Aledade Accountable Care 149, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

30,012 p80

Savings Rate

4.28% p50

Quality Score

84.88 p58

Per Capita Expenditure, Total ($)

$13,456 p67

Generated Savings/Losses ($)

$17,600,422

Earned Savings/Losses ($)

$8,624,207

Updated Benchmark ($)

$14,057 p68

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	30,012 p80	13,159	21,853
2	Historical Benchmark (per capita)	$11,906 p60	$11,439	$11,061
3	Regional Adjustment	+$-44
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$14,057 p68	$13,279	$12,305

7	Total Benchmark (all beneficiaries)	$411,573,006
8	Total Expenditure (all beneficiaries)	$393,972,584
9	Per Capita Expenditure (PY)	$13,456 p67	$12,693	$12,080
10	Generated Savings / Losses	$17,600,422	$6,931,306	—

11	Savings Rate	4.28% p50	4.21%	4.09%
12	Minimum Savings Rate (threshold)	1.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	50.00%
15	Final Shared Loss Rate	30.00%
16	Earned Savings / Losses	$8,624,207	$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)	$85,249	$84,697	$73,240	$93,893	↑	$90,222	+$3,671
Disabled	$11,453	$12,826	$13,510	$14,904	↑	$12,039	+$2,865
Aged, Dual-Eligible	$22,200	$21,721	$24,300	$26,058	↑	$20,165	+$5,893
Aged, Non-Dual	$9,287	$9,979	$10,558	$12,307	↑	$11,094	+$1,213
Total				$13,456		$12,693	$12,080

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)	0.988	1.006	0.971	0.966	→	-0.017	0.967
Disabled	0.951	0.968	0.994	0.997	↑	+0.010	0.934
Aged, Dual-Eligible	1.035	1.015	1.029	1.065	→	+0.024	0.954
Aged, Non-Dual	0.925	0.917	0.914	0.920	→	-0.072	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)	—	0.983
Disabled	—	0.987
Aged, Dual-Eligible	—	1.041
Aged, Non-Dual	—	0.992

Risk Redistribution Weights (PY)

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

ESRD Weight	2.6%
Disabled Weight	5.9%
Aged Dual Weight	10.4%
Aged Non-Dual Weight	81.1%

Beneficiary Demographics

Distribution of 30,012 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

7.6%

Age 65–74

48.8%

Age 75–84

32.2%

Age 85+

11.4%

Gender

Female

55.0%

Male

45.0%

Race / Ethnicity

White

89.8%

Black

3.9%

Hispanic

1.7%

Asian

0.7%

Native American

0.5%

Other

1.1%

Unknown

2.3%

Special Populations

7.4% p54 Dual-Eligible (MSSP median: 6.9%)

3.56% p92 Long-Term Institutionalized (MSSP median: 0.89%)

143 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	131	113
Disabled	2,052	1,500
Aged, Dual-Eligible	2,052	1,490
Aged, Non-Dual	25,899	26,175
Total (PY)		29,278

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	$3,717 p67	26.9%	$3,410	$3,199
Inpatient — Short-Term Acute	$3,015		$2,914	—
Inpatient — Long-Term	$97		$59	—
Inpatient — Rehab	$577		$367	—
Inpatient — Psychiatric	$51		$37	—
Hospice	$401	2.9%	$258	$251
Skilled Nursing Facility	$877 p73	6.3%	$655	$729
Outpatient	$3,097 p51	22.4%	$3,078	$3,188
Physician / Supplier (Part B)	$4,600 p59	33.2%	$4,341	$3,710
Ambulance	$198	1.4%	$134	$125
Home Health	$519	3.8%	$470	$365
Durable Medical Equipment	$431	3.1%	$405	$399

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

25.6% ED-to-Hospitalization Conversion Rate

1.43:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	254 p53	251	244
Short-Term Acute Admissions (per 1,000)	225	229	—
Long-Term Admissions (per 1,000)	2	1	—
Rehab Admissions (per 1,000)	23	15	—
Psychiatric Admissions (per 1,000)	4	3	—
ED Visits (per 1,000)	616 p49	618	583
ED Visits Resulting in Hospitalization (per 1,000)	158	179	—
CT Scans (per 1,000)	700 p30	751	745
MRI Scans (per 1,000)	266 p60	247	237
E&M Visits — Total (per 1,000)	13,622	12,433	—
E&M Visits — Primary Care (per 1,000)	5,984 p82	4,192	3,871
E&M Visits — Specialist (per 1,000)	4,179 p31	4,821	4,048
Nurse Practitioner Visits (per 1,000)	2,541 p54	2,464	2,498
FQHC / RHC Visits (per 1,000)	919 p75	160	666
SNF Admissions (per 1,000)	46	40	38
SNF Average Length of Stay (days)	32 p88	27	27
SNF Average Payment per Stay	$18,302 p76	$15,338	$15,656

Provider Composition

Facilities

Hospitals	3
Critical Access Hospitals	4
FQHCs	2
Rural Health Clinics	18
Extension of Treatment Areas	0
Other Facilities	8

Clinicians

Primary Care Physicians	294
Specialists	326
Nurse Practitioners	321
Physician Assistants	133
Clinical Nurse Specialists	3

CAHPS Patient Experience

Consumer Assessment of Healthcare Providers and Systems survey scores (0–100 scale). Gray marker = MSSP median. Blue marker = peer median.

Getting Timely Care, Appointments & Information p76

87.0

How Well Providers Communicate p24

93.3

Patient's Rating of Provider p18

91.1

Access to Specialists p77

79.0

Health Promotion & Education p56

66.4

Shared Decision-Making p86

66.8

Health Status / Functional Status p56

75.0

Courteous & Helpful Office Staff p65

87.0

Care Coordination p30

92.3

Stewardship of Patient Resources p53

27.5

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) p58	84.88	83.13	81.60
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	51.00
Falls: Screening for Future Fall Risk p21	83.49	91.53	89.66
Influenza Immunization p32	64.03	70.06	72.32
Tobacco Use: Screening & Cessation Intervention p37	77.78	82.86	75.00
Colorectal Cancer Screening p20	71.47	80.23	80.78
Breast Cancer Screening p32	79.50	82.59	83.69
Statin Therapy for CVD Prevention p15	82.39	87.36	84.70
Depression Remission at 12 Months p47	13.79	14.29	16.67
Depression Screening & Follow-Up Plan p37 Reporting pathways Web Interface: 80.07 eCQM: - MIPS CQM: - Medicare CQM: -	80.07	83.73	86.10
Diabetes: HbA1c Poor Control (>9%) (lower is better) p74 Reporting pathways Web Interface: 10.44 eCQM: - MIPS CQM: - Medicare CQM: -	10.44	8.44	8.65
Controlling High Blood Pressure p52 Reporting pathways Web Interface: 80.48 eCQM: - MIPS CQM: - Medicare CQM: -	80.48	80.24	80.31

Quality Reporting Flags

✓ Met Quality Performance Standard (QPS)

? Met Alternative QPS

✓ Met 40th Percentile Threshold

✓ Met SSP Quality Reporting Requirements

✓ Reported via Web Interface

✗ Reported via eCQM / CQM / Medicare CQM

✗ First-Year ACO Quality Pass

✗ Met Incentive Threshold

✗ Received 40th Percentile Bonus

✗ Disaster / Affected Quality Waiver Applied

Peer Cohort

30 similar mid-size, ENHANCED-track, average acuity, rural infrastructure ACOs

View 30 peer ACOs

A4998 A2207 A5226 A5025 A3229 A4776 A3289 A4573 A5370 A2600 A1459 A2164 A4671 A3677 A4949 A3016 A5003 A5039 A5358 A5349 A1059 A2916 A2217 A4799 A4652 A1061 A3336 A2019 A1539 A3299

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	2,278	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	14,648	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	9,659	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	3,427	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	2,052	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	1,490	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	25,899	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	26,175	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	218	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	1,168	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	98	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	29,869	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	2,052	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	1,500	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	7.40%	6.89%	p54	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	2,168	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	131	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	113	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	16,510	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	517	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	3.56%	0.89%	p92	`Perc_LTI`
Beneficiary Demographics	Male	13,502	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	157	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	27,110	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	322	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	29,278	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	676	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	45	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	26,954	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	79.00	75.90	p77	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	92.32	93.24	p30	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	87.00	86.22	p65	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	87.00	84.11	p76	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	66.38	65.66	p56	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	74.97	74.69	p56	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	93.25	94.26	p24	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	91.08	92.70	p18	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	66.80	62.57	p86	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	27.51	27.09	p53	`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	79.50	82.59	p32	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	71.47	80.23	p20	`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)	80.48	80.24	p52	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	13.79	14.29	p47	`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)	80.07	83.73	p37	`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)	10.44	8.44	p74	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	83.49	91.53	p21	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	64.03	70.06	p32	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	84.88	83.13	p58	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	82.39	87.36	p15	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	77.78	82.86	p37	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.041	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.992	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	0.987	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.983	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	30,012	13,159	p80	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$17,600,422	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$8,624,207	$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	$17,600,422	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$11,906	$11,439	p60	`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)	$13,456	$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	$-44	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	4.28%	4.21%	p50	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$411,573,006	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$393,972,584	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$14,057	$13,279	p68	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$22,200	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$21,721	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$24,300	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$26,058	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,287	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$9,979	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,558	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,307	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$11,453	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$12,826	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$13,510	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$14,904	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$85,249	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$84,697	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$73,240	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$93,893	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$198	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$431	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$519	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$401	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,717	$3,410	p67	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$97	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$51	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$577	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$3,015	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$3,097	$3,078	p51	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,600	$4,341	p59	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$877	$655	p73	`CapAnn_SNF`
Program Structure	ACO ID	A5231	—		`ACO_ID`
Program Structure	ACO Name	Aledade Accountable Care 149, 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	3	0		`N_CNS`
Provider Composition	Critical Access Hospitals	4	0		`N_CAH`
Provider Composition	Extension of Treatment Areas	0	0		`N_ETA`
Provider Composition	FQHCs	2	0		`N_FQHC`
Provider Composition	Hospitals	3	0		`N_Hosp`
Provider Composition	Nurse Practitioners	321	215		`N_NP`
Provider Composition	Other Facilities	8	0		`N_Fac_Other`
Provider Composition	Physician Assistants	133	89		`N_PA`
Provider Composition	Primary Care Physicians	294	206		`N_PCP`
Provider Composition	Rural Health Clinics	18	0		`N_RHC`
Provider Composition	Specialists	326	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	0.10%	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	0.06%	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)	1.035	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.015	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.029	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.065	0.954	p80	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.925	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.917	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.914	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.920	0.983	p22	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.951	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.968	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.994	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.997	0.934	p72	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	0.988	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.006	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.971	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.966	0.967	p49	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	700	751	p30	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	5,984	4,192	p82	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	4,179	4,821	p31	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	13,622	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	616	618	p49	`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)	919	160	p75	`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)	2	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	266	247	p60	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,541	2,464	p54	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	4	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	23	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	225	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	46	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	32	27	p88	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$18,302	$15,338	p76	`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 →