Caravan Health ACO 50 LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

126,751 p99

Savings Rate

1.36% p21

Quality Score

84.27 p56

Per Capita Expenditure, Total ($)

$13,238 p61

Generated Savings/Losses ($)

Earned Savings/Losses ($)

Updated Benchmark ($)

$13,421 p53

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	1/1/2023
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	126,751 p99	13,159	53,573
2	Historical Benchmark (per capita)	$11,507 p51	$11,439	$11,637
3	Regional Adjustment	+$-39
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$13,421 p53	$13,279	$13,466

7	Total Benchmark (all beneficiaries)	$1,661,759,800
8	Total Expenditure (all beneficiaries)	$1,639,093,232
9	Per Capita Expenditure (PY)	$13,238 p61	$12,693	$13,228
10	Generated Savings / Losses	$0	$6,931,306	—

11	Savings Rate	1.36% p21	4.21%	4.70%
12	Minimum Savings Rate (threshold)	2.00%
13	Guardrail Applied	—
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)	$78,093	$83,048	$79,348	$90,997	↑	$86,393	+$4,604
Disabled	$10,728	$11,204	$11,484	$12,605	↑	$10,759	+$1,846
Aged, Dual-Eligible	$17,457	$18,107	$17,939	$19,968	↑	$16,776	+$3,192
Aged, Non-Dual	$9,488	$10,274	$10,765	$12,545	↑	$11,058	+$1,487
Total				$13,238		$12,693	$13,228

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)	0.956	0.978	0.955	0.925	↓	-0.075	0.967
Disabled	0.934	0.923	0.908	0.891	↓	-0.122	0.934
Aged, Dual-Eligible	0.956	0.949	0.926	0.886	↓	-0.128	0.954
Aged, Non-Dual	0.948	0.944	0.928	0.917	↓	-0.090	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)	—	1.000
Disabled	—	1.013
Aged, Dual-Eligible	—	1.014
Aged, Non-Dual	—	1.007

Risk Redistribution Weights (PY)

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

ESRD Weight	2.4%
Disabled Weight	7.3%
Aged Dual Weight	9.2%
Aged Non-Dual Weight	81.1%

Beneficiary Demographics

Distribution of 126,751 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

9.9%

Age 65–74

47.0%

Age 75–84

31.6%

Age 85+

11.5%

Gender

Female

55.3%

Male

44.7%

Race / Ethnicity

White

91.7%

Black

3.3%

Hispanic

0.7%

Asian

0.5%

Native American

0.6%

Other

0.7%

Unknown

2.5%

Special Populations

10% p69 Dual-Eligible (MSSP median: 6.9%)

2.15% p82 Long-Term Institutionalized (MSSP median: 0.89%)

505 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	512	417
Disabled	12,348	9,039
Aged, Dual-Eligible	8,745	7,081
Aged, Non-Dual	111,641	107,279
Total (PY)		123,816

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	$3,391 p48	24.9%	$3,410	$3,408
Inpatient — Short-Term Acute	$3,082		$2,914	—
Inpatient — Long-Term	$24		$59	—
Inpatient — Rehab	$257		$367	—
Inpatient — Psychiatric	$44		$37	—
Hospice	$252	1.9%	$258	$332
Skilled Nursing Facility	$866 p72	6.4%	$655	$760
Outpatient	$4,822 p92	35.5%	$3,078	$4,118
Physician / Supplier (Part B)	$3,224 p13	23.7%	$4,341	$3,847
Ambulance	$170	1.3%	$134	$144
Home Health	$452	3.3%	$470	$442
Durable Medical Equipment	$423	3.1%	$405	$459

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

19.9% 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)	230 p28	251	253
Short-Term Acute Admissions (per 1,000)	216	229	—
Long-Term Admissions (per 1,000)	1	1	—
Rehab Admissions (per 1,000)	11	15	—
Psychiatric Admissions (per 1,000)	3	3	—
ED Visits (per 1,000)	663 p68	618	678
ED Visits Resulting in Hospitalization (per 1,000)	132	179	—
CT Scans (per 1,000)	729 p42	751	810
MRI Scans (per 1,000)	230 p37	247	247
E&M Visits — Total (per 1,000)	11,055	12,433	—
E&M Visits — Primary Care (per 1,000)	2,810 p15	4,192	3,527
E&M Visits — Specialist (per 1,000)	3,836 p24	4,821	4,326
Nurse Practitioner Visits (per 1,000)	2,428 p48	2,464	2,718
FQHC / RHC Visits (per 1,000)	1,981 p86	160	1,060
SNF Admissions (per 1,000)	41	40	45
SNF Average Length of Stay (days)	28 p58	27	26
SNF Average Payment per Stay	$19,654 p84	$15,338	$15,338

Provider Composition

Facilities

Hospitals	19
Critical Access Hospitals	77
FQHCs	0
Rural Health Clinics	132
Extension of Treatment Areas	0
Other Facilities	153

Clinicians

Primary Care Physicians	3,743
Specialists	9,328
Nurse Practitioners	3,721
Physician Assistants	2,472
Clinical Nurse Specialists	46

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 p46

83.8

How Well Providers Communicate p87

95.7

Patient's Rating of Provider p70

93.5

Access to Specialists p37

74.7

Health Promotion & Education p37

64.3

Shared Decision-Making p65

64.0

Health Status / Functional Status p36

74.0

Courteous & Helpful Office Staff p84

88.1

Care Coordination p13

91.2

Stewardship of Patient Resources p31

24.9

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) p56	84.27	83.13	87.70
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p27	0.15	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ? p39	34.48	36.11	34.02
Falls: Screening for Future Fall Risk p37	89.49	91.53	95.30
Influenza Immunization p20	59.00	70.06	72.43
Tobacco Use: Screening & Cessation Intervention p44	80.95	82.86	82.69
Colorectal Cancer Screening p35	76.61	80.23	84.25
Breast Cancer Screening p31	79.06	82.59	85.31
Statin Therapy for CVD Prevention p61	88.59	87.36	87.97
Depression Remission at 12 Months p59	16.36	14.29	13.79
Depression Screening & Follow-Up Plan p50 Reporting pathways Web Interface: 83.82 eCQM: - MIPS CQM: - Medicare CQM: -	83.82	83.73	87.10
Diabetes: HbA1c Poor Control (>9%) (lower is better) p53 Reporting pathways Web Interface: 8.76 eCQM: - MIPS CQM: - Medicare CQM: -	8.76	8.44	7.20
Controlling High Blood Pressure p26 Reporting pathways Web Interface: 75.33 eCQM: - MIPS CQM: - Medicare CQM: -	75.33	80.24	80.00

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 very large, ENHANCED-track, average acuity, rural infrastructure ACOs

View 30 peer ACOs

A2616 A5483 A3566 A4604 A4692 A4617 A1297 A1066 A3029 A4573 A3454 A1215 A5358 A5033 A2542 A4527 A5323 A3289 A2844 A3317 A3633 A5094 A5226 A3229 A4626 A2880 A1535 A2342 A4641 A4938

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.

Download CSV

Show 185 rows

Source	Metric	Value	National Median	Pctl.	Raw key
Beneficiary Demographics	Age 0–64	12,563	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	59,591	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	40,067	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	14,530	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	8,745	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	7,081	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	111,641	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	107,279	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	657	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	4,143	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	339	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	126,246	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	12,348	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	9,039	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	10.00%	6.89%	p69	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	12,385	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	512	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	417	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	70,036	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	863	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	2.15%	0.89%	p82	`Perc_LTI`
Beneficiary Demographics	Male	56,715	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	737	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	111,432	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	907	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	123,816	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	3,223	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	166	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	116,221	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	74.70	75.90	p37	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	91.16	93.24	p13	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	88.14	86.22	p84	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	83.79	84.11	p46	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	64.32	65.66	p37	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	74.02	74.69	p36	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	95.68	94.26	p87	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	93.51	92.70	p70	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	63.99	62.57	p65	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	24.86	27.09	p31	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.15	0.15	p27	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	79.06	82.59	p31	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	76.61	80.23	p35	`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)	75.33	80.24	p26	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	16.36	14.29	p59	`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)	83.82	83.73	p50	`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)	8.76	8.44	p53	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	89.49	91.53	p37	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	59.00	70.06	p20	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	84.27	83.13	p56	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	34.48	36.11	p39	`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	88.59	87.36	p61	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	80.95	82.86	p44	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.014	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.007	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	1.013	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.000	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	126,751	13,159	p99	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$22,666,568	$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)	$11,507	$11,439	p51	`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)	$13,238	$12,693	p61	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$-39	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	1.36%	4.21%	p21	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$1,661,759,800	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$1,639,093,232	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$13,421	$13,279	p53	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$17,457	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$18,107	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$17,939	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$19,968	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,488	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$10,274	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,765	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,545	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$10,728	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$11,204	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$11,484	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$12,605	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$78,093	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$83,048	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$79,348	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$90,997	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$170	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$423	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$452	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$252	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,391	$3,410	p48	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$24	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$44	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$257	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$3,082	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$4,822	$3,078	p92	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$3,224	$4,341	p13	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$866	$655	p72	`CapAnn_SNF`
Program Structure	ACO ID	A5160	—		`ACO_ID`
Program Structure	ACO Name	Caravan Health ACO 50 LLC	—		`ACO_Name`
Program Structure	Agreement Period	2	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Re-entering	—		`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	1/1/2023	—		`Current_Start_Date`
Provider Composition	Clinical Nurse Specialists	46	0		`N_CNS`
Provider Composition	Critical Access Hospitals	77	0		`N_CAH`
Provider Composition	Extension of Treatment Areas	0	0		`N_ETA`
Provider Composition	FQHCs	0	0		`N_FQHC`
Provider Composition	Hospitals	19	0		`N_Hosp`
Provider Composition	Nurse Practitioners	3,721	215		`N_NP`
Provider Composition	Other Facilities	153	0		`N_Fac_Other`
Provider Composition	Physician Assistants	2,472	89		`N_PA`
Provider Composition	Primary Care Physicians	3,743	206		`N_PCP`
Provider Composition	Rural Health Clinics	132	0		`N_RHC`
Provider Composition	Specialists	9,328	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	0.09%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.81%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.07%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.02%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	0.956	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	0.949	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	0.926	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.886	0.954	p26	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.948	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.944	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)	0.917	0.983	p20	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.934	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.923	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.908	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.891	0.934	p30	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	0.956	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	0.978	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.955	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.925	0.967	p22	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	729	751	p42	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	2,810	4,192	p15	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	3,836	4,821	p24	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	11,055	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	663	618	p68	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	132	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	1,981	160	p86	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	230	251	p28	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	1	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	230	247	p37	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,428	2,464	p48	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	3	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	11	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	216	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)	28	27	p58	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$19,654	$15,338	p84	`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 →