Aledade Accountable Care 157, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

8,973 p27

Savings Rate

4.97% p57

Quality Score

92.61 p92

Per Capita Expenditure, Total ($)

$12,044 p36

Generated Savings/Losses ($)

$5,508,052

Earned Savings/Losses ($)

$4,048,418

Updated Benchmark ($)

$12,674 p37

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

Program Structure

Current Track	EN
Agreement Type	Re-entering
Agreement Period	1
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	8,973 p27	13,159	13,222
2	Historical Benchmark (per capita)	$11,510 p51	$11,439	$11,060
3	Regional Adjustment	+$218
4	Prior Savings Adjustment	+$158
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$12,674 p37	$13,279	$12,897

7	Total Benchmark (all beneficiaries)	$110,807,580
8	Total Expenditure (all beneficiaries)	$105,299,528
9	Per Capita Expenditure (PY)	$12,044 p36	$12,693	$12,177
10	Generated Savings / Losses	$5,508,052	$6,931,306	—

11	Savings Rate	4.97% p57	4.21%	6.55%
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	$4,048,418	$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)	$79,759	$81,842	$78,540	$96,190	↑	$94,332	+$1,858
Disabled	$9,665	$8,708	$9,027	$9,223	↓	$10,783	−$1,560
Aged, Dual-Eligible	$20,960	$19,043	$18,597	$23,325	↑	$20,979	+$2,346
Aged, Non-Dual	$9,961	$9,982	$10,866	$11,616	↑	$12,590	−$974
Total				$12,044		$12,693	$12,177

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)	1.022	0.970	1.012	1.010	→	+0.027	0.967
Disabled	0.952	0.923	0.946	0.893	↓	-0.106	0.934
Aged, Dual-Eligible	1.147	1.059	1.014	1.108	↓	+0.048	0.954
Aged, Non-Dual	1.012	1.012	1.024	1.044	↑	+0.048	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)	0.971	0.983
Disabled	1.006	0.999
Aged, Dual-Eligible	1.024	1.060
Aged, Non-Dual	0.996	0.996

Risk Redistribution Weights (PY)

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

ESRD Weight	1.8%
Disabled Weight	3.6%
Aged Dual Weight	4.5%
Aged Non-Dual Weight	90.1%

Beneficiary Demographics

Distribution of 8,973 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

6.5%

Age 65–74

48.3%

Age 75–84

32.0%

Age 85+

13.2%

Gender

Female

54.7%

Male

45.3%

Race / Ethnicity

White

90.5%

Black

3.7%

Hispanic

0.0%

Asian

1.0%

Native American

0.0%

Other

1.0%

Unknown

3.5%

Special Populations

5.06% p33 Dual-Eligible (MSSP median: 6.9%)

2.4% p85 Long-Term Institutionalized (MSSP median: 0.89%)

47 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	24	22
Disabled	459	363
Aged, Dual-Eligible	280	236
Aged, Non-Dual	8,632	8,122
Total (PY)		8,743

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	$3,488 p55	28.5%	$3,410	$3,145
Inpatient — Short-Term Acute	$3,020		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$361		$367	—
Inpatient — Psychiatric	$64		$37	—
Hospice	$532	4.3%	$258	$231
Skilled Nursing Facility	$972 p79	7.9%	$655	$558
Outpatient	$2,589 p31	21.1%	$3,078	$2,454
Physician / Supplier (Part B)	$3,653 p28	29.8%	$4,341	$4,721
Ambulance	$151	1.2%	$134	$128
Home Health	$477	3.9%	$470	$413
Durable Medical Equipment	$394	3.2%	$405	$416

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

35.9% ED-to-Hospitalization Conversion Rate

1.40:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	281 p74	251	242
Short-Term Acute Admissions (per 1,000)	260	229	—
Long-Term Admissions (per 1,000)	*	1	—
Rehab Admissions (per 1,000)	15	15	—
Psychiatric Admissions (per 1,000)	*	3	—
ED Visits (per 1,000)	596 p42	618	583
ED Visits Resulting in Hospitalization (per 1,000)	214	179	—
CT Scans (per 1,000)	717 p35	751	738
MRI Scans (per 1,000)	170 p6	247	258
E&M Visits — Total (per 1,000)	11,848	12,433	—
E&M Visits — Primary Care (per 1,000)	5,363 p74	4,192	6,080
E&M Visits — Specialist (per 1,000)	3,826 p24	4,821	5,252
Nurse Practitioner Visits (per 1,000)	2,627 p59	2,464	2,580
FQHC / RHC Visits (per 1,000)	33 p29	160	49
SNF Admissions (per 1,000)	65	40	33
SNF Average Length of Stay (days)	26 p34	27	27
SNF Average Payment per Stay	$13,832 p26	$15,338	$15,446

Provider Composition

Facilities

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

Clinicians

Primary Care Physicians	67
Specialists	24
Nurse Practitioners	40
Physician Assistants	7
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 p80

87.2

How Well Providers Communicate p94

96.2

Patient's Rating of Provider p82

94.0

Access to Specialists p80

79.5

Health Promotion & Education p94

72.5

Shared Decision-Making p62

63.7

Health Status / Functional Status p69

75.5

Courteous & Helpful Office Staff p93

88.8

Care Coordination p80

94.4

Stewardship of Patient Resources p71

29.7

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) p92	92.61	83.13	88.76
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p60	0.15	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	30.93
Falls: Screening for Future Fall Risk p48	91.39	91.53	90.83
Influenza Immunization p78	78.00	70.06	74.83
Tobacco Use: Screening & Cessation Intervention p44	80.95	82.86	76.32
Colorectal Cancer Screening p54	80.95	80.23	80.55
Breast Cancer Screening p49	82.39	82.59	83.28
Statin Therapy for CVD Prevention p52	87.69	87.36	86.46
Depression Remission at 12 Months p93	36.67	14.29	13.43
Depression Screening & Follow-Up Plan p66 Reporting pathways Web Interface: 87.95 eCQM: - MIPS CQM: - Medicare CQM: -	87.95	83.73	83.22
Diabetes: HbA1c Poor Control (>9%) (lower is better) p28 Reporting pathways Web Interface: 6.85 eCQM: - MIPS CQM: - Medicare CQM: -	6.85	8.44	6.93
Controlling High Blood Pressure p98 Reporting pathways Web Interface: 91.88 eCQM: - MIPS CQM: - Medicare CQM: -	91.88	80.24	86.79

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

A4996 A4794 A5203 A3891 A2773 A4585 A5116 A2918 A5378 A2809 A5173 A1225 A4856 A2909 A4960 A2000 A5321 A3280 A5395 A2920 A5386 A5177 A5356 A1403 A4756 A4701 A5387 A4862 A4986 A3630

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 189 rows

Source	Metric	Value	National Median	Pctl.	Raw key
Beneficiary Demographics	Age 0–64	580	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	4,336	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	2,874	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	1,183	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	280	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	236	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	8,632	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	8,122	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	92	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	336	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	30	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	8,926	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	459	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	363	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	5.06%	6.89%	p33	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	442	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	24	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	22	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	4,907	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	*	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	2.40%	0.89%	p85	`Perc_LTI`
Beneficiary Demographics	Male	4,066	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	8,301	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	92	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	8,743	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	310	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	17	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	8,121	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	79.46	75.90	p80	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	94.40	93.24	p80	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	88.82	86.22	p93	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	87.21	84.11	p80	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	72.48	65.66	p94	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	75.53	74.69	p69	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	96.19	94.26	p94	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	94.01	92.70	p82	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	63.67	62.57	p62	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	29.70	27.09	p71	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.15	0.15	p60	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	82.39	82.59	p49	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	80.95	80.23	p54	`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)	91.88	80.24	p98	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	36.67	14.29	p93	`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)	87.95	83.73	p66	`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)	6.85	8.44	p28	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	91.39	91.53	p48	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	78.00	70.06	p78	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	92.61	83.13	p92	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	87.69	87.36	p52	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	80.95	82.86	p44	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (BY3)	1.024	1.003		`Demog_RiskScore_AGDU_BY3`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.060	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (BY3)	0.996	1.003		`Demog_RiskScore_AGND_BY3`
Demographic Risk Scores	Aged, Non-Dual (PY)	0.996	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (BY3)	1.006	0.980		`Demog_RiskScore_DIS_BY3`
Demographic Risk Scores	Disabled (PY)	0.999	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.971	0.991		`Demog_RiskScore_ESRD_BY3`
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	8,973	13,159	p27	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$5,508,052	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$4,048,418	$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	$5,508,052	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	✗	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$11,510	$11,439	p51	`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)	$12,044	$12,693	p36	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	$158	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$218	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	4.97%	4.21%	p57	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$110,807,580	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$105,299,528	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$12,674	$13,279	p37	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$20,960	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$19,043	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$18,597	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$23,325	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$9,961	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$9,982	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,866	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$11,616	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$9,665	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$8,708	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$9,027	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$9,223	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$79,759	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$81,842	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$78,540	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$96,190	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$151	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$394	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$477	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$532	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,488	$3,410	p55	`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	$64	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$361	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$3,020	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,589	$3,078	p31	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$3,653	$4,341	p28	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$972	$655	p79	`CapAnn_SNF`
Program Structure	ACO ID	A5360	—		`ACO_ID`
Program Structure	ACO Name	Aledade Accountable Care 157, LLC	—		`ACO_Name`
Program Structure	Agreement Period	1	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Re-entering	—		`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	0	0		`N_CNS`
Provider Composition	Critical Access Hospitals	0	0		`N_CAH`
Provider Composition	Extension of Treatment Areas	0	0		`N_ETA`
Provider Composition	FQHCs	0	0		`N_FQHC`
Provider Composition	Hospitals	0	0		`N_Hosp`
Provider Composition	Nurse Practitioners	40	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	7	89		`N_PA`
Provider Composition	Primary Care Physicians	67	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	24	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	0.04%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.90%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.04%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.02%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	1.147	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.059	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.014	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.108	0.954	p88	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.012	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.012	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.024	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.044	0.983	p75	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.952	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.923	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.946	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.893	0.934	p31	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.022	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	0.970	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.012	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.010	0.967	p73	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	717	751	p35	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	5,363	4,192	p74	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	3,826	4,821	p24	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	11,848	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	596	618	p42	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	214	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	33	160	p29	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	281	251	p74	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	170	247	p6	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	2,627	2,464	p59	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	*	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	15	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	260	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	65	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	26	27	p34	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$13,832	$15,338	p26	`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 →