Aledade Accountable Care 101, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

43,605 p89

Savings Rate

3.08% p37

Quality Score

81.85 p42

Per Capita Expenditure, Total ($)

$13,423 p67

Generated Savings/Losses ($)

$18,163,198

Earned Savings/Losses ($)

$8,899,967

Updated Benchmark ($)

$13,850 p63

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	43,605 p89	13,159	28,971
2	Historical Benchmark (per capita)	$11,970 p62	$11,439	$11,906
3	Regional Adjustment	+$-10
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$13,850 p63	$13,279	$12,876

7	Total Benchmark (all beneficiaries)	$589,517,016
8	Total Expenditure (all beneficiaries)	$571,353,818
9	Per Capita Expenditure (PY)	$13,423 p67	$12,693	$12,199
10	Generated Savings / Losses	$18,163,198	$6,931,306	—

11	Savings Rate	3.08% p37	4.21%	4.52%
12	Minimum Savings Rate (threshold)	1.50%
13	Guardrail Applied	—
14	Final Shared Savings Rate	50.00%
15	Final Shared Loss Rate	30.00%
16	Earned Savings / Losses	$8,899,967	$3,685,876	—

	Revenue-to-Expense Category	Low Revenue

Per Capita Expenditure by Population Segment

Annual per-beneficiary expenditure across benchmark years (BY1–BY3) and the performance year (PY). Includes Parts A and B FFS spending.

Population Segment	BY1	BY2	BY3	PY	Trend	Risk-Adj. Expected	Difference
End-Stage Renal Disease (ESRD)	$86,341	$86,121	$88,303	$102,388	↑	$89,755	+$12,633
Disabled	$9,973	$10,217	$11,204	$12,331	↑	$10,578	+$1,753
Aged, Dual-Eligible	$18,704	$18,252	$20,644	$23,570	↑	$19,010	+$4,560
Aged, Non-Dual	$9,650	$10,117	$10,902	$12,300	↑	$11,311	+$989
Total				$13,423		$12,693	$12,199

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)	1.010	1.002	0.983	0.961	↓	-0.039	0.967
Disabled	0.932	0.919	0.892	0.876	↓	-0.122	0.934
Aged, Dual-Eligible	0.981	0.955	0.981	1.004	→	-0.024	0.954
Aged, Non-Dual	0.973	0.970	0.960	0.938	↓	-0.075	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	—	0.998
Aged, Dual-Eligible	—	1.028
Aged, Non-Dual	—	1.013

Risk Redistribution Weights (PY)

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

ESRD Weight	3.0%
Disabled Weight	8.3%
Aged Dual Weight	11.5%
Aged Non-Dual Weight	77.2%

Beneficiary Demographics

Distribution of 43,605 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

11.3%

Age 65–74

45.1%

Age 75–84

31.5%

Age 85+

12.1%

Gender

Female

58.3%

Male

41.7%

Race / Ethnicity

White

86.0%

Black

8.1%

Hispanic

0.8%

Asian

1.2%

Native American

0.0%

Other

1.1%

Unknown

2.7%

Special Populations

11.83% p76 Dual-Eligible (MSSP median: 6.9%)

3.84% p93 Long-Term Institutionalized (MSSP median: 0.89%)

290 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	199	172
Disabled	4,934	3,774
Aged, Dual-Eligible	3,688	2,859
Aged, Non-Dual	34,276	35,761
Total (PY)		42,565

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	$3,796 p73	27.7%	$3,410	$3,599
Inpatient — Short-Term Acute	$3,299		$2,914	—
Inpatient — Long-Term	$38		$59	—
Inpatient — Rehab	$423		$367	—
Inpatient — Psychiatric	$67		$37	—
Hospice	$359	2.6%	$258	$241
Skilled Nursing Facility	$1,030 p83	7.5%	$655	$643
Outpatient	$3,096 p50	22.6%	$3,078	$2,971
Physician / Supplier (Part B)	$4,461 p54	32.5%	$4,341	$4,181
Ambulance	$171	1.2%	$134	$133
Home Health	$439	3.2%	$470	$470
Durable Medical Equipment	$366	2.7%	$405	$381

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

30.1% 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)	261 p59	251	252
Short-Term Acute Admissions (per 1,000)	237	229	—
Long-Term Admissions (per 1,000)	1	1	—
Rehab Admissions (per 1,000)	18	15	—
Psychiatric Admissions (per 1,000)	5	3	—
ED Visits (per 1,000)	631 p57	618	601
ED Visits Resulting in Hospitalization (per 1,000)	190	179	—
CT Scans (per 1,000)	769 p55	751	750
MRI Scans (per 1,000)	243 p45	247	265
E&M Visits — Total (per 1,000)	14,630	12,433	—
E&M Visits — Primary Care (per 1,000)	5,332 p74	4,192	4,889
E&M Visits — Specialist (per 1,000)	4,756 p48	4,821	4,786
Nurse Practitioner Visits (per 1,000)	2,779 p66	2,464	2,492
FQHC / RHC Visits (per 1,000)	1,763 p85	160	317
SNF Admissions (per 1,000)	49	40	41
SNF Average Length of Stay (days)	30 p77	27	28
SNF Average Payment per Stay	$17,169 p69	$15,338	$15,226

Provider Composition

Facilities

Hospitals	1
Critical Access Hospitals	0
FQHCs	51
Rural Health Clinics	19
Extension of Treatment Areas	0
Other Facilities	2

Clinicians

Primary Care Physicians	332
Specialists	220
Nurse Practitioners	407
Physician Assistants	139
Clinical Nurse Specialists	4

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 p95

89.3

How Well Providers Communicate p70

95.0

Patient's Rating of Provider p69

93.5

Access to Specialists p28

73.7

Health Promotion & Education p63

67.2

Shared Decision-Making p90

67.6

Health Status / Functional Status p42

74.3

Courteous & Helpful Office Staff p77

87.6

Care Coordination p97

95.7

Stewardship of Patient Resources p70

29.5

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) p42	81.85	83.13	84.78
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p71	0.16	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ? p59	38.05	36.11	41.80
Falls: Screening for Future Fall Risk p13	79.23	91.53	85.20
Influenza Immunization p47	68.84	70.06	70.44
Tobacco Use: Screening & Cessation Intervention p35	76.47	82.86	80.65
Colorectal Cancer Screening p38	77.64	80.23	78.20
Breast Cancer Screening p24	76.95	82.59	80.18
Statin Therapy for CVD Prevention p40	86.34	87.36	84.15
Depression Remission at 12 Months p37	11.76	14.29	13.95
Depression Screening & Follow-Up Plan p51 Reporting pathways Web Interface: 83.93 eCQM: - MIPS CQM: - Medicare CQM: -	83.93	83.73	84.40
Diabetes: HbA1c Poor Control (>9%) (lower is better) p22 Reporting pathways Web Interface: 6.17 eCQM: - MIPS CQM: - Medicare CQM: -	6.17	8.44	8.97
Controlling High Blood Pressure p57 Reporting pathways Web Interface: 81.63 eCQM: - MIPS CQM: - Medicare CQM: -	81.63	80.24	81.12

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

View 30 peer ACOs

A2500 A4671 A2735 A4992 A5357 A4999 A4559 A5370 A2251 A3458 A3919 A4588 A4592 A1059 A4654 A5193 A5230 A5231 A2164 A4945 A3016 A4548 A5088 A4998 A4830 A4895 A3236 A4556 A1026 A5124

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	4,948	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	19,646	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	13,748	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	5,263	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	3,688	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	2,859	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	34,276	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	35,761	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	524	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	3,536	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	189	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	43,315	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	4,934	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	3,774	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	11.83%	6.89%	p76	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	5,037	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	199	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	172	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	25,401	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	347	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	3.84%	0.89%	p93	`Perc_LTI`
Beneficiary Demographics	Male	18,204	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	20	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	37,528	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	479	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	42,565	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	1,185	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	101	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	37,514	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	73.68	75.90	p28	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	95.67	93.24	p97	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	87.56	86.22	p77	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	89.28	84.11	p95	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	67.17	65.66	p63	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	74.31	74.69	p42	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	94.97	94.26	p70	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	93.48	92.70	p69	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	67.62	62.57	p90	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	29.54	27.09	p70	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.16	0.15	p71	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	76.95	82.59	p24	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	77.64	80.23	p38	`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)	81.63	80.24	p57	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	11.76	14.29	p37	`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)	83.93	83.73	p51	`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)	6.17	8.44	p22	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	79.23	91.53	p13	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	68.84	70.06	p47	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	81.85	83.13	p42	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	38.05	36.11	p59	`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	86.34	87.36	p40	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	76.47	82.86	p35	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.028	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.013	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.998	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	43,605	13,159	p89	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$18,163,198	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$8,899,967	$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	$18,163,198	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$11,970	$11,439	p62	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	1.50%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$13,423	$12,693	p67	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$-10	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	3.08%	4.21%	p37	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$589,517,016	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$571,353,818	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$13,850	$13,279	p63	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$18,704	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$18,252	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$20,644	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$23,570	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,650	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$10,117	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,902	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,300	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$9,973	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$10,217	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$11,204	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$12,331	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$86,341	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$86,121	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$88,303	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$102,388	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$171	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$366	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$439	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$359	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,796	$3,410	p73	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$38	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$67	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$423	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$3,299	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$3,096	$3,078	p50	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,461	$4,341	p54	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$1,030	$655	p83	`CapAnn_SNF`
Program Structure	ACO ID	A5216	—		`ACO_ID`
Program Structure	ACO Name	Aledade Accountable Care 101, 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	4	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	51	0		`N_FQHC`
Provider Composition	Hospitals	1	0		`N_Hosp`
Provider Composition	Nurse Practitioners	407	215		`N_NP`
Provider Composition	Other Facilities	2	0		`N_Fac_Other`
Provider Composition	Physician Assistants	139	89		`N_PA`
Provider Composition	Primary Care Physicians	332	206		`N_PCP`
Provider Composition	Rural Health Clinics	19	0		`N_RHC`
Provider Composition	Specialists	220	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	0.12%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.77%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.08%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.03%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	0.981	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	0.955	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	0.981	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.004	0.954	p65	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.973	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.970	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.960	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.938	0.983	p27	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.932	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.919	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.892	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.876	0.934	p26	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.010	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.002	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.983	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.961	0.967	p44	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	769	751	p55	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	5,332	4,192	p74	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	4,756	4,821	p48	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	14,630	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	631	618	p57	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	190	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	1,763	160	p85	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	261	251	p59	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	1	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	243	247	p45	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,779	2,464	p66	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	5	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	18	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	237	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	49	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	30	27	p77	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$17,169	$15,338	p69	`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 →