Demos
Others titles
- Providers, Hospitals, and Suppliers Shared Savings Program 2018
- Accountable Care Organisation Shared Savings Program 2018
- Value-based Purchasing of Healthcare, Accountable Care Organisations 2018
- Performance-based Healthcare Payment 2018
Keywords
- ACO
- Shared Savings Program
- ACO List
- Medicare SSP
- Value-based Purchasing
- Performance-based Payment
- ACO Beneficiary Provider Summary
Medicare Shared Savings Program ACO Beneficiary Provider Summary 2018
This dataset shows the Medicare Shared Savings Program Accountable Care Organizations (ACOs) beneficiary provider summary for 2018. The Shared Savings Program ACO participants are groups of doctors and other health care providers who voluntarily work together with Medicare to give high-quality service to Medicare Fee-for-Service beneficiaries.
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Description
Congress created the Shared Savings Program to facilitate coordination and cooperation among providers to improve the quality of care for Medicare Fee-For-Service (FFS) beneficiaries and reduce unnecessary costs. Eligible providers, hospitals, and suppliers may participate in the Shared Savings Program by creating or participating in an Accountable Care Organization. The Centers for Medicare and Medicaid Program (CMS) created standard analytical file Shared Savings Program (SSP), Affordable Care Act (ACO) and public-use file (PUF) to efficiently satisfy the requests for SSP ACO data. Centers for Medicare and Medicaid Program (CMS) published the ACO-level public-use file (PUF) containing ACO-specific metrics as well as summarized beneficiary and provider information for each performance year of the SSP program.
The Shared Savings Program (SSP) will reward ACOs that lower their growth in healthcare costs while meeting performance standards on quality of care and putting patients first. Participation in an ACO is purely voluntary. Medicare Shared Savings Program (Shared Savings Program) Accountable Care Organizations serve Medicare Fee-for-Service beneficiaries in 49 of the 50 States and the District of Columbia. Since ACOs first began participating in the program in early 2012, thousands of health care providers have signed on to participate in the program, working together to provide better care to Medicare’s seniors and people with disabilities.
The 2014 Performance Year Shared Savings Program (SSP) Accountable Care Organization (ACO) Pubic use file (PUF) has several variables added which include State(s) where beneficiaries reside, Advance Payment Recoupment Amount, Hospital Outpatient Expenditures, Average expenditures for Aged, Dual, Non-Dual, Disabled and ESRD enrollment types for benchmark years 1, 2, 3; Average Aged, Dual, Non-Dual, Disabled, End stage renal disease (ESRD) hierarchical condition category (HCC) risk scores in the performance year (PY) and benchmark years 1, 2, 3; Average Historical Benchmark; Number of Assigned Beneficiaries with enrollment types; Aged, Dual, Non-Dual, Disabled, ESRD in PY.
About this Dataset
Data Info
| Date Created | 2015-10-30 |
|---|---|
| Last Modified | 2019-09-26 |
| Version | 2019-09-26 |
| Update Frequency |
Semiannual |
| Temporal Coverage |
2018 |
| Spatial Coverage |
United States |
| Source | John Snow Labs; Centers for Medicare and Medicaid Services(CMS); |
| Source License URL | |
| Source License Requirements |
N/A |
| Source Citation |
N/A |
| Keywords | ACO, Shared Savings Program, ACO List, Medicare SSP, Value-based Purchasing, Performance-based Payment, ACO Beneficiary Provider Summary |
| Other Titles | Providers, Hospitals, and Suppliers Shared Savings Program 2018, Accountable Care Organisation Shared Savings Program 2018, Value-based Purchasing of Healthcare, Accountable Care Organisations 2018, Performance-based Healthcare Payment 2018 |
Data Fields
| Name | Description | Type | Constraints |
|---|---|---|---|
| ACO_ID | Encrypted ACO Identifier. Identifier is consistent across performance years | string | - |
| ACO_Name | ACO Doing Business As (DBA) or Legal Business Name (LBN) | string | - |
| State | Assigned beneficiary state(s) of residence | string | - |
| Start_Date | Agreement start date | date | - |
| Track_1 | ACO selected Track 1 (one-sided shared savings model) or otherwise. | string | - |
| Track_2 | ACO selected Track 2 (two-sided shared savings / losses model) or otherwise. | string | - |
| Is_Participate_In_Advance_Payment_Model | If ACO participates in Advance Payment Model=true; otherwise=false | boolean | - |
| Total_Assigned_Beneficiaries | Number of assigned beneficiaries, performance year | number | level : Nominal |
| Savings_Rate | Total Benchmark Expenditures Minus Assigned Beneficiary Expenditures as a percent of Total Benchmark Expenditures | number | level : Ratio |
| Minimum_Savings_Rate_Percent | number | level : Ratio | |
| Benchmark_Minus_Expenditures | Total benchmark Expenditures Minus Assigned Beneficiary Expenditures | number | level : Ratio |
| Generated_Total_Savings_or_Losses | Total savings or Total loss. | number | level : Ratio |
| Earned_Shared_Savings_Payments_or_Owe_Losses | Total earned shared savings | number | level : Ratio |
| Quality_Score | ACOs performance quality based on reporting | string | - |
| Updated_Benchmark_Expenditures | Benchmark expenditures are risk-adjusted in the historical benchmark period and performance period to account for changes in the ACO's assigned populations over time. Updated benchmark also includes the projected absolute amount of growth in national per capita expenditures for Parts A and B services under the original fee-for-service program. | number | level : Ratio |
| Historical_Benchmark | 3-year average historical benchmark, risk adjusted. Historical benchmark expenditures are risk-adjusted by applying risk ratios of the BY3 risk score divided by each year’s risk score to the BY1 and BY2 expenditures. | number | level : Ratio |
| Total_Benchmark_Expenditures | Per capita benchmark (UpdatedBnchmk) multiplied by total person-years (N_AB_Year). | number | level : Ratio |
| Total_Expenditures | Per capita performance year expenditures (Per_Capita_Exp_TOTAL) multiplied by total person-years (N_AB_Year). | number | level : Ratio |
| Advance_Payment_Amount | number | - | |
| Advance_Payment_Recoupment | Amount of advance payment actually recouped at PY14. Populated for advance payment ACOs that shared savings and is no greater than the maximum amount owed. | number | level : Ratio |
| Quality_Sharing_Rate | Set at 50% for Track 1 ACOs and 60% for Track 2 ACOs. | number | level : Ratio |
| Final_Sharing_Rate | Quality performance sharing rate (QualPerfShare) multiplied by quality score (QualScore). The percentage of savings an ACO shares if the ACO is eligible for shared savings. | number | level : Ratio |
| Per_Capita_ESRD_Expenditures_In_Benchmark_Year_1 | Annualized, truncated, weighted mean total expenditures per ESRD assigned beneficiary person years in benchmark year 1. | number | level : Ratio |
| Per_Capita_Disabled_Expenditures_In_Benchmark_Year_1 | Annualized, truncated, weighted mean total expenditures per DISABLED assigned beneficiary person years in benchmark year 1. | number | level : Ratio |
| Per_Capita_Aged_or_Dual_Expenditures_In_Benchmark_Year_1 | Annualized, truncated, weighted mean total expenditures per AGED/DUAL assigned beneficiary person years in benchmark year 1. | number | level : Ratio |
| Per_Capita_Aged_or_NonDual_Expenditures_In_Benchmark_Year_1 | Annualized, truncated, weighted mean total expenditures per AGED/NON-DUAL assigned beneficiary person years in benchmark year 1. | number | level : Ratio |
| Per_Capita_ESRD_Expenditures_In_Benchmark_Year_2 | Annualized, truncated, weighted mean total expenditures per ESRD assigned beneficiary person years in benchmark year 2. | number | level : Ratio |
| Per_Capita_Disabled_Expenditures_In_Benchmark_Year_2 | Annualized, truncated, weighted mean total expenditures per DISABLED assigned beneficiary person years in benchmark year 2. | number | level : Ratio |
| Per_Capita_Aged_or_Dual_Expenditures_In_Benchmark_Year_2 | Annualized, truncated, weighted mean total expenditures per AGED/DUAL assigned beneficiary person years in benchmark year 2. | number | level : Ratio |
| Per_Capita_Aged_or_NonDual_Expenditures_In_Benchmark_Year_2 | Annualized, truncated, weighted mean total expenditures per AGED/NON-DUAL assigned beneficiary person years in benchmark year 2. | number | level : Ratio |
| Per_Capita_ESRD_Expenditures_In_Benchmark_Year_3 | Annualized, truncated, weighted mean total expenditures per ESRD assigned beneficiary person years in benchmark year 3. | number | level : Ratio |
| Per_Capita_Disabled_Expenditures_In_Benchmark_Year_3 | Annualized, truncated, weighted mean total expenditures per DISABLED assigned beneficiary person years in benchmark year 3. | number | level : Ratio |
| Per_Capita_Aged_or_Dual_Expenditures_In_Benchmark_Year_3 | Annualized, truncated, weighted mean total expenditures per DISABLED assigned beneficiary person years in benchmark year 3. | number | level : Ratio |
| Per_Capita_Aged_or_NonDual_Expenditures_In_Benchmark_Year_3 | Annualized, truncated, weighted mean total expenditures per AGED/DUAL assigned beneficiary person years in benchmark year 3. | number | level : Ratio |
| Per_Capita_ESRD_Expenditures_In_Performance_Year | Annualized, truncated, weighted mean total expenditures per ESRD assigned beneficiary person years in performance year. | number | level : Ratio |
| Per_Capita_Disabled_Expenditures_In_Performance_Year | Annualized, truncated, weighted mean total expenditures per DISABLED assigned beneficiary person years in performance year. | number | level : Ratio |
| Per_Capita_Aged_or_Dual_Expenditures_In_Performance_Year | Annualized, truncated, weighted mean total expenditures per AGED/DUAL assigned beneficiary person years in performance year. | number | level : Ratio |
| Per_Capita_Aged_or_NonDual_Expenditures_In_Performance_Year | Annualized, truncated, weighted mean total expenditures per AGED/NON-DUAL assigned beneficiary person years in performance year. | number | level : Ratio |
| Per_Capita_All_Expenditures_In_Performance_Year | Annualized, truncated, weighted mean total expenditures per assigned beneficiary person years in performance year. | number | level : Ratio |
| Average_ESRD_HCC_Risk_Score_In_Benchmark_Year_1 | Mean final prospective CMS-HCC risk score for ESRD enrollment type in benchmark year 1, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_Disabled_HCC_Risk_Score_In_Benchmark_Year_1 | Mean final prospective CMS-HCC risk score for DISABLED enrollment type in benchmark year 1, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_Aged_or_Dual_HCC_Risk_Score_In_Benchmark_Year_1 | Mean final prospective CMS-HCC risk score for AGED/DUAL enrollment type in benchmark year 1, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_Aged_or_NonDual_Hcc_Risk_Score_In_Benchmark_Year_1 | Mean final prospective CMS-HCC risk score for AGED/NON-DUAL enrollment type in benchmark year 1, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_ESRD_HCC_Risk_Score_In_Benchmark_Year_2 | Mean final prospective CMS-HCC risk score for ESRD enrollment type in benchmark year 2, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_Disabled_HCC_Risk_Score_In_Benchmark_Year_2 | Mean final prospective CMS-HCC risk score for DISABLED enrollment type in benchmark year 2, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_Aged_or_Dual_HCC_Risk_Score_In_Benchmark_Year_2 | Mean final prospective CMS-HCC risk score for AGED/DUAL enrollment type in benchmark year 2, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_Aged_or_NonDual_HCC_Risk_Score_In_Benchmark_Year_2 | Mean final prospective CMS-HCC risk score for AGED/NON-DUAL enrollment type in benchmark year 2, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0.Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_ESRD_HCC_Risk_Score_In_Benchmark_Year_3 | Mean final prospective CMS-HCC risk score for ESRD enrollment type in benchmark year 3, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_Disabled_HCC_Risk_Score_In_Benchmark_Year_3 | Mean final prospective CMS-HCC risk score for DISABLED enrollment type in benchmark year 3, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_Aged_or_Dual_HCC_Risk_Score_In_Benchmark_Year_3 | Mean final prospective CMS-HCC risk score for AGED/DUAL enrollment type in benchmark year 3, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_Aged_or_NonDual_HCC_Risk_Score_In_Benchmark_Year_3 | Mean final prospective CMS-HCC risk score for AGED/NON-DUAL enrollment type in benchmark year 3, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_ESRD_HCC_Risk_Score_In_Performance_Year | Mean final prospective CMS-HCC risk score for ESRD enrollment type in the performance year, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_Disabled_HCC_Risk_Score_In_Performance_Year | Mean final prospective CMS-HCC risk score for DISABLED enrollment type in the performance year, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_Aged_or_Dual_HCC_Risk_Score_In_Performance_Year | Mean final prospective CMS-HCC risk score for AGED/DUAL enrollment type in the performance year, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| Average_Aged_or_NonDual_HCC_Risk_Score_In_Performance_Year | Mean final prospective CMS-HCC risk score for AGED/NON-DUAL enrollment type in the performance year, based on the applicable risk adjustment model for that year, renormalized so that the mean national FFS risk score equals 1.0. Risk scores for each enrollment type are renormalized to their own populations and thus are not on the same scale and not comparable. | number | level : Ratio |
| ESRD_Person_Years_In_Benchmark_Year_3 | Number of assigned beneficiaries with ESRD enrollment type in benchmark year 3 adjusted for the total number of months that each beneficiary was classified as ESRD; Number of ESRD person-months divided by 12. | number | level : Ratio |
| Disabled_Person_Years_In_Benchmark_Year_3 | Number of assigned beneficiaries with DISABLED enrollment type in benchmark year 3 adjusted for the total number of months that each beneficiary was classified as DISABLED; Number of DISABLED person-months divided by 12. | number | level : Ratio |
| Aged_or_Dual_Person_Years_In_Benchmark_Year_3 | Number of assigned beneficiaries with AGED/DUAL enrollment type in benchmark year 3 adjusted for the total number of months that each beneficiary was classified as AGED/DUAL; Number of AGED/DUAL person-months divided by 12. | number | level : Ratio |
| Aged_or_NonDual_Person_Years_In_Benchmark_Year_3 | Number of assigned beneficiaries with AGED/NON-DUAL enrollment type in benchmark year 3 adjusted for the total number of months that each beneficiary was classified as AGED/NON-DUAL; Number of AGED/NON-DUAL person-months divided by 12. | number | level : Nominal |
| Total_Person_Years_In_Performance_Year | Number of assigned beneficiaries in performance year adjusted downwards for beneficiaries with less than a full 12 months of eligibility ; Number of person-months divided by 12. | number | level : Nominal |
| ESRD_Person_Years_In_Performance_Year | Number of assigned beneficiaries with ESRD enrollment type in performance year adjusted for the total number of months that each beneficiary was classified as ESRD; Number of ESRD person-months divided by 12. | number | level : Ratio |
| Disabled_Person_Years_In_Performance_Year | Number of assigned beneficiaries with DISABLED enrollment type in performance year adjusted for the total number of months that each beneficiary was classified as DISABLED; Number of DISABLED person-months divided by 12. | number | level : Ratio |
| Aged_or_Dual_Person_Years_In_Performance_Year | Number of assigned beneficiaries with AGED/DUAL enrollment type in performance year adjusted for the total number of months that each beneficiary was classified as AGED/DUAL; Number of AGED/DUAL person-months divided by 12. | number | level : Ratio |
| Aged_or_NonDual_Person_Years_In_Performance_Year | Number of assigned beneficiaries with AGED/NON-DUAL enrollment type in performance year adjusted for the total number of months that each beneficiary was classified as AGED/NON-DUAL; Number of AGED/NON-DUAL person-months divided by 12. | number | level : Ratio |
| Total_Assigned_Beneficiaries_Age_0_to_64 | Total number of assigned beneficiaries, age 0-64 in performance year; age calculated as of 1/1/2014. Based on most current date of birth in Medicare records. | number | level : Ratio |
| Total_Assigned_Beneficiaries_Age_65_to_74 | Total number of assigned beneficiaries, age 65-74 in performance year; age calculated as of 1/1/2014. Based on most current date of birth in Medicare records. | number | level : Ratio |
| Total_Assigned_Beneficiaries_Age_75_to_84 | Total number of assigned beneficiaries, age 75-84 in performance year; age calculated as of 1/1/2014. Based on most current date of birth in Medicare records. | number | level : Ratio |
| Total_Assigned_Beneficiaries_Age_Above85 | Total number of assigned beneficiaries, age 85+ in performance year; age calculated as of 1/1/2014. Based on most current date of birth in Medicare records. | number | level : Ratio |
| Total_Assigned_Beneficiaries_Female | Total number of assigned beneficiaries, female (Gender=2) in performance year. Based on most current gender in Medicare records. | number | level : Ratio |
| Total_Assigned_Beneficiaries_Male | Total number of assigned beneficiaries, male (Gender=1) in performance year. Based on most current gender in Medicare records. | number | level : Ratio |
| Total_Assigned_Beneficiaries_NonHispanic_White | Total number of assigned beneficiaries, Non-Hispanic White (Race=1) in performance year. Based on most current race in Medicare records. | number | level : Ratio |
| Total_Assigned_Beneficiaries_Black | Total number of assigned beneficiaries, Black (Race=2) in performance year. Based on most current race in Medicare records. | number | level : Ratio |
| Total_Assigned_Beneficiaries_Asian | Total number of assigned beneficiaries, Asian (Race=4) in performance year. Based on most current race in Medicare records. | number | level : Ratio |
| Total_Assigned_Beneficiaries_Hispanic | Total number of assigned beneficiaries, Hispanic (Race=5) in performance year. Based on most current race in Medicare records. | number | level : Ratio |
| Total_Assigned_Beneficiaries_North_American_Native | Total number of assigned beneficiaries, North American Native (Race=6) in performance year. Based on most current race in Medicare records. | number | level : Ratio |
| Total_Assigned_Beneficiaries_Other | Total number of assigned beneficiaries, Other (Race=0,3,~) in performance year. Based on most current race in Medicare records. | number | level : Ratio |
| Total_Inpatient_Expenditures | Annualized, truncated, weighted mean expenditures per assigned beneficiary person years for inpatient services for assigned beneficiaries in performance year. | number | level : Ratio |
| Short_Term_Acute_Care_Hospital_IPPR_or_CAH_Expenditures | Annualized, truncated, weighted mean expenditures per assigned beneficiary person years for acute care inpatient services in a short term acute care (Inpatient Prospective Payment System (IPPS) or Critical Access Hospital (CAH)) setting for assigned beneficiaries in performance year. | number | level : Ratio |
| Long_Term_Care_Hospital_Expenditures | Annualized, truncated, weighted mean expenditures per assigned beneficiary person years for inpatient services in a long term care setting for assigned beneficiaries in performance year. | number | level : Ratio |
| Inpatient_Rehabilitation_Facility_IRF_Expenditures | Annualized, truncated, weighted mean expenditures per assigned beneficiary person years for inpatient services in a rehabilitation facility or unit for assigned beneficiaries in performance year. | number | level : Ratio |
| Inpatient_Psychiatric_Hospital_Expenditures | Annualized, truncated, weighted mean expenditures per assigned beneficiary person years for inpatient services in a psychiatric hospital facility or unit for assigned beneficiaries in performance year. | number | level : Ratio |
| Hospice_Expenditures | Annualized, truncated, weighted mean expenditures per assigned beneficiary person years for hospice services for assigned beneficiaries in performance year. Hospice claims are identified by claim type code 50. | number | level : Ratio |
| Skilled_Nursing_Facility_Or_Unit_Expenditures | Annualized, truncated, weighted mean expenditures per assigned beneficiary person years for services in a skilled nursing facility (SNF) setting for assigned beneficiaries in performance year. SNF claims are identified by claim type codes 20 and 30. | number | level : Ratio |
| Other_Inpatient_Expenditures | Annualized, truncated, weighted mean expenditures per assigned beneficiary person years for other inpatient services in a short term acute care setting for assigned beneficiaries in performance year. Inpatient claims are identified by claim type code 60. | number | level : Ratio |
| Hospital_Outpatient_Expenditures | Annualized, truncated, weighted mean expenditures per assigned beneficiary person years for hospital outpatient services for assigned beneficiaries in performance year. Hospital outpatient claims are identified by claim type code 40. | number | level : Ratio |
| Physician_or_Supplier_Expenditures | Annualized, truncated, weighted mean expenditures per assigned beneficiary person years for Part B physician/supplier (Carrier) services for assigned beneficiaries in performance year. | number | level : Ratio |
| Ambulance_Expenditures | Annualized, truncated, weighted mean expenditures per assigned beneficiary person years for ambulance services for assigned beneficiaries in performance year. | number | level : Ratio |
| Home_Health_Expenditures | Annualized, truncated, weighted mean expenditures per assigned beneficiary person years for home health agency services for assigned beneficiaries in performance year. Home health claims are identified by claim type code 10. | number | level : Ratio |
| Durable_Medical_Equipment_Expenditures | Annualized, truncated, weighted mean expenditures per assigned beneficiary person years for durable medical equipment (DME) for assigned beneficiaries in performance year. DME claims are identified by claim type codes 81 and 82. | number | level : Ratio |
| Inpatient_Hospital_Discharges | Total number of inpatient hospital discharges per 1,000 person-years in performance year. | number | level : Ratio |
| Short_Term_Acute_Care_Hospital_Discharges | Total number of short term acute care hospital discharges per 1,000 person-years in performance year. | number | level : Ratio |
| LTCH_Discharges | Total number of long term care hospital (LTCH) discharges per 1,000 person-years in performance year. | number | level : Ratio |
| IRF_Discharges | Total number of inpatient rehabilitation facility (IRF) discharges per 1,000 person-years in performance year. | number | level : Ratio |
| IPF_Discharges | Total number of inpatient psychiatric facility (IPF) discharges per 1,000 person-years in performance year. | number | level : Ratio |
| CHF_Discharges | Total number of discharges for congestive heart failure (CHF) per 1,000 person-years in performance year. | number | level : Ratio |
| COPD_or_Asthma_Discharges | Total number of discharges for chronic obstructive pulmonary disease (COPD) or asthma per 1,000 person-years in performance year. | number | level : Ratio |
| Short_Term_Acute_Care_Readmissions_All_Cause_30_Day | Rate of short-term acute-care hospital readmissions within 30 days of discharge from a short-term acute-care hospital (including critical access hospitals) per 1,000 discharges among eligible beneficiaries assigned to the ACO in performance year. | number | level : Ratio |
| Skilled_Nursing_Facility_Discharges | Total number of discharges from a skilled nursing facility per 1,000 person-years in performance year. | number | level : Ratio |
| Outpatient_ED_Visits | Total number of visits to an outpatient emergency department (ED) per 1,000 person-years in performance year. | number | level : Ratio |
| Inpatient_ED_Visits | Total number of visits to an emergency department (ED) that result in an inpatient stay per 1,000 person-years in performance year. | number | level : Ratio |
| CT_Events | Total number of computed tomography (CT) events per 1,000 person-years in performance year. | number | level : Ratio |
| MRI_Events | Total number of magnetic resonance imaging (MRI) events per 1,000 person-years in performance year. | number | level : Ratio |
| Primary_Care_Services | Total number of primary care services per 1,000 person-years in performance year. | number | level : Ratio |
| Primary_Care_Services_With_PCP | Total number of primary care services provided by a primary care physician (PCP) per 1,000 person-years in performance year. | number | level : Ratio |
| Primary_Care_Services_With_A_Specialist | Total number of primary care services provided by a specialist per 1,000 person-years in performance year. | number | level : Ratio |
| Primary_Care_Services_With_A_NP_or_PA_or_CNS | Total number of primary care services provided by a nurse practitioner (NP), physician's assistant (PA), or clinical nurse specialist (CNS) per 1,000 person-years in performance year. | number | level : Ratio |
| Primary_Care_Services_With_A_FQHC_or_RHC | Total number of primary care services provided at a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) per 1,000 person-years in performance year. | number | level : Ratio |
| Number_Of_CAH_IIS | Total number of Method II Critical Access Hospitals participating in the ACO in the performance period. | number | level : Ratio |
| Number_Of_FQHCS | Total number of Federally Qualified Health Centers participating in the ACO in the performance period. Based on the ACO's certified participant list used in financial reconciliation and ACO-reported facility type. | number | level : Ratio |
| Number_Of_RHCS | Total number of Rural Health Clinics participating in the ACO in the performance period. Based on the ACO's certified participant list used in financial reconciliation and ACO-reported facility type. | number | level : Ratio |
| Number_Of_ETA_Hospitals | Total number of Electing Teaching Amendment Hospitals participating in the ACO in the performance period. Based on the ACO's certified participant list used in financial reconciliation and ACO-reported facility type. | number | level : Ratio |
| Number_Of_Other_Facility_Types | Total number of other facilities participating in the ACO in the performance period. Based on the ACO's certified participant list used in financial reconciliation and ACO-reported facility type. | number | level : Ratio |
| Number_Of_Participating_PCPs | Total number of primary care physicians (PCPs) who reassigned billing rights to an ACO participant in the performance period. Based on the ACO's certified participant list used in financial reconciliation and information in the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). | number | level : Ratio |
| Number_Of_Participating_Specialists | Total number of physician specialists who reassigned billing rights to an ACO participant in the performance period. Based on the ACO's certified participant list used in financial reconciliation and information in the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). | number | level : Ratio |
| Number_Of_Participating_Nurse_Practitioners | Total number of nurse practitioners who reassigned billing rights to an ACO participant in the performance period. Based on the ACO's certified participant list used in financial reconciliation and information in the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). | number | level : Ratio |
| Number_Of_Participating_Physician_Assistants | Total number of physician assistants who reassigned billing rights to an ACO participant in the performance period. Based on the ACO's certified participant list used in financial reconciliation and information in the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). | number | level : Ratio |
| Number_Of_Participating_Clinical_Nurse_Specialists | Total number of clinical nurse specialists who reassigned billing rights to an ACO participant in the performance period. Based on the ACO's certified participant list used in financial reconciliation and information in the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). | number | level : Ratio |
Data Preview
| ACO ID | ACO Name | State | Start Date | Track 1 | Track 2 | Is Participate In Advance Payment Model | Total Assigned Beneficiaries | Savings Rate | Minimum Savings Rate Percent | Benchmark Minus Expenditures | Generated Total Savings or Losses | Earned Shared Savings Payments or Owe Losses | Quality Score | Updated Benchmark Expenditures | Historical Benchmark | Total Benchmark Expenditures | Total Expenditures | Advance Payment Amount | Advance Payment Recoupment | Quality Sharing Rate | Final Sharing Rate | Per Capita ESRD Expenditures In Benchmark Year 1 | Per Capita Disabled Expenditures In Benchmark Year 1 | Per Capita Aged or Dual Expenditures In Benchmark Year 1 | Per Capita Aged or NonDual Expenditures In Benchmark Year 1 | Per Capita ESRD Expenditures In Benchmark Year 2 | Per Capita Disabled Expenditures In Benchmark Year 2 | Per Capita Aged or Dual Expenditures In Benchmark Year 2 | Per Capita Aged or NonDual Expenditures In Benchmark Year 2 | Per Capita ESRD Expenditures In Benchmark Year 3 | Per Capita Disabled Expenditures In Benchmark Year 3 | Per Capita Aged or Dual Expenditures In Benchmark Year 3 | Per Capita Aged or NonDual Expenditures In Benchmark Year 3 | Per Capita ESRD Expenditures In Performance Year | Per Capita Disabled Expenditures In Performance Year | Per Capita Aged or Dual Expenditures In Performance Year | Per Capita Aged or NonDual Expenditures In Performance Year | Per Capita All Expenditures In Performance Year | Average ESRD HCC Risk Score In Benchmark Year 1 | Average Disabled HCC Risk Score In Benchmark Year 1 | Average Aged or Dual HCC Risk Score In Benchmark Year 1 | Average Aged or NonDual Hcc Risk Score In Benchmark Year 1 | Average ESRD HCC Risk Score In Benchmark Year 2 | Average Disabled HCC Risk Score In Benchmark Year 2 | Average Aged or Dual HCC Risk Score In Benchmark Year 2 | Average Aged or NonDual HCC Risk Score In Benchmark Year 2 | Average ESRD HCC Risk Score In Benchmark Year 3 | Average Disabled HCC Risk Score In Benchmark Year 3 | Average Aged or Dual HCC Risk Score In Benchmark Year 3 | Average Aged or NonDual HCC Risk Score In Benchmark Year 3 | Average ESRD HCC Risk Score In Performance Year | Average Disabled HCC Risk Score In Performance Year | Average Aged or Dual HCC Risk Score In Performance Year | Average Aged or NonDual HCC Risk Score In Performance Year | ESRD Person Years In Benchmark Year 3 | Disabled Person Years In Benchmark Year 3 | Aged or Dual Person Years In Benchmark Year 3 | Aged or NonDual Person Years In Benchmark Year 3 | Total Person Years In Performance Year | ESRD Person Years In Performance Year | Disabled Person Years In Performance Year | Aged or Dual Person Years In Performance Year | Aged or NonDual Person Years In Performance Year | Total Assigned Beneficiaries Age 0 to 64 | Total Assigned Beneficiaries Age 65 to 74 | Total Assigned Beneficiaries Age 75 to 84 | Total Assigned Beneficiaries Age Above85 | Total Assigned Beneficiaries Female | Total Assigned Beneficiaries Male | Total Assigned Beneficiaries NonHispanic White | Total Assigned Beneficiaries Black | Total Assigned Beneficiaries Asian | Total Assigned Beneficiaries Hispanic | Total Assigned Beneficiaries North American Native | Total Assigned Beneficiaries Other | Total Inpatient Expenditures | Short Term Acute Care Hospital IPPR or CAH Expenditures | Long Term Care Hospital Expenditures | Inpatient Rehabilitation Facility IRF Expenditures | Inpatient Psychiatric Hospital Expenditures | Hospice Expenditures | Skilled Nursing Facility Or Unit Expenditures | Other Inpatient Expenditures | Hospital Outpatient Expenditures | Physician or Supplier Expenditures | Ambulance Expenditures | Home Health Expenditures | Durable Medical Equipment Expenditures | Inpatient Hospital Discharges | Short Term Acute Care Hospital Discharges | LTCH Discharges | IRF Discharges | IPF Discharges | CHF Discharges | COPD or Asthma Discharges | Short Term Acute Care Readmissions All Cause 30 Day | Skilled Nursing Facility Discharges | Outpatient ED Visits | Inpatient ED Visits | CT Events | MRI Events | Primary Care Services | Primary Care Services With PCP | Primary Care Services With A Specialist | Primary Care Services With A NP or PA or CNS | Primary Care Services With A FQHC or RHC | Number Of CAH IIS | Number Of FQHCS | Number Of RHCS | Number Of ETA Hospitals | Number Of Other Facility Types | Number Of Participating PCPs | Number Of Participating Specialists | Number Of Participating Nurse Practitioners | Number Of Participating Physician Assistants | Number Of Participating Clinical Nurse Specialists |
| A1001 | Palm Beach Accountable Care Organization, LLC | FL | 2012-07-01 | 1 | 0 | False | 77372 | 0.104911788 | 0.02 | 112523299 | 112523299 | 50087988 | 0.9084 | 14182 | 13678 | 1072551536 | 960028237 | 0.5 | 0.4542 | 89406 | 13245 | 20833 | 11617 | 86590 | 13495 | 20340 | 11618 | 86194 | 13240 | 19164 | 11495 | 84716 | 13077 | 17981 | 11701 | 12694 | 1.054 | 1.14 | 1.0979999999999999 | 1.147 | 1.058 | 1.12 | 1.082 | 1.153 | 1.051 | 1.13 | 1.112 | 1.158 | 1.022 | 1.0759999999999998 | 1.093 | 1.149 | 598 | 5010 | 6836 | 67193 | 75629 | 493 | 4085 | 5332 | 65719 | 6118 | 32459 | 25768 | 13027 | 44971 | 32401 | 67143 | 4052 | 462 | 3183 | 27 | 2505 | 3184 | 2808 | 106 | 258 | 45 | 252 | 722 | 0 | 1834 | 5739 | 111 | 918 | 261 | 319 | 296 | 3 | 14 | 6 | 15 | 9 | 830 | 63 | 645 | 242 | 754 | 381 | 14861 | 5649 | 8412 | 779 | 21 | 0 | 0 | 0 | 0 | 0 | 442 | 750 | 216 | 92 | 0 | ||
| A1002 | CCACO | NY, NJ | 2012-04-01 | 1 | 0 | False | 9139 | 0.132426658 | 0.030860861 | 12171874 | 12171874 | 5071450 | 0.8503 | 10299 | 9294 | 91914080 | 79742206 | 0.5 | 0.4252 | 71594 | 8716 | 8065 | 6430 | 78872 | 9188 | 8420 | 6705 | 67698 | 9645 | 8087 | 6247 | 71017 | 8367 | 8444 | 6398 | 8935 | 0.948 | 0.96 | 0.797 | 0.925 | 0.91 | 1.018 | 0.787 | 0.9229999999999999 | 0.9620000000000001 | 1.0070000000000001 | 0.8059999999999999 | 0.892 | 0.917 | 0.902 | 0.816 | 0.809 | 123 | 647 | 7433 | 1508 | 8925 | 133 | 477 | 6422 | 1893 | 695 | 3334 | 3297 | 1813 | 5534 | 3605 | 449 | 129 | 6881 | 59 | 3 | 1618 | 2258 | 2133 | 3 | 86 | 38 | 121 | 574 | 0 | 1512 | 4158 | 60 | 263 | 149 | 169 | 163 | 0 | 4 | 2 | 9 | 3 | 867 | 24 | 290 | 142 | 496 | 271 | 14779 | 8847 | 5604 | 294 | 35 | 0 | 0 | 0 | 0 | 0 | 108 | 191 | 21 | 20 | 0 | ||
| A1006 | Hackensack Alliance ACO | NJ, NY | 2012-04-01 | 1 | 0 | False | 38660 | 0.10134528699999999 | 0.023133938 | 49345826 | 49345826 | 21607983 | 0.8937 | 12868 | 12291 | 486907951 | 437562125 | 0.5 | 0.4468 | 115347 | 12258 | 18835 | 11025 | 117404 | 12778 | 16714 | 11527 | 93392 | 12068 | 14980 | 10601 | 96657 | 11662 | 15227 | 10656 | 11564 | 1.069 | 0.9540000000000001 | 1.031 | 1.065 | 1.084 | 1.022 | 1.012 | 1.087 | 1.031 | 0.9790000000000001 | 0.961 | 1.026 | 1.001 | 0.934 | 0.94 | 0.9940000000000001 | 152 | 1941 | 1910 | 23665 | 37839 | 233 | 2830 | 2511 | 32265 | 3979 | 17353 | 11518 | 5810 | 22867 | 15793 | 31484 | 2645 | 1032 | 1442 | 17 | 2040 | 3243 | 2950 | 41 | 185 | 95 | 168 | 936 | 0 | 2408 | 4267 | 80 | 478 | 183 | 263 | 247 | 1 | 8 | 7 | 14 | 7 | 823 | 61 | 573 | 202 | 620 | 281 | 11551 | 3686 | 7176 | 685 | 4 | 0 | 0 | 0 | 0 | 3 | 483 | 581 | 218 | 101 | 5 | ||
| A1021 | NH Accountable Care Partners | NH, ME, MA | 2012-07-01 | 1 | 0 | False | 54981 | -0.0008118730000000001 | 0.0210037 | -474368 | 0 | 0 | 0.8752 | 10871 | 10166 | 584288298 | 584762666 | 0.5 | 0.4376 | 84833 | 9627 | 16829 | 8964 | 86736 | 9528 | 17453 | 9296 | 85996 | 10308 | 18313 | 9325 | 83838 | 11298 | 19508 | 10020 | 10880 | 1.0390000000000001 | 0.9329999999999999 | 1.067 | 0.976 | 1.0390000000000001 | 0.9329999999999999 | 1.069 | 0.9840000000000001 | 1.022 | 0.951 | 1.073 | 0.9640000000000001 | 1.011 | 0.9079999999999999 | 1.028 | 0.956 | 209 | 7350 | 2461 | 43492 | 53745 | 223 | 6259 | 2299 | 44964 | 7734 | 25205 | 15223 | 6819 | 30839 | 24142 | 52719 | 298 | 183 | 142 | 28 | 1611 | 3609 | 3116 | 22 | 371 | 118 | 265 | 714 | 1 | 2952 | 2658 | 132 | 628 | 221 | 308 | 281 | 1 | 18 | 8 | 20 | 9 | 821 | 57 | 734 | 215 | 681 | 225 | 9443 | 2895 | 4092 | 2273 | 183 | 0 | 3 | 0 | 0 | 6 | 1043 | 1596 | 664 | 406 | 3 | ||
| A1023 | Arizona Connected Care, LLC | AZ | 2012-04-01 | 1 | 0 | False | 9817 | 0.012312153999999999 | 0.030182182000000002 | 1138279 | 0 | 0 | 0.8585 | 9634 | 9121 | 92451634 | 91313355 | 0.5 | 0.4292 | 64461 | 8553 | 8592 | 7996 | 68419 | 8288 | 8049 | 7996 | 71225 | 8573 | 9897 | 7908 | 71016 | 10255 | 8692 | 8840 | 9516 | 0.978 | 1.0070000000000001 | 0.773 | 0.9540000000000001 | 1.015 | 1.018 | 0.745 | 0.9179999999999999 | 0.935 | 1.0090000000000001 | 0.774 | 0.941 | 0.971 | 1.004 | 0.727 | 0.9259999999999999 | 88 | 830 | 427 | 5173 | 9596 | 86 | 855 | 463 | 8192 | 1217 | 4999 | 2758 | 843 | 5607 | 4210 | 8456 | 205 | 99 | 413 | 320 | 324 | 3140 | 2650 | 70 | 367 | 55 | 132 | 376 | 5 | 1904 | 3542 | 157 | 305 | 214 | 278 | 246 | 3 | 21 | 8 | 10 | 6 | 802 | 39 | 659 | 165 | 606 | 278 | 9553 | 2994 | 4180 | 1184 | 1195 | 0 | 49 | 0 | 0 | 0 | 258 | 87 | 171 | 9 | 0 | ||
| A1026 | Atlantic ACO | NJ | 2012-04-01 | 1 | 0 | False | 56362 | 0.007907547 | 0.020727473 | 4948613 | 0 | 0 | 0.9034 | 11369 | 10408 | 625808887 | 620860274 | 0.5 | 0.4517 | 97333 | 10164 | 13986 | 9233 | 104648 | 10639 | 13928 | 9449 | 91172 | 10540 | 13676 | 9531 | 87442 | 11320 | 15801 | 10614 | 11279 | 1.0270000000000001 | 0.9790000000000001 | 0.948 | 0.9640000000000001 | 1.028 | 0.973 | 0.9440000000000001 | 0.982 | 1.0190000000000001 | 0.948 | 0.925 | 0.966 | 0.993 | 0.912 | 0.9520000000000001 | 0.987 | 300 | 4604 | 2278 | 44764 | 55043 | 299 | 4250 | 2059 | 48435 | 5987 | 26121 | 16546 | 7708 | 32231 | 24131 | 48733 | 2890 | 1436 | 635 | 11 | 2657 | 3400 | 3038 | 36 | 266 | 89 | 161 | 995 | 0 | 2235 | 4135 | 87 | 409 | 163 | 276 | 255 | 1 | 12 | 7 | 15 | 5 | 837 | 70 | 555 | 208 | 599 | 231 | 11144 | 4013 | 6319 | 800 | 12 | 0 | 6 | 0 | 0 | 6 | 491 | 528 | 233 | 87 | 1 | ||
| A1027 | Florida Physicians Trust, LLC | FL | 2012-04-01 | 1 | 0 | False | 12042 | 0.128450509 | 0.028774555 | 20029804 | 20029804 | 8423272 | 0.8582 | 13308 | 13208 | 155934014 | 135904211 | 0.5 | 0.4291 | 82581 | 12014 | 18590 | 10949 | 80012 | 11766 | 19468 | 11148 | 69702 | 12163 | 19323 | 10924 | 83762 | 10602 | 16166 | 10225 | 11598 | 1.016 | 1.11 | 1.094 | 1.159 | 0.9840000000000001 | 1.163 | 1.095 | 1.167 | 0.983 | 1.133 | 1.13 | 1.149 | 0.983 | 1.0490000000000002 | 0.985 | 1.113 | 181 | 1718 | 963 | 9396 | 11718 | 158 | 1362 | 671 | 9527 | 1819 | 5246 | 3391 | 1586 | 6913 | 5129 | 9527 | 1421 | 257 | 324 | 13 | 500 | 3349 | 2993 | 38 | 263 | 62 | 320 | 744 | 0 | 1791 | 4443 | 103 | 794 | 291 | 360 | 338 | 1 | 12 | 9 | 26 | 10 | 833 | 60 | 739 | 279 | 775 | 284 | 12715 | 5958 | 5669 | 1068 | 20 | 0 | 0 | 0 | 0 | 0 | 109 | 17 | 43 | 16 | 0 | ||
| A1032 | Premier ACO Physicians Network, LLC | CA | 2012-04-01 | 1 | 0 | False | 8644 | 0.050296935 | 0.031355355 | 5818439 | 5818439 | 2642280 | 0.9268 | 13754 | 12833 | 115681789 | 109863349 | 0.5 | 0.4634 | 95214 | 10192 | 13503 | 10163 | 99396 | 11735 | 13155 | 10419 | 81443 | 10657 | 15586 | 10323 | 83611 | 11950 | 15285 | 10244 | 13062 | 1.0090000000000001 | 1.085 | 0.966 | 1.109 | 0.992 | 1.1059999999999999 | 0.9440000000000001 | 1.107 | 0.993 | 1.073 | 0.9690000000000001 | 1.104 | 0.9790000000000001 | 1.043 | 1.002 | 1.022 | 146 | 909 | 1089 | 5190 | 8411 | 194 | 999 | 1543 | 5675 | 1414 | 3859 | 2302 | 1069 | 4858 | 3786 | 5637 | 857 | 719 | 757 | 15 | 659 | 4206 | 3611 | 218 | 348 | 91 | 250 | 1208 | 0 | 2300 | 4362 | 113 | 795 | 264 | 327 | 302 | 3 | 13 | 8 | 18 | 7 | 800 | 61 | 664 | 240 | 465 | 239 | 11198 | 4800 | 6136 | 254 | 9 | 0 | 0 | 0 | 0 | 0 | 138 | 114 | 27 | 23 | 0 | ||
| A1033 | Advocate Physician Partners Accountable Care, Inc. | IL | 2012-07-01 | 1 | 0 | False | 127371 | 0.025041364 | 0.0 | 37495888 | 37495888 | 15673670 | 0.8531 | 11995 | 11166 | 1497358051 | 1459862163 | 0.5 | 0.4265 | 89362 | 10461 | 17237 | 9676 | 90715 | 10371 | 20417 | 9624 | 86134 | 10421 | 18989 | 9847 | 91160 | 11027 | 18097 | 10627 | 11695 | 1.028 | 1.064 | 1.047 | 1.057 | 1.022 | 1.047 | 1.101 | 1.048 | 1.0290000000000001 | 1.012 | 1.071 | 1.045 | 1.0190000000000001 | 0.991 | 1.055 | 1.0390000000000001 | 913 | 10703 | 4815 | 90658 | 124827 | 1005 | 11310 | 6397 | 106115 | 12148 | 58096 | 39447 | 17680 | 73618 | 53753 | 103438 | 14349 | 2484 | 2420 | 54 | 4626 | 3591 | 3217 | 70 | 277 | 70 | 351 | 1043 | 0 | 2156 | 3901 | 134 | 701 | 247 | 343 | 321 | 2 | 14 | 7 | 22 | 10 | 822 | 85 | 646 | 256 | 624 | 226 | 10114 | 4160 | 4594 | 1301 | 60 | 1 | 10 | 2 | 0 | 8 | 3703 | 5665 | 1343 | 506 | 39 | ||
| A1037 | RGV ACO Health Providers, LLC | TX, NJ | 2012-04-01 | 0 | 1 | True | 11333 | 0.071174792 | 0.02 | 10912641 | 10912641 | 7239220 | 0.9026 | 13826 | 12521 | 153321713 | 142409072 | 0.0 | 0.0 | 0.75 | 0.6769 | 85578 | 8965 | 12762 | 8878 | 82051 | 8941 | 12849 | 9186 | 80802 | 9268 | 13060 | 9348 | 88948 | 11089 | 14013 | 9948 | 12842 | 1.062 | 1.035 | 1.002 | 1.069 | 1.072 | 1.0290000000000001 | 1.022 | 1.085 | 1.022 | 1.0 | 1.013 | 1.093 | 1.056 | 1.0979999999999999 | 1.0759999999999998 | 1.113 | 221 | 1402 | 2539 | 6716 | 11089 | 250 | 1312 | 2675 | 6853 | 1491 | 4564 | 3700 | 1578 | 6662 | 4671 | 8667 | 367 | 79 | 1905 | 8 | 307 | 4256 | 3308 | 253 | 709 | 61 | 435 | 878 | 2 | 2142 | 4388 | 297 | 660 | 297 | 389 | 338 | 7 | 38 | 6 | 17 | 5 | 818 | 57 | 730 | 268 | 570 | 201 | 13429 | 7111 | 4927 | 1328 | 62 | 0 | 0 | 0 | 0 | 0 | 62 | 3 | 49 | 30 | 0 |