Aledade Accountable Care 205, LLC

MSSP Performance — Key Metrics

Assigned Beneficiaries

12,754 p49

Savings Rate

4.02% p47

Quality Score

83.71 p53

Per Capita Expenditure, Total ($)

$12,993 p57

Generated Savings/Losses ($)

$6,794,195

Earned Savings/Losses ($)

$4,993,734

Updated Benchmark ($)

$13,538 p56

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

Program Structure

Current Track	EN
Agreement Type	Initial
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	12,754 p49	13,159	16,032
2	Historical Benchmark (per capita)	$12,816 p81	$11,439	$11,692
3	Regional Adjustment	+$241
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$13,538 p56	$13,279	$12,931

7	Total Benchmark (all beneficiaries)	$168,932,163
8	Total Expenditure (all beneficiaries)	$162,137,968
9	Per Capita Expenditure (PY)	$12,993 p57	$12,693	$12,501
10	Generated Savings / Losses	$6,794,195	$6,931,306	—

11	Savings Rate	4.02% p47	4.21%	4.11%
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	$4,993,734	$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)	$84,878	$93,811	$115,958	$90,100	↑	$87,421	+$2,679
Disabled	$10,717	$11,882	$13,212	$12,282	↑	$10,843	+$1,439
Aged, Dual-Eligible	$15,771	$15,938	$16,385	$18,254	↑	$17,571	+$683
Aged, Non-Dual	$10,045	$10,264	$11,791	$12,233	↑	$11,685	+$548
Total				$12,993		$12,693	$12,501

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)	1.004	1.020	0.986	0.936	↓	-0.062	0.967
Disabled	0.934	0.942	0.908	0.898	↓	-0.125	0.934
Aged, Dual-Eligible	0.983	0.973	0.911	0.928	↓	-0.081	0.954
Aged, Non-Dual	0.953	0.959	0.977	0.969	→	-0.061	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)	1.006	0.998
Disabled	1.038	1.023
Aged, Dual-Eligible	1.014	1.009
Aged, Non-Dual	1.037	1.030

Risk Redistribution Weights (PY)

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

ESRD Weight	3.4%
Disabled Weight	8.4%
Aged Dual Weight	9.9%
Aged Non-Dual Weight	78.3%

Beneficiary Demographics

Distribution of 12,754 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

10.8%

Age 65–74

43.3%

Age 75–84

32.7%

Age 85+

13.2%

Gender

Female

53.2%

Male

46.8%

Race / Ethnicity

White

92.3%

Black

1.9%

Hispanic

0.0%

Asian

0.7%

Native American

0.0%

Other

0.7%

Unknown

3.6%

Special Populations

12.47% p78 Dual-Eligible (MSSP median: 6.9%)

0.75% p43 Long-Term Institutionalized (MSSP median: 0.89%)

93 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	58	50
Disabled	1,231	1,041
Aged, Dual-Eligible	1,045	916
Aged, Non-Dual	10,860	10,472
Total (PY)		12,478

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	$3,890 p77	29.1%	$3,410	$3,502
Inpatient — Short-Term Acute	$3,512		$2,914	—
Inpatient — Long-Term	$26		$59	—
Inpatient — Rehab	$263		$367	—
Inpatient — Psychiatric	$99		$37	—
Hospice	$264	2.0%	$258	$257
Skilled Nursing Facility	$936 p77	7.0%	$655	$730
Outpatient	$3,438 p65	25.7%	$3,078	$3,266
Physician / Supplier (Part B)	$3,710 p30	27.7%	$4,341	$3,916
Ambulance	$194	1.4%	$134	$149
Home Health	$621	4.6%	$470	$430
Durable Medical Equipment	$337	2.5%	$405	$402

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

29.1% ED-to-Hospitalization Conversion Rate

1.08:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	269 p67	251	248
Short-Term Acute Admissions (per 1,000)	252	229	—
Long-Term Admissions (per 1,000)	1	1	—
Rehab Admissions (per 1,000)	10	15	—
Psychiatric Admissions (per 1,000)	5	3	—
ED Visits (per 1,000)	685 p75	618	619
ED Visits Resulting in Hospitalization (per 1,000)	199	179	—
CT Scans (per 1,000)	722 p38	751	751
MRI Scans (per 1,000)	204 p18	247	240
E&M Visits — Total (per 1,000)	12,370	12,433	—
E&M Visits — Primary Care (per 1,000)	4,449 p59	4,192	3,871
E&M Visits — Specialist (per 1,000)	4,129 p30	4,821	4,166
Nurse Practitioner Visits (per 1,000)	3,018 p78	2,464	2,169
FQHC / RHC Visits (per 1,000)	775 p73	160	338
SNF Admissions (per 1,000)	55	40	42
SNF Average Length of Stay (days)	25 p20	27	28
SNF Average Payment per Stay	$15,226 p49	$15,338	$16,867

Provider Composition

Facilities

Hospitals	1
Critical Access Hospitals	2
FQHCs	8
Rural Health Clinics	1
Extension of Treatment Areas	0
Other Facilities	1

Clinicians

Primary Care Physicians	336
Specialists	580
Nurse Practitioners	395
Physician Assistants	189
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 p73

86.6

How Well Providers Communicate p42

94.0

Patient's Rating of Provider p35

92.1

Access to Specialists p35

74.4

Health Promotion & Education p61

67.0

Shared Decision-Making p54

63.0

Health Status / Functional Status p39

74.2

Courteous & Helpful Office Staff p38

85.6

Care Coordination p76

94.2

Stewardship of Patient Resources p57

27.9

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) p53	83.71	83.13	80.98
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p77	0.16	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	43.20
Falls: Screening for Future Fall Risk p21	83.58	91.53	84.57
Influenza Immunization p45	68.44	70.06	68.25
Tobacco Use: Screening & Cessation Intervention p43	80.65	82.86	77.78
Colorectal Cancer Screening p16	70.00	80.23	77.64
Breast Cancer Screening p11	72.24	82.59	80.18
Statin Therapy for CVD Prevention p45	86.86	87.36	84.29
Depression Remission at 12 Months p48	13.95	14.29	17.24
Depression Screening & Follow-Up Plan p39 Reporting pathways Web Interface: 80.55 eCQM: - MIPS CQM: - Medicare CQM: -	80.55	83.73	83.93
Diabetes: HbA1c Poor Control (>9%) (lower is better) p85 Reporting pathways Web Interface: 12.35 eCQM: - MIPS CQM: - Medicare CQM: -	12.35	8.44	9.87
Controlling High Blood Pressure p93 Reporting pathways Web Interface: 88.78 eCQM: - MIPS CQM: - Medicare CQM: -	88.78	80.24	80.34

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

A4776 A4652 A4830 A4998 A2207 A4592 A2097 A5231 A5003 A5025 A4654 A5349 A4825 A4657 A4711 A2600 A5357 A5226 A1059 A3016 A5355 A3667 A5039 A5364 A1241 A5193 A5216 A4799 A4671 A1459

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	1,378	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	5,522	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	4,166	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	1,688	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	1,045	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	916	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	10,860	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	10,472	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	95	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	238	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	56	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	12,661	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	1,231	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	1,041	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	12.47%	6.89%	p78	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	1,557	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	58	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	50	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	6,785	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	*	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	0.75%	0.89%	p43	`Perc_LTI`
Beneficiary Demographics	Male	5,969	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	10,922	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	93	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	12,478	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	456	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	37	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	11,772	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	74.43	75.90	p35	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	94.19	93.24	p76	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	85.60	86.22	p38	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	86.64	84.11	p73	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	66.95	65.66	p61	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	74.22	74.69	p39	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	94.00	94.26	p42	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	92.14	92.70	p35	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	63.04	62.57	p54	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	27.94	27.09	p57	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.16	0.15	p77	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	72.24	82.59	p11	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	70.00	80.23	p16	`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)	88.78	80.24	p93	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	13.95	14.29	p48	`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)	80.55	83.73	p39	`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)	12.35	8.44	p85	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	83.58	91.53	p21	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	68.44	70.06	p45	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	83.71	83.13	p53	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	86.86	87.36	p45	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	80.65	82.86	p43	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (BY3)	1.014	1.003		`Demog_RiskScore_AGDU_BY3`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.009	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (BY3)	1.037	1.003		`Demog_RiskScore_AGND_BY3`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.030	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (BY3)	1.038	0.980		`Demog_RiskScore_DIS_BY3`
Demographic Risk Scores	Disabled (PY)	1.023	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.006	0.991		`Demog_RiskScore_ESRD_BY3`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.998	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	12,754	13,159	p49	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$6,794,195	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$4,993,734	$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	$6,794,195	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	✗	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$12,816	$11,439	p81	`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)	$12,993	$12,693	p57	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$241	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	High Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	4.02%	4.21%	p47	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$168,932,163	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$162,137,968	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$13,538	$13,279	p56	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$15,771	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$15,938	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$16,385	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$18,254	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$10,045	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$10,264	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$11,791	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$12,233	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$10,717	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$11,882	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$13,212	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$12,282	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$84,878	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$93,811	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$115,958	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$90,100	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$194	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$337	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$621	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$264	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,890	$3,410	p77	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$26	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$99	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$263	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$3,512	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$3,438	$3,078	p65	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$3,710	$4,341	p30	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$936	$655	p77	`CapAnn_SNF`
Program Structure	ACO ID	A5370	—		`ACO_ID`
Program Structure	ACO Name	Aledade Accountable Care 205, 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	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	2	0		`N_CAH`
Provider Composition	Extension of Treatment Areas	0	0		`N_ETA`
Provider Composition	FQHCs	8	0		`N_FQHC`
Provider Composition	Hospitals	1	0		`N_Hosp`
Provider Composition	Nurse Practitioners	395	215		`N_NP`
Provider Composition	Other Facilities	1	0		`N_Fac_Other`
Provider Composition	Physician Assistants	189	89		`N_PA`
Provider Composition	Primary Care Physicians	336	206		`N_PCP`
Provider Composition	Rural Health Clinics	1	0		`N_RHC`
Provider Composition	Specialists	580	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	0.78%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.08%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.03%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	0.983	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	0.973	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	0.911	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	0.928	0.954	p39	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.953	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.959	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.977	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	0.969	0.983	p41	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.934	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.942	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.908	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.898	0.934	p34	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.004	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.020	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.986	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.936	0.967	p28	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	722	751	p38	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	4,449	4,192	p59	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	4,129	4,821	p30	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	12,370	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	685	618	p75	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	199	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	775	160	p73	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	269	251	p67	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	1	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	204	247	p18	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	3,018	2,464	p78	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	5	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	10	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	252	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	55	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	25	27	p20	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$15,226	$15,338	p49	`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 →