Others titles
- Advance Payment ACO Model
- Accountable Care Organization Beneficiaries by County 2016
- Accountable Care Organization Shared Savings Program
Keywords
- ACO
- ACOs
- ACO Healthcare
- Medicare Shared Savings Program
- ACO Organizations
- ACO Participants
- Medicare ACO
- ACO Assigned Beneficiaries by County
- ACO Assigned Beneficiaries
- ACO Beneficiaries by Count
ACO Assigned Beneficiaries by County 2016
This dataset shows the ACO (Accountable Care Organization) Beneficiaries by County for the year 2016. Aged beneficiaries are identified as dually-eligible if they are identified in CMS (Centers for Medicare and Medicaid Services) data systems by dual status.
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Description
An assignable beneficiary is a Medicare fee-for-service beneficiary who receives at least one primary care service with a date of service during a specified 12-month assignment window from a Medicare-enrolled physician who is a primary care physician or who has one of the specialty designations. A beneficiary is considered to be assignable to a particular ACO if he or she has a primary care service with a qualified physician at the ACO. Qualified physicians include primary care physicians, or physicians on an FQHC (Federally Qualified Health Center)/RHC (Rural Health Clinic) attestation list.
Assigned beneficiary person-year counts are based on certified ACO (Accountable Care Organization) participant lists for the performance year associated with the file year and based on the assignment methodology and definition of dual eligible beneficiaries in effect for that performance year.
If the beneficiary has at least one primary care service furnished by a primary care physician or a non-physician practitioner (nurse practitioner, physician assistant or clinical nurse specialist) or an ACO professional at an FQHC/RHC in the participating ACO, and more primary care services (measured by Medicare allowed charges) furnished by primary care physicians or non-physician practitioners or ACO professionals at an FQHC/RHC in the participating ACO than furnished by primary care physicians or non-physician practitioners or ACO professionals at an FQHC/RHC in any other ACO, or non-ACO individual or group TIN (Tax Identification Number), then the beneficiary is assigned to the participating ACO.
About this Dataset
Data Info
Date Created | 2016-08-27 |
---|---|
Last Modified | 2017-11-15 |
Version | 2017-11-15 |
Update Frequency |
Irregular |
Temporal Coverage |
2016 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare and Medicaid Services (CMS), Medicare Shared Savings Program (MSSP); |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | ACO, ACOs, ACO Healthcare, Medicare Shared Savings Program, ACO Organizations, ACO Participants, Medicare ACO, ACO Assigned Beneficiaries by County, ACO Assigned Beneficiaries, ACO Beneficiaries by Count |
Other Titles | Advance Payment ACO Model, Accountable Care Organization Beneficiaries by County 2016, Accountable Care Organization Shared Savings Program |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
ACO_Number | The description of the Accountable Care Organization (ACO) number that is used to assess quality measure. | string | - |
State_ID | The two numeric characters SSA standard state code of a beneficiary's residence. | string | - |
State | State Name of Accountable Care Organization | string | - |
County_ID | The SSA standard state code of a beneficiary's residence. | integer | level : Nominal |
County | County Name Accountable Care Organization | string | - |
ESRD_Assigned_Beneficiary | Number of assigned beneficiaries with ESRD enrollment type in the county in the report period, adjusted for the total number of months that each beneficiary was classified as ESRD. (.) = Missing (county has no assigned beneficiaries with this enrollment type) (*) = Suppressed (county has between 1 and 10 assigned beneficiaries with this enrollment type or county was selected for complementary suppression; see parameters for more information) | string | - |
Disabled_Assigned_Beneficiary | Number of assigned beneficiaries with DISABLED enrollment type in the county in the report period, adjusted for the total number of months that each beneficiary was classified as DISABLED. (.) = Missing (county has no assigned beneficiaries with this enrollment type) (*) = Suppressed (county has between 1 and 10 assigned beneficiaries with this enrollment type or county was selected for complementary suppression; see parameters for more information) | string | - |
Aged_Dual_Assigned_Beneficiary | Number of assigned beneficiaries with AGED/DUAL enrollment type in the county in the report period, adjusted for the total number of months that each beneficiary was classified as AGED/DUAL. (.) = Missing (county has no assigned beneficiaries with this enrollment type) (*) = Suppressed (county has between 1 and 10 assigned beneficiaries with this enrollment type or county was selected for complementary suppression; see parameters for more information) | string | - |
Aged_Non_Dual_Assigned_Beneficiary | Number of assigned beneficiaries with AGED/NON-DUAL enrollment type in the county in the report period, adjusted for the total number of months that each beneficiary was classified as AGED/NON-DUAL. (.) = Missing (county has no assigned beneficiaries with this enrollment type) (*) = Suppressed (county has between 1 and 10 assigned beneficiaries with this enrollment type or county was selected for complementary suppression; see parameters for more information) | string | - |
Total_Assigned_Beneficiary_Person_Years | Total number of assigned beneficiaries in the county in the report period, adjusted for the total number of months that each beneficiary was classified as one of the four enrollment types. (*) = Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary suppression; see parameters for more information) | string | - |
Total_Assigned_Beneficiaries | Total number of assigned beneficiaries in the county in the report period. (*) = Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary suppression; see parameters for more information) | string | - |
Data Preview
ACO Number | State ID | State | County ID | County | ESRD Assigned Beneficiary | Disabled Assigned Beneficiary | Aged Dual Assigned Beneficiary | Aged Non Dual Assigned Beneficiary | Total Assigned Beneficiary Person Years | Total Assigned Beneficiaries |
A67373 | 1 | Alabama | 60 | Butler | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) |
A67373 | 1 | Alabama | 90 | Cherokee | Missing (county has no assigned beneficiaries with this enrollment type) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) |
A67373 | 1 | Alabama | 100 | Chilton | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) |
A67373 | 1 | Alabama | 150 | Coffee | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) |
A67373 | 1 | Alabama | 160 | Colbert | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) |
A67373 | 1 | Alabama | 210 | Cullman | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) |
A67373 | 1 | Alabama | 260 | Escambia | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) |
A67373 | 1 | Alabama | 340 | Houston | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) |
A67373 | 1 | Alabama | 350 | Jackson | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) |
A67373 | 1 | Alabama | 360 | Jefferson | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Missing (county has no assigned beneficiaries with this enrollment type) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) | Suppressed (county has between 1 and 10 total assigned beneficiaries or county was selected for complementary supression; see parameters for more information) |