Aledade Accountable Care 147, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

21,007 p69

Savings Rate

5.11% p58

Quality Score

83.08 p49

Per Capita Expenditure, Total ($)

$14,323 p81

Generated Savings/Losses ($)

$15,860,098

Earned Savings/Losses ($)

$7,771,448

Updated Benchmark ($)

$15,095 p83

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	21,007 p69	13,159	18,574
2	Historical Benchmark (per capita)	$12,201 p67	$11,439	$12,024
3	Regional Adjustment	+$261
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$15,095 p83	$13,279	$13,538

7	Total Benchmark (all beneficiaries)	$310,201,407
8	Total Expenditure (all beneficiaries)	$294,341,309
9	Per Capita Expenditure (PY)	$14,323 p81	$12,693	$12,656
10	Generated Savings / Losses	$15,860,098	$6,931,306	—

11	Savings Rate	5.11% p58	4.21%	6.92%
12	Minimum Savings Rate (threshold)	2.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	50.00%
15	Final Shared Loss Rate	30.00%
16	Earned Savings / Losses	$7,771,448	$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)	$119,896	$114,722	$105,780	$121,196	→	$88,728	+$32,468
Disabled	$11,593	$11,514	$12,835	$14,370	↑	$11,363	+$3,007
Aged, Dual-Eligible	$12,928	$14,037	$15,291	$20,492	↑	$16,965	+$3,527
Aged, Non-Dual	$9,902	$10,746	$10,831	$12,723	↑	$10,720	+$2,003
Total				$14,323		$12,693	$12,656

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)	1.029	0.986	0.992	0.950	↓	-0.076	0.967
Disabled	0.881	0.882	0.914	0.941	↑	-0.117	0.934
Aged, Dual-Eligible	0.869	0.858	0.851	0.896	↑	-0.107	0.954
Aged, Non-Dual	0.900	0.894	0.883	0.889	→	-0.104	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)	—	1.026
Disabled	—	1.058
Aged, Dual-Eligible	—	1.003
Aged, Non-Dual	—	0.993

Risk Redistribution Weights (PY)

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

ESRD Weight	5.1%
Disabled Weight	6.3%
Aged Dual Weight	15.0%
Aged Non-Dual Weight	73.6%

Beneficiary Demographics

Distribution of 21,007 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

8.9%

Age 65–74

47.9%

Age 75–84

31.5%

Age 85+

11.7%

Gender

Female

55.2%

Male

44.8%

Race / Ethnicity

White

76.6%

Black

4.5%

Hispanic

2.5%

Asian

8.4%

Native American

0.1%

Other

5.5%

Unknown

2.5%

Special Populations

15.53% p83 Dual-Eligible (MSSP median: 6.9%)

0.43% p25 Long-Term Institutionalized (MSSP median: 0.89%)

140 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	46	117
Disabled	1,604	1,235
Aged, Dual-Eligible	2,778	2,332
Aged, Non-Dual	16,848	16,867
Total (PY)		20,551

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	$3,884 p77	26.3%	$3,410	$3,503
Inpatient — Short-Term Acute	$3,608		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$252		$367	—
Inpatient — Psychiatric	$42		$37	—
Hospice	$354	2.4%	$258	$267
Skilled Nursing Facility	$1,194 p88	8.1%	$655	$676
Outpatient	$2,657 p33	18.0%	$3,078	$2,874
Physician / Supplier (Part B)	$5,297 p79	35.8%	$4,341	$4,959
Ambulance	$130	0.9%	$134	$137
Home Health	$949	6.4%	$470	$539
Durable Medical Equipment	$330	2.2%	$405	$376

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

28.2% ED-to-Hospitalization Conversion Rate

1.02:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	199 p9	251	239
Short-Term Acute Admissions (per 1,000)	190	229	—
Long-Term Admissions (per 1,000)	*	1	—
Rehab Admissions (per 1,000)	6	15	—
Psychiatric Admissions (per 1,000)	*	3	—
ED Visits (per 1,000)	561 p28	618	556
ED Visits Resulting in Hospitalization (per 1,000)	158	179	—
CT Scans (per 1,000)	593 p6	751	724
MRI Scans (per 1,000)	264 p59	247	266
E&M Visits — Total (per 1,000)	13,253	12,433	—
E&M Visits — Primary Care (per 1,000)	5,849 p80	4,192	5,441
E&M Visits — Specialist (per 1,000)	5,723 p70	4,821	5,569
Nurse Practitioner Visits (per 1,000)	959 p0	2,464	2,122
FQHC / RHC Visits (per 1,000)	723 p72	160	60
SNF Admissions (per 1,000)	39	40	36
SNF Average Length of Stay (days)	31 p84	27	28
SNF Average Payment per Stay	$28,767 p96	$15,338	$16,590

Provider Composition

Facilities

Hospitals	0
Critical Access Hospitals	0
FQHCs	11
Rural Health Clinics	0
Extension of Treatment Areas	0
Other Facilities	0

Clinicians

Primary Care Physicians	121
Specialists	122
Nurse Practitioners	73
Physician Assistants	69
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 p27

81.6

How Well Providers Communicate p16

92.6

Patient's Rating of Provider p12

90.4

Access to Specialists p76

78.8

Health Promotion & Education p20

61.8

Shared Decision-Making p8

56.7

Health Status / Functional Status p73

75.7

Courteous & Helpful Office Staff p26

84.7

Care Coordination p27

92.1

Stewardship of Patient Resources p10

21.2

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) p49	83.08	83.13	84.06
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p37	0.15	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	35.66
Falls: Screening for Future Fall Risk p17	80.91	91.53	90.67
Influenza Immunization p60	72.22	70.06	70.44
Tobacco Use: Screening & Cessation Intervention p41	80.00	82.86	82.35
Colorectal Cancer Screening p47	79.93	80.23	77.64
Breast Cancer Screening p50	82.59	82.59	79.94
Statin Therapy for CVD Prevention p44	86.85	87.36	86.68
Depression Remission at 12 Months p63	17.65	14.29	16.67
Depression Screening & Follow-Up Plan p15 Reporting pathways Web Interface: 72.60 eCQM: - MIPS CQM: - Medicare CQM: -	72.60	83.73	81.04
Diabetes: HbA1c Poor Control (>9%) (lower is better) p34 Reporting pathways Web Interface: 7.36 eCQM: - MIPS CQM: - Medicare CQM: -	7.36	8.44	8.97
Controlling High Blood Pressure p44 Reporting pathways Web Interface: 78.98 eCQM: - MIPS CQM: - Medicare CQM: -	78.98	80.24	80.79

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, physician-led ACOs

View 30 peer ACOs

A4737 A4733 A2490 A1059 A3899 A5193 A3720 A4592 A3922 A4825 A5045 A4895 A5364 A5423 A4992 A5088 A2710 A3236 A5260 A3667 A3783 A4830 A4671 A5357 A5370 A4856 A3047 A4999 A3299 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	1,868	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	10,070	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	6,613	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	2,456	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	2,778	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	2,332	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	16,848	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	16,867	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	1,762	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	937	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	93	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	20,867	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	1,604	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	1,235	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	15.53%	6.89%	p83	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	3,191	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	46	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	117	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	11,597	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	520	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	0.43%	0.89%	p25	`Perc_LTI`
Beneficiary Demographics	Male	9,410	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	19	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	17,360	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	1,154	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	20,551	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	534	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	47	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	16,081	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	78.83	75.90	p76	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	92.13	93.24	p27	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	84.71	86.22	p26	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	81.63	84.11	p27	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	61.78	65.66	p20	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	75.74	74.69	p73	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	92.64	94.26	p16	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	90.43	92.70	p12	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	56.67	62.57	p8	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	21.16	27.09	p10	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.15	0.15	p37	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	82.59	82.59	p50	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	79.93	80.23	p47	`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)	78.98	80.24	p44	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	17.65	14.29	p63	`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)	72.60	83.73	p15	`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)	7.36	8.44	p34	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	80.91	91.53	p17	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	72.22	70.06	p60	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	83.08	83.13	p49	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	86.85	87.36	p44	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	80.00	82.86	p41	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.003	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.993	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	1.058	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.026	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	21,007	13,159	p69	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$15,860,098	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$7,771,448	$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	$15,860,098	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$12,201	$11,439	p67	`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)	$14,323	$12,693	p81	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$261	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	5.11%	4.21%	p58	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$310,201,407	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$294,341,309	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$15,095	$13,279	p83	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$12,928	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$14,037	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$15,291	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$20,492	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,902	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$10,746	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,831	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,723	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$11,593	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$11,514	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$12,835	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$14,370	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$119,896	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$114,722	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$105,780	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$121,196	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$130	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$330	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$949	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$354	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,884	$3,410	p77	`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	$42	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$252	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$3,608	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,657	$3,078	p33	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$5,297	$4,341	p79	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$1,194	$655	p88	`CapAnn_SNF`
Program Structure	ACO ID	A5230	—		`ACO_ID`
Program Structure	ACO Name	Aledade Accountable Care 147, 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	11	0		`N_FQHC`
Provider Composition	Hospitals	0	0		`N_Hosp`
Provider Composition	Nurse Practitioners	73	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	69	89		`N_PA`
Provider Composition	Primary Care Physicians	121	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	122	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	0.15%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.74%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.06%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.05%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	0.869	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	0.858	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	0.851	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.896	0.954	p29	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.900	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.894	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.883	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.889	0.983	p10	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.881	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.882	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.914	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.941	0.934	p52	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.029	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	0.986	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.992	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.950	0.967	p37	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	593	751	p6	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	5,849	4,192	p80	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	5,723	4,821	p70	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	13,253	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	561	618	p28	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	158	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	723	160	p72	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	199	251	p9	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	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)	959	2,464	p0	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	*	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	6	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	190	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	39	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	31	27	p84	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$28,767	$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 →