213,201,012
9	Per Capita Expenditure (PY)	$13,811 p74	$12,693	$12,698
10	Generated Savings / Losses	$0	$6,931,306	—

11	Savings Rate	-1.15% p5	4.21%	4.70%
12	Minimum Savings Rate (threshold)	2.00%
13	Guardrail Applied	No
14	Final Shared Savings Rate	75.00%
15	Final Shared Loss Rate	40.00%
16	Earned Savings / Losses	$0	$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)	$83,239	$72,253	$80,859	$93,498	↑	$98,348	−$4,850
Disabled	$11,700	$11,163	$11,718	$13,781	↑	$11,411	+$2,370
Aged, Dual-Eligible	$18,147	$16,391	$19,029	$20,929	↑	$19,483	+$1,446
Aged, Non-Dual	$9,955	$10,247	$10,938	$12,588	↑	$11,360	+$1,228
Total				$13,811		$12,693	$12,698

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)	1.045	1.028	0.991	1.053	→	+0.020	0.967
Disabled	0.940	0.952	0.924	0.945	→	-0.081	0.934
Aged, Dual-Eligible	1.017	1.011	1.010	1.029	→	-0.009	0.954
Aged, Non-Dual	0.922	0.917	0.928	0.942	→	-0.027	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)	1.020	1.033
Disabled	1.033	1.026
Aged, Dual-Eligible	1.030	1.038
Aged, Non-Dual	0.973	0.969

Risk Redistribution Weights (PY)

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

ESRD Weight	3.8%
Disabled Weight	11.9%
Aged Dual Weight	11.3%
Aged Non-Dual Weight	73.0%

Beneficiary Demographics

Distribution of 15,853 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

14.9%

Age 65–74

49.0%

Age 75–84

25.8%

Age 85+

10.3%

Gender

Female

53.6%

Male

46.4%

Race / Ethnicity

White

95.6%

Black

0.4%

Hispanic

0.2%

Asian

0.8%

Native American

0.2%

Other

0.4%

Unknown

2.5%

Special Populations

16.58% p85 Dual-Eligible (MSSP median: 6.9%)

3.22% p90 Long-Term Institutionalized (MSSP median: 0.89%)

VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	104	88
Disabled	2,107	1,865
Aged, Dual-Eligible	1,382	1,144
Aged, Non-Dual	13,329	12,339
Total (PY)		15,436

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	$3,027 p24	21.3%	$3,410	$3,502
Inpatient — Short-Term Acute	$2,789		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$217		$367	—
Inpatient — Psychiatric	$23		$37	—
Hospice	$345	2.4%	$258	$264
Skilled Nursing Facility	$1,518 p93	10.7%	$655	$730
Outpatient	$6,707 p98	47.3%	$3,078	$3,903
Physician / Supplier (Part B)	$1,873 p0	13.2%	$4,341	$3,534
Ambulance	$144	1.0%	$134	$152
Home Health	$165	1.2%	$470	$422
Durable Medical Equipment	$399	2.8%	$405	$422

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

11.0% ED-to-Hospitalization Conversion Rate

1.20:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	209 p14	251	254
Short-Term Acute Admissions (per 1,000)	199	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)	860 p95	618	651
ED Visits Resulting in Hospitalization (per 1,000)	95	179	—
CT Scans (per 1,000)	513 p1	751	755
MRI Scans (per 1,000)	137 p2	247	227
E&M Visits — Total (per 1,000)	10,132	12,433	—
E&M Visits — Primary Care (per 1,000)	3,023 p19	4,192	3,506
E&M Visits — Specialist (per 1,000)	2,528 p2	4,821	3,908
Nurse Practitioner Visits (per 1,000)	3,310 p85	2,464	2,193
FQHC / RHC Visits (per 1,000)	1,272 p80	160	1,048
SNF Admissions (per 1,000)	47	40	42
SNF Average Length of Stay (days)	28 p58	27	26
SNF Average Payment per Stay	$29,821 p98	$15,338	$15,345

Provider Composition

Facilities

Hospitals	1
Critical Access Hospitals	12
FQHCs	0
Rural Health Clinics	20
Extension of Treatment Areas	0
Other Facilities	15

Clinicians

Primary Care Physicians	464
Specialists	866
Nurse Practitioners	349
Physician Assistants	282
Clinical Nurse Specialists	3

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 p23

81.1

How Well Providers Communicate p4

90.6

Patient's Rating of Provider p7

89.9

Access to Specialists p27

73.6

Health Promotion & Education p43

65.0

Shared Decision-Making p11

57.2

Health Status / Functional Status p80

76.3

Courteous & Helpful Office Staff p19

84.3

Care Coordination p73

94.1

Stewardship of Patient Resources p50

27.1

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	80.25	83.13	81.59
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p14	0.14	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	37.58
Falls: Screening for Future Fall Risk	-	91.53	84.57
Influenza Immunization	-	70.06	68.44
Tobacco Use: Screening & Cessation Intervention	-	82.86	77.78
Colorectal Cancer Screening	-	80.23	77.46
Breast Cancer Screening	-	82.59	80.65
Statin Therapy for CVD Prevention	-	87.36	86.86
Depression Remission at 12 Months	-	14.29	13.95
Depression Screening & Follow-Up Plan Reporting pathways Web Interface: - eCQM: 65.71 MIPS CQM: - Medicare CQM: -	65.71	83.73	85.80
Diabetes: HbA1c Poor Control (>9%) (lower is better) Reporting pathways Web Interface: - eCQM: 15.39 MIPS CQM: - Medicare CQM: -	15.39	8.44	8.97
Controlling High Blood Pressure Reporting pathways Web Interface: - eCQM: 73.76 MIPS CQM: - Medicare CQM: -	73.76	80.24	78.66

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, rural infrastructure ACOs

View 30 peer ACOs

A2097 A2880 A4657 A4652 A4988 A3317 A5370 A2844 A5033 A1066 A3633 A4776 A5226 A4998 A5358 A5231 A3671 A5003 A2207 A5025 A4832 A2600 A5349 A1297 A5323 A1095 A5193 A4711 A3289 A3667

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	2,358	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	7,772	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	4,083	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	1,640	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	1,382	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	1,144	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	13,329	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	12,339	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	129	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	58	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	*	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	15,833	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	2,107	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	1,865	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	16.58%	6.89%	p85	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	2,560	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	104	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	88	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	8,503	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	28	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	3.22%	0.89%	p90	`Perc_LTI`
Beneficiary Demographics	Male	7,350	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	39	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	12,876	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	59	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	15,436	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	392	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	*	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	15,148	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	73.64	75.90	p27	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	94.10	93.24	p73	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	84.35	86.22	p19	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	81.14	84.11	p23	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	65.02	65.66	p43	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	76.30	74.69	p80	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	90.58	94.26	p4	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	89.94	92.70	p7	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	57.18	62.57	p11	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	27.09	27.09	p50	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.14	0.15	p14	`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)	73.76	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)	65.71	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)	15.39	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)	80.25	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 (BY3)	1.030	1.003		`Demog_RiskScore_AGDU_BY3`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.038	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (BY3)	0.973	1.003		`Demog_RiskScore_AGND_BY3`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.969	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (BY3)	1.033	0.980		`Demog_RiskScore_DIS_BY3`
Demographic Risk Scores	Disabled (PY)	1.026	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.020	0.991		`Demog_RiskScore_ESRD_BY3`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.033	0.987		`Demog_RiskScore_ESRD_PY`
Financial Performance	Adjustment Category	Prior Savings 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	15,853	13,159	p58	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$-2,423,923	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$0	$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	$0	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	✗	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$12,439	$11,439	p73	`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)	$13,811	$12,693	p74	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	$51	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$-141	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	-1.15%	4.21%	p5	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$210,777,089	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$213,201,012	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$13,654	$13,279	p59	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$18,147	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$16,391	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$19,029	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$20,929	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,955	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$10,247	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,938	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,588	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$11,700	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$11,163	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$11,718	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$13,781	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$83,239	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$72,253	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$80,859	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$93,498	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$144	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$399	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$165	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$345	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,027	$3,410	p24	`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	$23	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$217	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,789	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$6,707	$3,078	p98	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$1,873	$4,341	p0	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$1,518	$655	p93	`CapAnn_SNF`
Program Structure	ACO ID	A5094	—		`ACO_ID`
Program Structure	ACO Name	Gundersen Health Accountable Care Organization, 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	EN	—		`Current_Track`
Program Structure	Risk Model	Two-Sided	—		`Risk_Model`
Program Structure	SNF 3-Day Waiver	✓	✗		`SNF_Waiver`
Program Structure	Start Date	1/1/2024	—		`Current_Start_Date`
Provider Composition	Clinical Nurse Specialists	3	0		`N_CNS`
Provider Composition	Critical Access Hospitals	12	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	349	215		`N_NP`
Provider Composition	Other Facilities	15	0		`N_Fac_Other`
Provider Composition	Physician Assistants	282	89		`N_PA`
Provider Composition	Primary Care Physicians	464	206		`N_PCP`
Provider Composition	Rural Health Clinics	20	0		`N_RHC`
Provider Composition	Specialists	866	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	0.11%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.73%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.12%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.04%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	1.017	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.011	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.010	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.029	0.954	p71	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.922	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.917	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.928	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.942	0.983	p29	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.940	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.952	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.924	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.945	0.934	p53	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.045	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.028	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.991	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.053	0.967	p90	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	513	751	p1	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	3,023	4,192	p19	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	2,528	4,821	p2	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	10,132	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	860	618	p95	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	95	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	1,272	160	p80	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	209	251	p14	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	137	247	p2	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	3,310	2,464	p85	`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)	199	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	47	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	28	27	p58	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$29,821	$15,338	p98	`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 →