ACO

Votion ACO 1, LLC

ACO ID: A5455 · Track: E

MSSP Performance — Key Metrics

Assigned Beneficiaries
6,094 p11
Savings Rate
4.12% p49
Quality Score
82.04 p43
Per Capita Expenditure, Total ($)
$14,767 p85
Generated Savings/Losses ($)
$3,785,505
Earned Savings/Losses ($)
$1,854,898
Updated Benchmark ($)
$15,402 p86
Bottom quartile Middle Top quartile MSSP median shown in gray · Peer median in blue
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Program Structure

Current Track E
Agreement Type Initial
Agreement Period 1
Start Date 1/1/2024
Risk Model ? Two-Sided
Assignment Type ? Retrospective
SNF 3-Day Waiver ? ✗
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Financial Performance

Step-by-step savings calculation from historical benchmark to earned savings/losses.

Step Description Value MSSP Median Peer Median
1 Assigned Beneficiaries 6,094 p11 13,159 8,111
2 Historical Benchmark (per capita) $14,380 p93 $11,439 $11,692
3 Regional Adjustment +$149
4 Prior Savings Adjustment +-
5 Adjustment Category Regional Adjustment
6 Updated Benchmark (per capita) $15,402 p86 $13,279 $13,618
7 Total Benchmark (all beneficiaries) $91,829,012
8 Total Expenditure (all beneficiaries) $88,043,507
9 Per Capita Expenditure (PY) $14,767 p85 $12,693 $12,791
10 Generated Savings / Losses $3,785,505 $6,931,306 —
11 Savings Rate 4.12% p49 4.21% 6.07%
12 Minimum Savings Rate (threshold) 1.00%
13 Guardrail Applied No
14 Final Shared Savings Rate 50.00%
15 Final Shared Loss Rate 30.00%
16 Earned Savings / Losses $1,854,898 $3,685,876 —
Revenue-to-Expense Category Low Revenue
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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 BY1BY2BY3PY Trend Risk-Adj. Expected Difference
End-Stage Renal Disease (ESRD) $78,038 $94,144 $76,619 $85,937 ↑ $81,069 +$4,868
Disabled $18,295 $17,289 $20,941 $18,476 → $13,500 +$4,976
Aged, Dual-Eligible $26,596 $29,133 $31,101 $33,330 ↑ $21,679 +$11,651
Aged, Non-Dual $10,606 $11,369 $12,196 $13,158 ↑ $12,650 +$508
Total $14,767 $12,693 $12,791
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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 BY1BY2BY3PY Trend Coding Gap MSSP Med.
End-Stage Renal Disease (ESRD) 0.952 1.031 0.916 0.868 ↓ -0.107 0.967
Disabled 1.197 1.145 1.164 1.118 ↓ +0.119 0.934
Aged, Dual-Eligible 1.266 1.286 1.272 1.145 ↓ +0.123 0.954
Aged, Non-Dual 1.037 1.045 1.022 1.049 → +0.047 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 BY3PY
End-Stage Renal Disease (ESRD) 0.987 0.975
Disabled 0.991 0.999
Aged, Dual-Eligible 1.030 1.022
Aged, Non-Dual 1.001 1.002

Risk Redistribution Weights (PY)

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

ESRD Weight 1.8%
Disabled Weight 10.3%
Aged Dual Weight 11.0%
Aged Non-Dual Weight 77.0%
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Beneficiary Demographics

Distribution of 6,094 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64
10.1%
Age 65–74
47.2%
Age 75–84
32.5%
Age 85+
10.1%

Gender

Female
54.9%
Male
45.1%

Race / Ethnicity

White
83.8%
Black
10.1%
Hispanic
0.0%
Asian
1.6%
Native American
0.0%
Other
1.5%
Unknown
2.1%

Special Populations

8.22% p62 Dual-Eligible (MSSP median: 6.9%)
2.22% p82 Long-Term Institutionalized (MSSP median: 0.89%)
47 VA Beneficiaries

Enrollment by Category (Person-Years)

Category BY3 PY
ESRD 25 18
Disabled 498 429
Aged, Dual-Eligible 349 297
Aged, Non-Dual 5,292 5,218
Total (PY) 5,962
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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 $4,055 p82 26.6% $3,410 $3,384
Inpatient — Short-Term Acute $3,057 $2,914 —
Inpatient — Long-Term $166 $59 —
Inpatient — Rehab $841 $367 —
Inpatient — Psychiatric $51 $37 —
Hospice $353 2.3% $258 $250
Skilled Nursing Facility $884 p74 5.8% $655 $615
Outpatient $2,089 p7 13.7% $3,078 $2,522
Physician / Supplier (Part B) $6,072 p91 39.9% $4,341 $4,702
Ambulance $171 1.1% $134 $146
Home Health $1,192 7.8% $470 $510
Durable Medical Equipment $415 2.7% $405 $427
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Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

32.2% ED-to-Hospitalization Conversion Rate
1.20:1 PCP-to-Specialist Visit Ratio
Metric This ACO MSSP Median Peer Median
Hospital Admissions (per 1,000) 313 p89 251 262
Short-Term Acute Admissions (per 1,000) 262 229 —
Long-Term Admissions (per 1,000) 4 1 —
Rehab Admissions (per 1,000) 38 15 —
Psychiatric Admissions (per 1,000) 6 3 —
ED Visits (per 1,000) 677 p73 618 599
ED Visits Resulting in Hospitalization (per 1,000) 218 179 —
CT Scans (per 1,000) 890 p84 751 752
MRI Scans (per 1,000) 306 p83 247 249
E&M Visits — Total (per 1,000) 16,905 12,433 —
E&M Visits — Primary Care (per 1,000) 6,917 p91 4,192 5,860
E&M Visits — Specialist (per 1,000) 5,772 p71 4,821 4,852
Nurse Practitioner Visits (per 1,000) 3,616 p90 2,464 2,627
FQHC / RHC Visits (per 1,000) 599 p70 160 183
SNF Admissions (per 1,000) 45 40 38
SNF Average Length of Stay (days) 33 p91 27 28
SNF Average Payment per Stay $17,639 p73 $15,338 $15,446
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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 47
Specialists 3
Nurse Practitioners 73
Physician Assistants 13
Clinical Nurse Specialists 0
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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 p86
87.8
How Well Providers Communicate p71
95.0
Patient's Rating of Provider p59
93.0
Access to Specialists p47
75.7
Health Promotion & Education p61
67.0
Shared Decision-Making p89
67.5
Health Status / Functional Status p13
72.1
Courteous & Helpful Office Staff p73
87.4
Care Coordination p29
92.3
Stewardship of Patient Resources p79
30.6
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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) p43 82.04 83.13 85.86
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p97 0.17 0.15 0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ? - 36.11 30.98
Falls: Screening for Future Fall Risk p31 87.73 91.53 91.39
Influenza Immunization p33 64.58 70.06 68.25
Tobacco Use: Screening & Cessation Intervention p40 79.17 82.86 85.11
Colorectal Cancer Screening p74 83.91 80.23 78.96
Breast Cancer Screening p65 84.52 82.59 82.17
Statin Therapy for CVD Prevention p1 67.99 87.36 87.26
Depression Remission at 12 Months p65 18.42 14.29 12.73
Depression Screening & Follow-Up Plan p17
Reporting pathways
  • Web Interface: 73.14
  • eCQM: -
  • MIPS CQM: -
  • Medicare CQM: -
 73.14 83.73 82.86
Diabetes: HbA1c Poor Control (>9%) (lower is better) p77
Reporting pathways
  • Web Interface: 11.11
  • eCQM: -
  • MIPS CQM: -
  • Medicare CQM: -
 11.11 8.44 9.93
Controlling High Blood Pressure p32
Reporting pathways
  • Web Interface: 76.59
  • eCQM: -
  • MIPS CQM: -
  • Medicare CQM: -
 76.59 80.24 82.65

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
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Peer Cohort

30 similar small, ENHANCED-track, average acuity, physician-led ACOs

View 30 peer ACOs
A1225A5173A2920A3630A5365A1216A4856A4754A1063A5395A2643A5260A2246A4873A1401A5203A5037A2597A2918A4794A4764A5378A1488A4701A2801A4650A4711A5360A5300A4776

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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Show 189 rows
Source Metric Value National Median Pctl. Raw key
Beneficiary Demographics Age 0–64 618 1,168 N_Ben_Age_0_64
Beneficiary Demographics Age 65–74 2,877 6,091 N_Ben_Age_65_74
Beneficiary Demographics Age 75–84 1,981 4,264 N_Ben_Age_75_84
Beneficiary Demographics Age 85+ 618 1,534 N_Ben_Age_85plus
Beneficiary Demographics Aged Dual (BY3) 349 796 N_AB_Year_AGED_Dual_BY3
Beneficiary Demographics Aged Dual (PY) 297 614 N_AB_Year_AGED_Dual_PY
Beneficiary Demographics Aged Non-Dual (BY3) 5,292 11,181 N_AB_Year_AGED_NonDual_BY3
Beneficiary Demographics Aged Non-Dual (PY) 5,218 10,940 N_AB_Year_AGED_NonDual_PY
Beneficiary Demographics Asian 98 140 N_Ben_Race_Asian
Beneficiary Demographics Black 615 673 N_Ben_Race_Black
Beneficiary Demographics CBA and VA 33 75 N_Ben_CBA_and_VA
Beneficiary Demographics CBA Only 6,047 13,232 N_Ben_CBA_Only
Beneficiary Demographics Disabled (BY3) 498 1,369 N_AB_Year_DIS_BY3
Beneficiary Demographics Disabled (PY) 429 902 N_AB_Year_DIS_PY
Beneficiary Demographics Dual-Eligible (%) 8.22% 6.89% p62 Perc_Dual
Beneficiary Demographics Dual-Eligible (PY) 490 1,011 N_AB_Year_Dual_PY
Beneficiary Demographics ESRD (BY3) 25 80 N_AB_Year_ESRD_BY3
Beneficiary Demographics ESRD (PY) 18 50 N_AB_Year_ESRD_PY
Beneficiary Demographics Female 3,345 7,529 N_Ben_Female
Beneficiary Demographics Hispanic * 163 N_Ben_Race_Hisp
Beneficiary Demographics Long-Term Institutionalized (%) 2.22% 0.89% p82 Perc_LTI
Beneficiary Demographics Male 2,749 5,674 N_Ben_Male
Beneficiary Demographics Native American/Alaska Native * 28 N_Ben_Race_Native
Beneficiary Demographics Non-Dual (PY) 5,472 11,332 N_AB_Year_NonDual_PY
Beneficiary Demographics Other 89 150 N_Ben_Race_Other
Beneficiary Demographics Total Person-Years (PY) 5,962 12,891 N_AB_Year_PY
Beneficiary Demographics Unknown 125 347 N_Ben_Race_Unknown
Beneficiary Demographics VA Only 14 35 N_Ben_VA_Only
Beneficiary Demographics White 5,105 11,625 N_Ben_Race_White
CAHPS Patient Experience Access to Specialists 75.74 75.90 p47 CAHPS_4
CAHPS Patient Experience Care Coordination 92.26 93.24 p29 CAHPS_9
CAHPS Patient Experience Courteous & Helpful Office Staff 87.38 86.22 p73 CAHPS_8
CAHPS Patient Experience Getting Timely Care, Appointments & Information 87.82 84.11 p86 CAHPS_1
CAHPS Patient Experience Health Promotion & Education 67.00 65.66 p61 CAHPS_5
CAHPS Patient Experience Health Status / Functional Status 72.08 74.69 p13 CAHPS_7
CAHPS Patient Experience How Well Providers Communicate 95.02 94.26 p71 CAHPS_2
CAHPS Patient Experience Patient's Rating of Provider 93.01 92.70 p59 CAHPS_3
CAHPS Patient Experience Shared Decision-Making 67.52 62.57 p89 CAHPS_6
CAHPS Patient Experience Stewardship of Patient Resources 30.60 27.09 p79 CAHPS_11
Clinical Quality Measures All-Cause Unplanned Admissions (risk-adjusted rate) 0.17 0.15 p97 Measure_479
Clinical Quality Measures Breast Cancer Screening 84.52 82.59 p65 QualityID_112
Clinical Quality Measures Colorectal Cancer Screening 83.91 80.23 p74 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) 76.59 80.24 p32 QualityID_236_WI
Clinical Quality Measures Depression Remission at 12 Months 18.42 14.29 p65 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) 73.14 83.73 p17 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) 11.11 8.44 p77 QualityID_001_WI
Clinical Quality Measures Falls: Screening for Future Fall Risk 87.73 91.53 p31 QualityID_318
Clinical Quality Measures Influenza Immunization 64.58 70.06 p33 QualityID_110
Clinical Quality Measures Overall Quality Score (Composite) 82.04 83.13 p43 QualScore
Clinical Quality Measures Risk-Standardized All-Condition Readmission Rate - 36.11 Measure_484
Clinical Quality Measures Statin Therapy for Cardiovascular Disease Prevention 67.99 87.36 p1 QualityID_438
Clinical Quality Measures Tobacco Use: Screening & Cessation Intervention 79.17 82.86 p40 QualityID_226
Demographic Risk Scores Aged, Dual-Eligible (BY3) 1.030 1.003 Demog_RiskScore_AGDU_BY3
Demographic Risk Scores Aged, Dual-Eligible (PY) 1.022 1.014 Demog_RiskScore_AGDU_PY
Demographic Risk Scores Aged, Non-Dual (BY3) 1.001 1.003 Demog_RiskScore_AGND_BY3
Demographic Risk Scores Aged, Non-Dual (PY) 1.002 1.005 Demog_RiskScore_AGND_PY
Demographic Risk Scores Disabled (BY3) 0.991 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) 0.987 0.991 Demog_RiskScore_ESRD_BY3
Demographic Risk Scores End-Stage Renal Disease (ESRD) (PY) 0.975 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 6,094 13,159 p11 N_AB
Financial Performance Benchmark Minus Expenditure $3,785,505 $7,074,069 BnchmkMinExp
Financial Performance Disaster Adjustment $0 $0 DisAdj
Financial Performance Earned Savings / Losses $1,854,898 $3,685,876 EarnSaveLoss
Financial Performance Final Shared Loss Rate 30.00% 40.00% FinalLossRate
Financial Performance Final Shared Savings Rate 50.00% 50.00% FinalShareRate
Financial Performance Generated Savings / Losses $3,785,505 $6,931,306 GenSaveLoss
Financial Performance Guardrail Applied ✗ ✗ Guardrail
Financial Performance Historical Benchmark (per capita) $14,380 $11,439 p93 HistBnchmk
Financial Performance Mid-Year Termination Impact $0 $0 Impact_Mid_Year_Termination
Financial Performance Minimum Savings Rate (threshold) 1.00% 2.00% MinSavPerc
Financial Performance Per Capita Expenditure (PY) $14,767 $12,693 p85 Per_Capita_Exp_TOTAL_PY
Financial Performance Prior Savings Adjustment - $156 PriorSavAdj
Financial Performance Reduced Shared Savings ✗ ✗ ReducedSS
Financial Performance Regional Adjustment $149 $182 RegAdj
Financial Performance Revenue-to-Expense Category Low Revenue — Rev_Exp_Cat
Financial Performance Savings Rate 4.12% 4.21% p49 Sav_rate
Financial Performance Total Benchmark (all beneficiaries) $91,829,012 $177,890,820 ABtotBnchmk
Financial Performance Total Expenditure (all beneficiaries) $88,043,507 $167,748,494 ABtotExp
Financial Performance Updated Benchmark (per capita) $15,402 $13,279 p86 UpdatedBnchmk
Per Capita Expenditure by Population Segment Aged, Dual-Eligible (BY1) $26,596 $15,751 Per_Capita_Exp_ALL_AGDU_BY1
Per Capita Expenditure by Population Segment Aged, Dual-Eligible (BY2) $29,133 $15,879 Per_Capita_Exp_ALL_AGDU_BY2
Per Capita Expenditure by Population Segment Aged, Dual-Eligible (BY3) $31,101 $16,313 Per_Capita_Exp_ALL_AGDU_BY3
Per Capita Expenditure by Population Segment Aged, Dual-Eligible (PY) $33,330 $18,934 Per_Capita_Exp_ALL_AGDU_PY
Per Capita Expenditure by Population Segment Aged, Non-Dual (BY1) $10,606 $9,631 Per_Capita_Exp_ALL_AGND_BY1
Per Capita Expenditure by Population Segment Aged, Non-Dual (BY2) $11,369 $9,541 Per_Capita_Exp_ALL_AGND_BY2
Per Capita Expenditure by Population Segment Aged, Non-Dual (BY3) $12,196 $10,288 Per_Capita_Exp_ALL_AGND_BY3
Per Capita Expenditure by Population Segment Aged, Non-Dual (PY) $13,158 $12,059 Per_Capita_Exp_ALL_AGND_PY
Per Capita Expenditure by Population Segment Disabled (BY1) $18,295 $10,226 Per_Capita_Exp_ALL_DIS_BY1
Per Capita Expenditure by Population Segment Disabled (BY2) $17,289 $10,191 Per_Capita_Exp_ALL_DIS_BY2
Per Capita Expenditure by Population Segment Disabled (BY3) $20,941 $10,605 Per_Capita_Exp_ALL_DIS_BY3
Per Capita Expenditure by Population Segment Disabled (PY) $18,476 $12,075 Per_Capita_Exp_ALL_DIS_PY
Per Capita Expenditure by Population Segment End-Stage Renal Disease (ESRD) (BY1) $78,038 $84,276 Per_Capita_Exp_ALL_ESRD_BY1
Per Capita Expenditure by Population Segment End-Stage Renal Disease (ESRD) (BY2) $94,144 $84,661 Per_Capita_Exp_ALL_ESRD_BY2
Per Capita Expenditure by Population Segment End-Stage Renal Disease (ESRD) (BY3) $76,619 $88,267 Per_Capita_Exp_ALL_ESRD_BY3
Per Capita Expenditure by Population Segment End-Stage Renal Disease (ESRD) (PY) $85,937 $93,398 Per_Capita_Exp_ALL_ESRD_PY
Per Capita Spending by Service Category Ambulance $171 $134 CapAnn_AmbPay
Per Capita Spending by Service Category Durable Medical Equipment $415 $405 CapAnn_DME
Per Capita Spending by Service Category Home Health $1,192 $470 CapAnn_HHA
Per Capita Spending by Service Category Hospice $353 $258 CapAnn_HSP
Per Capita Spending by Service Category Inpatient — All $4,055 $3,410 p82 CapAnn_INP_All
Per Capita Spending by Service Category Inpatient — Long-Term $166 $59 CapAnn_INP_L_trm
Per Capita Spending by Service Category Inpatient — Psychiatric $51 $37 CapAnn_INP_Psych
Per Capita Spending by Service Category Inpatient — Rehab $841 $367 CapAnn_INP_Rehab
Per Capita Spending by Service Category Inpatient — Short-Term Acute $3,057 $2,914 CapAnn_INP_S_trm
Per Capita Spending by Service Category Outpatient $2,089 $3,078 p7 CapAnn_OPD
Per Capita Spending by Service Category Physician / Supplier (Part B) $6,072 $4,341 p91 CapAnn_PB
Per Capita Spending by Service Category Skilled Nursing Facility $884 $655 p74 CapAnn_SNF
Program Structure ACO ID A5455 — ACO_ID
Program Structure ACO Name Votion ACO 1, LLC — ACO_Name
Program Structure Agreement Period 1 2 Agreement_Period_Num
Program Structure Agreement Type Initial — Agree_Type
Program Structure Assignment Type Retrospective — Assign_Type
Program Structure Current Track E — Current_Track
Program Structure Risk Model Two-Sided — Risk_Model
Program Structure SNF 3-Day Waiver ✗ ✗ SNF_Waiver
Program Structure Start Date 1/1/2024 — 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 73 215 N_NP
Provider Composition Other Facilities 0 0 N_Fac_Other
Provider Composition Physician Assistants 13 89 N_PA
Provider Composition Primary Care Physicians 47 206 N_PCP
Provider Composition Rural Health Clinics 1 0 N_RHC
Provider Composition Specialists 3 300 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 0.11% 0.06% RR_weight_AGDU_PY
Risk Redistribution Weights Aged Non-Dual Weight 0.77% 0.85% RR_weight_AGND_PY
Risk Redistribution Weights Disabled Weight 0.10% 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) 1.266 0.994 CMS_HCC_RiskScore_AGDU_BY1
Risk Scores Aged, Dual-Eligible (BY2) 1.286 0.988 CMS_HCC_RiskScore_AGDU_BY2
Risk Scores Aged, Dual-Eligible (BY3) 1.272 0.983 CMS_HCC_RiskScore_AGDU_BY3
Risk Scores Aged, Dual-Eligible (PY) 1.145 0.954 p92 CMS_HCC_RiskScore_AGDU_PY
Risk Scores Aged, Non-Dual (BY1) 1.037 0.993 CMS_HCC_RiskScore_AGND_BY1
Risk Scores Aged, Non-Dual (BY2) 1.045 0.992 CMS_HCC_RiskScore_AGND_BY2
Risk Scores Aged, Non-Dual (BY3) 1.022 0.996 CMS_HCC_RiskScore_AGND_BY3
Risk Scores Aged, Non-Dual (PY) 1.049 0.983 p77 CMS_HCC_RiskScore_AGND_PY
Risk Scores Disabled (BY1) 1.197 0.974 CMS_HCC_RiskScore_DIS_BY1
Risk Scores Disabled (BY2) 1.145 0.967 CMS_HCC_RiskScore_DIS_BY2
Risk Scores Disabled (BY3) 1.164 0.965 CMS_HCC_RiskScore_DIS_BY3
Risk Scores Disabled (PY) 1.118 0.934 p91 CMS_HCC_RiskScore_DIS_PY
Risk Scores End-Stage Renal Disease (ESRD) (BY1) 0.952 1.011 CMS_HCC_RiskScore_ESRD_BY1
Risk Scores End-Stage Renal Disease (ESRD) (BY2) 1.031 1.011 CMS_HCC_RiskScore_ESRD_BY2
Risk Scores End-Stage Renal Disease (ESRD) (BY3) 0.916 1.006 CMS_HCC_RiskScore_ESRD_BY3
Risk Scores End-Stage Renal Disease (ESRD) (PY) 0.868 0.967 p4 CMS_HCC_RiskScore_ESRD_PY
Utilization — Admissions & Visits CT Scans (per 1,000) 890 751 p84 P_CT_VIS
Utilization — Admissions & Visits E&M Visits — Primary Care (per 1,000) 6,917 4,192 p91 P_EM_PCP_Vis
Utilization — Admissions & Visits E&M Visits — Specialist (per 1,000) 5,772 4,821 p71 P_EM_SP_Vis
Utilization — Admissions & Visits E&M Visits — Total (per 1,000) 16,905 12,433 P_EM_Total
Utilization — Admissions & Visits ED Visits (per 1,000) 677 618 p73 P_EDV_Vis
Utilization — Admissions & Visits ED Visits Resulting in Hospitalization (per 1,000) 218 179 P_EDV_Vis_HOSP
Utilization — Admissions & Visits FQHC / RHC Visits (per 1,000) 599 160 p70 P_FQHC_RHC_Vis
Utilization — Admissions & Visits Hospital Admissions (per 1,000) 313 251 p89 ADM
Utilization — Admissions & Visits Long-Term Admissions (per 1,000) 4 1 ADM_L_Trm
Utilization — Admissions & Visits MRI Scans (per 1,000) 306 247 p83 P_MRI_VIS
Utilization — Admissions & Visits Nurse Practitioner Visits (per 1,000) 3,616 2,464 p90 P_Nurse_Vis
Utilization — Admissions & Visits Psychiatric Admissions (per 1,000) 6 3 ADM_Psych
Utilization — Admissions & Visits Rehab Admissions (per 1,000) 38 15 ADM_Rehab
Utilization — Admissions & Visits Short-Term Acute Admissions (per 1,000) 262 229 ADM_S_Trm
Utilization — Admissions & Visits SNF Admissions (per 1,000) 45 40 P_SNF_ADM
Utilization — Admissions & Visits SNF Average Length of Stay (days) 33 27 p91 SNF_LOS
Utilization — Admissions & Visits SNF Average Payment per Stay $17,639 $15,338 p73 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 →