Centrus Health LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

11,419 p41

Savings Rate

5.06% p58

Quality Score

86.61 p68

Per Capita Expenditure, Total ($)

$12,106 p37

Generated Savings/Losses ($)

$7,228,368

Earned Savings/Losses ($)

$5,312,850

Updated Benchmark ($)

$12,752 p38

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

Program Structure

Current Track	EN
Agreement Type	Renewal
Agreement Period	3
Start Date	1/1/2024
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	11,419 p41	13,159	13,291
2	Historical Benchmark (per capita)	$11,825 p58	$11,439	$11,144
3	Regional Adjustment	+$373
4	Prior Savings Adjustment	+$119
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$12,752 p38	$13,279	$12,876

7	Total Benchmark (all beneficiaries)	$142,729,294
8	Total Expenditure (all beneficiaries)	$135,500,926
9	Per Capita Expenditure (PY)	$12,106 p37	$12,693	$12,178
10	Generated Savings / Losses	$7,228,368	$6,931,306	—

11	Savings Rate	5.06% p58	4.21%	4.89%
12	Minimum Savings Rate (threshold)	0.00%
13	Guardrail Applied	No
14	Final Shared Savings Rate	75.00%
15	Final Shared Loss Rate	40.00%
16	Earned Savings / Losses	$5,312,850	$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)	$87,327	$104,537	$113,457	*		—	—
Disabled	$10,690	$11,173	$10,246	$12,720	↑	$11,459	+$1,261
Aged, Dual-Eligible	$18,470	$16,701	$13,821	$17,984	→	$16,794	+$1,190
Aged, Non-Dual	$9,924	$10,420	$11,003	$11,973	↑	$11,950	+$23
Total				$12,106		$12,693	$12,178

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)	0.942	1.083	1.036	*		—	0.967
Disabled	0.986	0.965	0.985	0.949	↓	+0.019	0.934
Aged, Dual-Eligible	0.999	0.939	0.890	0.887	↓	-0.119	0.954
Aged, Non-Dual	0.975	1.001	0.986	0.991	→	+0.016	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)	0.963	*
Disabled	0.910	0.930
Aged, Dual-Eligible	1.009	1.006
Aged, Non-Dual	0.973	0.975

Risk Redistribution Weights (PY)

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

ESRD Weight	*
Disabled Weight	4.9%
Aged Dual Weight	1.8%
Aged Non-Dual Weight	92.8%

Beneficiary Demographics

Distribution of 11,419 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

7.5%

Age 65–74

51.7%

Age 75–84

30.8%

Age 85+

10.0%

Gender

Female

56.7%

Male

43.3%

Race / Ethnicity

White

94.5%

Black

1.6%

Hispanic

0.4%

Asian

0.6%

Native American

0.1%

Other

0.6%

Unknown

2.2%

Special Populations

2.49% p7 Dual-Eligible (MSSP median: 6.9%)

0.24% p9 Long-Term Institutionalized (MSSP median: 0.89%)

75 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	17	*
Disabled	581	533
Aged, Dual-Eligible	164	*
Aged, Non-Dual	10,750	10,520
Total (PY)		11,192

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	$3,660 p63	30.1%	$3,410	$3,240
Inpatient — Short-Term Acute	$2,752		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$862		$367	—
Inpatient — Psychiatric	$29		$37	—
Hospice	$234	1.9%	$258	$231
Skilled Nursing Facility	$474 p22	3.9%	$655	$594
Outpatient	$2,923 p43	24.1%	$3,078	$2,700
Physician / Supplier (Part B)	$3,987 p39	32.8%	$4,341	$4,672
Ambulance	$82	0.7%	$134	$113
Home Health	$366	3.0%	$470	$422
Durable Medical Equipment	$424	3.5%	$405	$411

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

32.6% ED-to-Hospitalization Conversion Rate

0.94:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	294 p84	251	237
Short-Term Acute Admissions (per 1,000)	250	229	—
Long-Term Admissions (per 1,000)	*	1	—
Rehab Admissions (per 1,000)	40	15	—
Psychiatric Admissions (per 1,000)	*	3	—
ED Visits (per 1,000)	579 p35	618	573
ED Visits Resulting in Hospitalization (per 1,000)	189	179	—
CT Scans (per 1,000)	807 p66	751	761
MRI Scans (per 1,000)	278 p69	247	261
E&M Visits — Total (per 1,000)	11,310	12,433	—
E&M Visits — Primary Care (per 1,000)	4,254 p52	4,192	4,779
E&M Visits — Specialist (per 1,000)	4,527 p41	4,821	4,629
Nurse Practitioner Visits (per 1,000)	2,291 p43	2,464	2,733
FQHC / RHC Visits (per 1,000)	239 p56	160	62
SNF Admissions (per 1,000)	29	40	37
SNF Average Length of Stay (days)	23 p4	27	27
SNF Average Payment per Stay	$15,162 p47	$15,338	$15,053

Provider Composition

Facilities

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

Clinicians

Primary Care Physicians	78
Specialists	584
Nurse Practitioners	159
Physician Assistants	89
Clinical Nurse Specialists	2

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 p12

78.9

How Well Providers Communicate p28

93.4

Patient's Rating of Provider p45

92.6

Access to Specialists p23

72.9

Health Promotion & Education p18

61.6

Shared Decision-Making p19

58.9

Health Status / Functional Status p35

74.0

Courteous & Helpful Office Staff p67

87.1

Care Coordination p32

92.5

Stewardship of Patient Resources p78

30.5

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) p68	86.61	83.13	88.32
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p65	0.16	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	54.41
Falls: Screening for Future Fall Risk p63	93.66	91.53	92.17
Influenza Immunization p23	60.26	70.06	73.49
Tobacco Use: Screening & Cessation Intervention p41	80.00	82.86	81.82
Colorectal Cancer Screening p93	88.83	80.23	80.99
Breast Cancer Screening p92	90.03	82.59	85.64
Statin Therapy for CVD Prevention p64	88.96	87.36	87.22
Depression Remission at 12 Months p20	7.58	14.29	17.05
Depression Screening & Follow-Up Plan p78 Reporting pathways Web Interface: 90.31 eCQM: - MIPS CQM: - Medicare CQM: -	90.31	83.73	85.55
Diabetes: HbA1c Poor Control (>9%) (lower is better) p24 Reporting pathways Web Interface: 6.40 eCQM: - MIPS CQM: - Medicare CQM: -	6.40	8.44	7.28
Controlling High Blood Pressure p75 Reporting pathways Web Interface: 84.49 eCQM: - MIPS CQM: - Medicare CQM: -	84.49	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, physician-led ACOs

View 30 peer ACOs

A3094 A2778 A1216 A1063 A1494 A3630 A1488 A5260 A2019 A3280 A3016 A2205 A1225 A4707 A2916 A3617 A4556 A4516 A4986 A5309 A4979 A5349 A3783 A4992 A2543 A5037 A4976 A5372 A4768 A5245

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.

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Source	Metric	Value	National Median	Pctl.	Raw key
Beneficiary Demographics	Age 0–64	856	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	5,900	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	3,516	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	1,147	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	164	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	*	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	10,750	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	10,520	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	66	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	183	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	64	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	11,344	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	581	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	533	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	2.49%	6.89%	p7	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	278	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	17	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	*	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	6,477	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	44	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	0.24%	0.89%	p9	`Perc_LTI`
Beneficiary Demographics	Male	4,942	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	12	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	10,914	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	68	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	11,192	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	252	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	11	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	10,794	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	72.90	75.90	p23	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	92.51	93.24	p32	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	87.11	86.22	p67	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	78.87	84.11	p12	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	61.63	65.66	p18	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	73.99	74.69	p35	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	93.37	94.26	p28	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	92.57	92.70	p45	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	58.92	62.57	p19	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	30.51	27.09	p78	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.16	0.15	p65	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	90.03	82.59	p92	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	88.83	80.23	p93	`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)	84.49	80.24	p75	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	7.58	14.29	p20	`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)	90.31	83.73	p78	`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)	6.40	8.44	p24	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	93.66	91.53	p63	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	60.26	70.06	p23	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	86.61	83.13	p68	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	88.96	87.36	p64	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	80.00	82.86	p41	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (BY3)	1.009	1.003		`Demog_RiskScore_AGDU_BY3`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.006	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (BY3)	0.973	1.003		`Demog_RiskScore_AGND_BY3`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.975	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (BY3)	0.910	0.980		`Demog_RiskScore_DIS_BY3`
Demographic Risk Scores	Disabled (PY)	0.930	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.963	0.991		`Demog_RiskScore_ESRD_BY3`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	*	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	11,419	13,159	p41	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$7,228,368	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$5,312,850	$3,685,876		`EarnSaveLoss`
Financial Performance	Final Shared Loss Rate	40.00%	40.00%		`FinalLossRate`
Financial Performance	Final Shared Savings Rate	75.00%	50.00%		`FinalShareRate`
Financial Performance	Generated Savings / Losses	$7,228,368	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	✗	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$11,825	$11,439	p58	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	0.00%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$12,106	$12,693	p37	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	$119	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$373	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	5.06%	4.21%	p58	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$142,729,294	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$135,500,926	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$12,752	$13,279	p38	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$18,470	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$16,701	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$13,821	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$17,984	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,924	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$10,420	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$11,003	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$11,973	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$10,690	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$11,173	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$10,246	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$12,720	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$87,327	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$104,537	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$113,457	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	*	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$82	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$424	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$366	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$234	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,660	$3,410	p63	`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	$29	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$862	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,752	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,923	$3,078	p43	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$3,987	$4,341	p39	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$474	$655	p22	`CapAnn_SNF`
Program Structure	ACO ID	A5304	—		`ACO_ID`
Program Structure	ACO Name	Centrus Health LLC	—		`ACO_Name`
Program Structure	Agreement Period	3	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Renewal	—		`Agree_Type`
Program Structure	Assignment Type	Retrospective	—		`Assign_Type`
Program Structure	Current Track	EN	—		`Current_Track`
Program Structure	Risk Model	Two-Sided	—		`Risk_Model`
Program Structure	SNF 3-Day Waiver	✓	✗		`SNF_Waiver`
Program Structure	Start Date	1/1/2024	—		`Current_Start_Date`
Provider Composition	Clinical Nurse Specialists	2	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	0	0		`N_Hosp`
Provider Composition	Nurse Practitioners	159	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	89	89		`N_PA`
Provider Composition	Primary Care Physicians	78	206		`N_PCP`
Provider Composition	Rural Health Clinics	1	0		`N_RHC`
Provider Composition	Specialists	584	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	0.02%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.93%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.05%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	*	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	0.999	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	0.939	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	0.890	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.887	0.954	p26	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.975	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.001	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.986	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.991	0.983	p54	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.986	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.965	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.985	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.949	0.934	p54	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	0.942	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.083	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.036	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	*	0.967		`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	807	751	p66	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	4,254	4,192	p52	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	4,527	4,821	p41	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	11,310	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	579	618	p35	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	189	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	239	160	p56	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	294	251	p84	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	278	247	p69	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,291	2,464	p43	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	*	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	40	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	250	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	29	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	23	27	p4	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$15,162	$15,338	p47	`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 →