New Hampshire has a new claim to fame. Yes, it's the site of the first primary in a presidential election year. But for us healthcare nerds, it's now home to one of the first Medicare Shared Savings Program (MSSP) ACOs to publish results for all 33 measures on its website: North Country ACO.

While CMS recently published results for five ACO MSSP measures focusing on diabetes, ischemic vascular disease and coronary artery disease great stuff for those of us tracking results. North Country ACO leads the pack in transparency by putting its scores for all metrics front and center.

So how about actual outcomes. The ACO scored above the mean in 28 of 33 measures. Additionally, it scored above the 90th percentile in four measures, including those focused on health promotion and education, LVSD, and cardiac. See all of its scores here.

Rural patients are less likely to seek care outside the ACO providers.

Here's another surprise: North Country ACO consists of five, rurally based community health centers. No big name primary- or specialty-care medical groups. No metropolitan presence. And, headquartered in Littleton, NH a town with a population of less than 1,800.

These results may reflect the immense power of communication among providers on patient health. Local health centers in rural areas may prove to have advantages over large systems in urban areas as rural patients are less likely to seek care outside the ACO providers.

Whether rural or metropolitan, other ACOs should join the party when it comes to reporting full results.

Follow Laura Beerman on Twitter @LauraBeermanDRG

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