ACO Assigned Beneficiaries by County 2017

$179 / year

This dataset shows the ACO (Accountable Care Organization) Beneficiaries by County for the year 2017. 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

2019-05-02

Version

2019-05-02

Update Frequency

Irregular

Temporal Coverage

2017

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 2017, 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
A007553Arizona60Maricopa...***
A007557Connecticut0Fairfield.*..**
A007557Connecticut50New London.*..**
A007558Delaware0Kent.*..**
A007558Delaware10New Castle...***
A0075510Florida50Broward...***
A0075510Florida70Charlotte...***
A0075510Florida150Duval..*.**
A0075510Florida260Hernando..*.**
A0075510Florida280Hillsborough..*.**