agilon health Kentucky ACO, Inc.

MSSP Performance — Key Metrics

Assigned Beneficiaries

7,246 p18

Savings Rate

-0.41% p9

Quality Score

54.10 p2

Per Capita Expenditure, Total ($)

$12,249 p41

Generated Savings/Losses ($)

$-358,135

Earned Savings/Losses ($)

$-212,271

Updated Benchmark ($)

$12,199 p27

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 ?	Prospective
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	7,246 p18	13,159	12,418
2	Historical Benchmark (per capita)	$11,068 p42	$11,439	$11,757
3	Regional Adjustment	+$4
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$12,199 p27	$13,279	$13,714

7	Total Benchmark (all beneficiaries)	$86,731,783
8	Total Expenditure (all beneficiaries)	$87,089,919
9	Per Capita Expenditure (PY)	$12,249 p41	$12,693	$13,009
10	Generated Savings / Losses	$-358,135	$6,931,306	—

11	Savings Rate	-0.41% p9	4.21%	3.00%
12	Minimum Savings Rate (threshold)	0.00%
13	Guardrail Applied	Yes
14	Final Shared Savings Rate	75.00%
15	Final Shared Loss Rate	59.42%
16	Earned Savings / Losses	$-212,271	$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)	$65,534	$59,177	$86,331	$87,273	↑	$97,321	−$10,048
Disabled	$9,256	$8,459	$10,113	$9,682	↑	$10,868	−$1,186
Aged, Dual-Eligible	$15,381	$12,818	$15,907	$24,568	↑	$20,506	+$4,062
Aged, Non-Dual	$8,873	$9,686	$10,786	$11,916	↑	$12,843	−$927
Total				$12,249		$12,693	$13,009

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)	0.974	0.953	0.957	1.042	↑	+0.055	0.967
Disabled	0.933	0.842	0.805	0.900	↓	-0.069	0.934
Aged, Dual-Eligible	0.920	0.922	0.941	1.083	↑	+0.002	0.954
Aged, Non-Dual	0.987	0.977	0.974	1.065	↑	+0.031	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)	0.968	0.987
Disabled	0.954	0.969
Aged, Dual-Eligible	1.053	1.081
Aged, Non-Dual	1.034	1.034

Risk Redistribution Weights (PY)

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

ESRD Weight	2.2%
Disabled Weight	4.6%
Aged Dual Weight	2.7%
Aged Non-Dual Weight	90.5%

Beneficiary Demographics

Distribution of 7,246 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

5.5%

Age 65–74

45.0%

Age 75–84

36.5%

Age 85+

13.1%

Gender

Female

55.3%

Male

44.7%

Race / Ethnicity

White

92.2%

Black

4.2%

Hispanic

0.0%

Asian

0.5%

Native American

0.0%

Other

0.5%

Unknown

2.4%

Special Populations

4.1% p23 Dual-Eligible (MSSP median: 6.9%)

0.57% p34 Long-Term Institutionalized (MSSP median: 0.89%)

VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	25	21
Disabled	384	376
Aged, Dual-Eligible	158	127
Aged, Non-Dual	6,471	6,585
Total (PY)		7,110

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	$3,747 p69	29.8%	$3,410	$3,637
Inpatient — Short-Term Acute	$2,926		$2,914	—
Inpatient — Long-Term	*		$59	—
Inpatient — Rehab	$793		$367	—
Inpatient — Psychiatric	$29		$37	—
Hospice	$304	2.4%	$258	$354
Skilled Nursing Facility	$628 p46	5.0%	$655	$728
Outpatient	$2,344 p18	18.7%	$3,078	$2,743
Physician / Supplier (Part B)	$4,378 p51	34.9%	$4,341	$4,436
Ambulance	$141	1.1%	$134	$123
Home Health	$493	3.9%	$470	$492
Durable Medical Equipment	$523	4.2%	$405	$394

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

32.2% ED-to-Hospitalization Conversion Rate

0.93:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	282 p75	251	265
Short-Term Acute Admissions (per 1,000)	243	229	—
Long-Term Admissions (per 1,000)	*	1	—
Rehab Admissions (per 1,000)	34	15	—
Psychiatric Admissions (per 1,000)	*	3	—
ED Visits (per 1,000)	636 p59	618	594
ED Visits Resulting in Hospitalization (per 1,000)	205	179	—
CT Scans (per 1,000)	898 p86	751	751
MRI Scans (per 1,000)	245 p48	247	255
E&M Visits — Total (per 1,000)	12,834	12,433	—
E&M Visits — Primary Care (per 1,000)	4,282 p53	4,192	4,533
E&M Visits — Specialist (per 1,000)	4,623 p44	4,821	5,435
Nurse Practitioner Visits (per 1,000)	3,801 p93	2,464	2,740
FQHC / RHC Visits (per 1,000)	128 p46	160	50
SNF Admissions (per 1,000)	41	40	46
SNF Average Length of Stay (days)	26 p34	27	28
SNF Average Payment per Stay	$14,818 p43	$15,338	$14,520

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	77
Specialists	215
Nurse Practitioners	70
Physician Assistants	92
Clinical Nurse Specialists	1

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 p58

85.0

How Well Providers Communicate p38

93.8

Patient's Rating of Provider p56

92.9

Access to Specialists p67

77.6

Health Promotion & Education p27

62.9

Shared Decision-Making p10

56.9

Health Status / Functional Status p47

74.5

Courteous & Helpful Office Staff p46

86.0

Care Coordination p57

93.5

Stewardship of Patient Resources p25

24.0

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) p2	54.10	83.13	89.17
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p40	0.15	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	35.82
Falls: Screening for Future Fall Risk	-	91.53	91.57
Influenza Immunization	-	70.06	73.38
Tobacco Use: Screening & Cessation Intervention	-	82.86	91.67
Colorectal Cancer Screening	-	80.23	80.95
Breast Cancer Screening	-	82.59	85.00
Statin Therapy for CVD Prevention	-	87.36	87.70
Depression Remission at 12 Months	-	14.29	11.46
Depression Screening & Follow-Up Plan Reporting pathways Web Interface: - eCQM: 22.17 MIPS CQM: - Medicare CQM: -	22.17	83.73	85.55
Diabetes: HbA1c Poor Control (>9%) (lower is better) Reporting pathways Web Interface: - eCQM: 69.14 MIPS CQM: - Medicare CQM: -	69.14	8.44	7.98
Controlling High Blood Pressure Reporting pathways Web Interface: - eCQM: 72.64 MIPS CQM: - Medicare CQM: -	72.64	80.24	83.52

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

A5387 A2205 A1403 A4979 A4649 A1242 A1199 A2266 A2021 A4516 A5249 A5012 A5080 A4575 A5056 A4862 A5360 A5245 A2198 A1051 A4551 A4799 A3327 A5203 A5378 A2809 A4964 A4976 A3730 A3280

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	397	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	3,258	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	2,644	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	947	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	158	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	127	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	6,471	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	6,585	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	33	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	306	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	*	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	7,209	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	384	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	376	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	4.10%	6.89%	p23	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	291	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	25	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	21	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	4,005	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	*	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	0.57%	0.89%	p34	`Perc_LTI`
Beneficiary Demographics	Male	3,241	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	6,818	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	34	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	7,110	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	171	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	*	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	6,684	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	77.63	75.90	p67	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	93.54	93.24	p57	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	85.97	86.22	p46	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	84.95	84.11	p58	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	62.94	65.66	p27	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	74.55	74.69	p47	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	93.80	94.26	p38	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	92.92	92.70	p56	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	56.92	62.57	p10	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	23.99	27.09	p25	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.15	0.15	p40	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	-	82.59		`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	-	80.23		`QualityID_113`
Clinical Quality Measures	Controlling High Blood Pressure (eCQM)	72.64	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)	-	80.24		`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	-	14.29		`QualityID_370`
Clinical Quality Measures	Depression Screening (eCQM)	22.17	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)	-	83.73		`QualityID_134_WI`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (eCQM)	69.14	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)	-	8.44		`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	-	91.53		`QualityID_318`
Clinical Quality Measures	Influenza Immunization	-	70.06		`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	54.10	83.13	p2	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	-	87.36		`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	-	82.86		`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (BY3)	1.053	1.003		`Demog_RiskScore_AGDU_BY3`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.081	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (BY3)	1.034	1.003		`Demog_RiskScore_AGND_BY3`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.034	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (BY3)	0.954	0.980		`Demog_RiskScore_DIS_BY3`
Demographic Risk Scores	Disabled (PY)	0.969	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.968	0.991		`Demog_RiskScore_ESRD_BY3`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.987	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	7,246	13,159	p18	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$-358,135	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$-551	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$-212,271	$3,685,876		`EarnSaveLoss`
Financial Performance	Final Shared Loss Rate	59.42%	40.00%		`FinalLossRate`
Financial Performance	Final Shared Savings Rate	75.00%	50.00%		`FinalShareRate`
Financial Performance	Generated Savings / Losses	$-358,135	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	✓	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$11,068	$11,439	p42	`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)	$12,249	$12,693	p41	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$4	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	-0.41%	4.21%	p9	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$86,731,783	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$87,089,919	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$12,199	$13,279	p27	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$15,381	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$12,818	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$15,907	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$24,568	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$8,873	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$9,686	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,786	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$11,916	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$9,256	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$8,459	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$10,113	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$9,682	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$65,534	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$59,177	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$86,331	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$87,273	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$141	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$523	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$493	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$304	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$3,747	$3,410	p69	`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	$793	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$2,926	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,344	$3,078	p18	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,378	$4,341	p51	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$628	$655	p46	`CapAnn_SNF`
Program Structure	ACO ID	A5386	—		`ACO_ID`
Program Structure	ACO Name	agilon health Kentucky ACO, Inc.	—		`ACO_Name`
Program Structure	Agreement Period	1	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Initial	—		`Agree_Type`
Program Structure	Assignment Type	Prospective	—		`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	1	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	70	215		`N_NP`
Provider Composition	Other Facilities	0	0		`N_Fac_Other`
Provider Composition	Physician Assistants	92	89		`N_PA`
Provider Composition	Primary Care Physicians	77	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	215	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	0.03%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.91%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.05%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.02%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	0.920	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	0.922	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	0.941	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.083	0.954	p84	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	0.987	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	0.977	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	0.974	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.065	0.983	p81	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	0.933	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	0.842	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	0.805	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.900	0.934	p34	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	0.974	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	0.953	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	0.957	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.042	0.967	p87	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	898	751	p86	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	4,282	4,192	p53	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	4,623	4,821	p44	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	12,834	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	636	618	p59	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	205	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	128	160	p46	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	282	251	p75	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	*	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	245	247	p48	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	3,801	2,464	p93	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	*	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	34	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	243	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	41	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	$14,818	$15,338	p43	`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 →