Aledade Accountable Care 91, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

30,716 p80

Savings Rate

-1.00% p6

Quality Score

74.00 p12

Per Capita Expenditure, Total ($)

$16,242 p94

Generated Savings/Losses ($)

$-4,831,264

Earned Savings/Losses ($)

$-1,448,632

Updated Benchmark ($)

$16,081 p91

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

Program Structure

Current Track	E
Agreement Type	Initial
Agreement Period	1
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	30,716 p80	13,159	20,718
2	Historical Benchmark (per capita)	$13,159 p86	$11,439	$11,834
3	Regional Adjustment	+$88
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$16,081 p91	$13,279	$13,538

7	Total Benchmark (all beneficiaries)	$483,042,957
8	Total Expenditure (all beneficiaries)	$487,874,221
9	Per Capita Expenditure (PY)	$16,242 p94	$12,693	$12,992
10	Generated Savings / Losses	$-4,831,264	$6,931,306	—

11	Savings Rate	-1.00% p6	4.21%	5.13%
12	Minimum Savings Rate (threshold)	1.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	37.00%
15	Final Shared Loss Rate	30.00%
16	Earned Savings / Losses	$-1,448,632	$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)	$95,359	$95,417	$96,215	$120,599	↑	$89,849	+$30,750
Disabled	$11,719	$12,003	$13,636	$16,806	↑	$12,317	+$4,489
Aged, Dual-Eligible	$17,316	$16,446	$18,212	$24,742	↑	$17,325	+$7,417
Aged, Non-Dual	$9,749	$10,668	$11,302	$13,326	↑	$10,998	+$2,328
Total				$16,242		$12,693	$12,992

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)	1.039	1.028	0.998	0.962	↓	-0.063	0.967
Disabled	0.965	0.943	0.951	1.020	↑	-0.046	0.934
Aged, Dual-Eligible	0.906	0.900	0.875	0.915	→	-0.082	0.954
Aged, Non-Dual	0.912	0.896	0.887	0.912	→	-0.077	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)	—	1.025
Disabled	—	1.066
Aged, Dual-Eligible	—	0.997
Aged, Non-Dual	—	0.989

Risk Redistribution Weights (PY)

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

ESRD Weight	3.5%
Disabled Weight	8.6%
Aged Dual Weight	25.5%
Aged Non-Dual Weight	62.3%

Beneficiary Demographics

Distribution of 30,716 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

11.2%

Age 65–74

47.1%

Age 75–84

30.6%

Age 85+

11.2%

Gender

Female

57.8%

Male

42.2%

Race / Ethnicity

White

75.6%

Black

2.6%

Hispanic

10.1%

Asian

4.3%

Native American

0.2%

Other

4.9%

Unknown

2.3%

Special Populations

25.04% p91 Dual-Eligible (MSSP median: 6.9%)

1.47% p70 Long-Term Institutionalized (MSSP median: 0.89%)

168 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	143	147
Disabled	2,794	2,558
Aged, Dual-Eligible	4,877	5,511
Aged, Non-Dual	21,035	21,822
Total (PY)		30,038

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	$4,760 p93	28.4%	$3,410	$3,619
Inpatient — Short-Term Acute	$4,291		$2,914	—
Inpatient — Long-Term	$41		$59	—
Inpatient — Rehab	$453		$367	—
Inpatient — Psychiatric	$25		$37	—
Hospice	$494	2.9%	$258	$261
Skilled Nursing Facility	$1,490 p93	8.9%	$655	$730
Outpatient	$3,268 p58	19.5%	$3,078	$3,092
Physician / Supplier (Part B)	$5,119 p74	30.6%	$4,341	$4,446
Ambulance	$146	0.9%	$134	$130
Home Health	$1,083	6.5%	$470	$524
Durable Medical Equipment	$394	2.4%	$405	$394

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

31.1% ED-to-Hospitalization Conversion Rate

1.12:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	254 p53	251	250
Short-Term Acute Admissions (per 1,000)	239	229	—
Long-Term Admissions (per 1,000)	1	1	—
Rehab Admissions (per 1,000)	12	15	—
Psychiatric Admissions (per 1,000)	2	3	—
ED Visits (per 1,000)	647 p61	618	611
ED Visits Resulting in Hospitalization (per 1,000)	201	179	—
CT Scans (per 1,000)	648 p16	751	741
MRI Scans (per 1,000)	264 p59	247	260
E&M Visits — Total (per 1,000)	14,972	12,433	—
E&M Visits — Primary Care (per 1,000)	6,633 p89	4,192	4,087
E&M Visits — Specialist (per 1,000)	5,903 p73	4,821	5,528
Nurse Practitioner Visits (per 1,000)	1,594 p12	2,464	2,084
FQHC / RHC Visits (per 1,000)	843 p74	160	50
SNF Admissions (per 1,000)	47	40	41
SNF Average Length of Stay (days)	36 p95	27	28
SNF Average Payment per Stay	$27,938 p96	$15,338	$15,602

Provider Composition

Facilities

Hospitals	1
Critical Access Hospitals	0
FQHCs	0
Rural Health Clinics	6
Extension of Treatment Areas	0
Other Facilities	8

Clinicians

Primary Care Physicians	213
Specialists	260
Nurse Practitioners	157
Physician Assistants	145
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 p25

81.3

How Well Providers Communicate p20

93.0

Patient's Rating of Provider p58

93.0

Access to Specialists p38

74.7

Health Promotion & Education p12

60.1

Shared Decision-Making p53

62.8

Health Status / Functional Status p88

76.8

Courteous & Helpful Office Staff p17

84.1

Care Coordination p26

92.0

Stewardship of Patient Resources p24

23.8

Clinical Quality Measures

MSSP quality measures. Measures marked "lower is better" are inverted — a lower score indicates better performance.

Measure	This ACO	MSSP Median	Peer Median
Overall Quality Score (Composite) p12	74.00	83.13	83.08
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) ? p48	35.66	36.11	51.00
Falls: Screening for Future Fall Risk p11	78.35	91.53	91.05
Influenza Immunization p16	57.79	70.06	71.65
Tobacco Use: Screening & Cessation Intervention p37	77.78	82.86	80.00
Colorectal Cancer Screening p24	73.39	80.23	77.95
Breast Cancer Screening p30	78.72	82.59	82.31
Statin Therapy for CVD Prevention p16	82.55	87.36	86.85
Depression Remission at 12 Months p8	3.45	14.29	17.65
Depression Screening & Follow-Up Plan p11 Reporting pathways Web Interface: 68.31 eCQM: - MIPS CQM: - Medicare CQM: -	68.31	83.73	83.73
Diabetes: HbA1c Poor Control (>9%) (lower is better) p57 Reporting pathways Web Interface: 8.97 eCQM: - MIPS CQM: - Medicare CQM: -	8.97	8.44	9.56
Controlling High Blood Pressure p11 Reporting pathways Web Interface: 72.17 eCQM: - MIPS CQM: - Medicare CQM: -	72.17	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

A1059 A1095 A5045 A4592 A5230 A5088 A4709 A4825 A5040 A5124 A4830 A3671 A5423 A5370 A3667 A4711 A3299 A5364 A3899 A3016 A4998 A5260 A4776 A4856 A2097 A1026 A4588 A4556 A4559 A4654

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	3,433	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	14,460	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	9,384	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	3,439	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	4,877	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	5,511	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	21,035	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	21,822	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	1,335	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	791	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	107	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	30,548	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	2,794	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	2,558	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	25.04%	6.89%	p91	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	7,520	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	143	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	147	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	17,740	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	3,102	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	1.47%	0.89%	p70	`Perc_LTI`
Beneficiary Demographics	Male	12,976	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	71	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	22,518	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	1,505	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	30,038	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	700	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	61	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	23,212	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	74.72	75.90	p38	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	92.03	93.24	p26	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	84.09	86.22	p17	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	81.28	84.11	p25	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	60.13	65.66	p12	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	76.84	74.69	p88	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	93.01	94.26	p20	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	92.97	92.70	p58	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	62.83	62.57	p53	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	23.82	27.09	p24	`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	78.72	82.59	p30	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	73.39	80.23	p24	`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)	72.17	80.24	p11	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	3.45	14.29	p8	`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)	68.31	83.73	p11	`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)	8.97	8.44	p57	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	78.35	91.53	p11	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	57.79	70.06	p16	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	74.00	83.13	p12	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	35.66	36.11	p48	`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	82.55	87.36	p16	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	77.78	82.86	p37	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	0.997	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.989	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	1.066	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.025	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	30,716	13,159	p80	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$-4,831,264	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$-747	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$-1,448,632	$3,685,876		`EarnSaveLoss`
Financial Performance	Final Shared Loss Rate	30.00%	40.00%		`FinalLossRate`
Financial Performance	Final Shared Savings Rate	37.00%	50.00%		`FinalShareRate`
Financial Performance	Generated Savings / Losses	$-4,831,264	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$13,159	$11,439	p86	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	1.00%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$16,242	$12,693	p94	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$88	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	-1.00%	4.21%	p6	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$483,042,957	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$487,874,221	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$16,081	$13,279	p91	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$17,316	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$16,446	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$18,212	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$24,742	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,749	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$10,668	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$11,302	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$13,326	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$11,719	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$12,003	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$13,636	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$16,806	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$95,359	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$95,417	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$96,215	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$120,599	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$146	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$394	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$1,083	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$494	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$4,760	$3,410	p93	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$41	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$25	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$453	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$4,291	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$3,268	$3,078	p58	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$5,119	$4,341	p74	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$1,490	$655	p93	`CapAnn_SNF`
Program Structure	ACO ID	A5193	—		`ACO_ID`
Program Structure	ACO Name	Aledade Accountable Care 91, LLC	—		`ACO_Name`
Program Structure	Agreement Period	1	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Initial	—		`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	1/1/2023	—		`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	1	0		`N_Hosp`
Provider Composition	Nurse Practitioners	157	215		`N_NP`
Provider Composition	Other Facilities	8	0		`N_Fac_Other`
Provider Composition	Physician Assistants	145	89		`N_PA`
Provider Composition	Primary Care Physicians	213	206		`N_PCP`
Provider Composition	Rural Health Clinics	6	0		`N_RHC`
Provider Composition	Specialists	260	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	0.26%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.62%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.09%	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)	0.906	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	0.900	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	0.875	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.915	0.954	p35	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.912	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.896	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.887	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.912	0.983	p18	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.965	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.943	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.951	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	1.020	0.934	p79	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.039	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)	0.998	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.962	0.967	p45	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	648	751	p16	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	6,633	4,192	p89	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	5,903	4,821	p73	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	14,972	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	647	618	p61	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	201	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	843	160	p74	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	254	251	p53	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	1	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	264	247	p59	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	1,594	2,464	p12	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	2	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	12	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	239	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)	36	27	p95	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$27,938	$15,338	p96	`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 →