ACO Assigned Beneficiaries by County 2016

$79 / year

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.

Complexity

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.

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

John Snow Labs Standard License

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

NameDescriptionTypeConstraints
ACO_NumberThe description of the Accountable Care Organization (ACO) number that is used to assess quality measure.string-
State_IDThe two numeric characters SSA standard state code of a beneficiary's residence.string-
StateState Name of Accountable Care Organizationstring-
County_IDThe SSA standard state code of a beneficiary's residence.integerlevel : Nominal
CountyCounty Name Accountable Care Organizationstring-
ESRD_Assigned_BeneficiaryNumber 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_BeneficiaryNumber 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_BeneficiaryNumber 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_BeneficiaryNumber 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_YearsTotal 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_BeneficiariesTotal 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-
ACO_NumberState_IDStateCounty_IDCountyESRD_Assigned_BeneficiaryDisabled_Assigned_BeneficiaryAged_Dual_Assigned_BeneficiaryAged_Non_Dual_Assigned_BeneficiaryTotal_Assigned_Beneficiary_Person_YearsTotal_Assigned_Beneficiaries
A6773311Georgia290Cobb1158.4221.5884175180
A6248045Texas971Wilson16.597.1773.33636823848
A2816010Florida630Volusia14162.1789.8395361374
A0209410Florida350Lee26574360.33380.6713411376
A1457320Maine60Knox13.5611597.253213.2544354548
A5443745Texas940Travis13.7514784698.08942.83967
A8777115Indiana270Greene9110.3368.5780967.83995
A790921Alabama270Etowah8.8386.4294395.25584.5616
A0595013IdahoAda24.08518.332592884.333685.753793
A0255131New Jersey310Ocean811.8348.8383151.67176