Medicare Shared Savings Program ACO Beneficiary Provider Summary 2014

$79 / year

The Shared Savings Program (SSP) is a key component of the Medicare delivery system reform initiatives included in the Affordable Care Act (ACO) and is a new approach to the delivery of healthcare. The Shared Savings Program ACOs are groups of doctors and other healthcare providers who voluntarily work together with Medicare to give high quality service to Medicare Fee-for-Service beneficiaries. The Centers for Medicare and Medicaid Program (CMS) created standard analytical file SSP ACO 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.

Complexity

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 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.

Date Created

2015-10-30

Last Modified

2015-11-19

Version

2015-10-19

Update Frequency

Semiannual

Temporal Coverage

2013-01-01 to 2014-12-31

Spatial Coverage

United States

Source

John Snow Labs => Centers for Medicare and Medicaid Services(CMS)

Source License URL

John Snow Labs Standard License

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 2014, Accountable Care Organisation Shared Savings Program 2014, Value-based Purchasing of Healthcare, Accountable Care Organisations 2014, Performance-based Healthcare Payment 2014

NameDescriptionTypeConstraints
ACO_IDEncrypted ACO Identifier. Identifier is consistent across performance yearsstring-
ACO_NameACO Doing Business As (DBA) or Legal Business Name (LBN)string-
StateAssigned beneficiary state(s) of residencestring-
Start_DateAgreement start datedate-
Track_1ACO selected Track 1 (one-sided shared savings model) or otherwise.string-
Track_2ACO selected Track 2 (two-sided shared savings / losses model) or otherwise.string-
Is_Participate_In_Advance_Payment_ModelIf ACO participates in Advance Payment Model=true; otherwise=falseboolean-
Total_Assigned_BeneficiariesNumber of assigned beneficiaries, performance yearnumberlevel : Nominal
Savings_RateTotal Benchmark Expenditures Minus Assigned Beneficiary Expenditures as a percent of Total Benchmark Expendituresnumberlevel : Ratio
Minimum_Savings_Rate_Percentnumberlevel : Ratio
Benchmark_Minus_ExpendituresTotal benchmark Expenditures Minus Assigned Beneficiary Expendituresnumberlevel : Ratio
Generated_Total_Savings_or_LossesTotal savings or Total loss.numberlevel : Ratio
Earned_Shared_Savings_Payments_or_Owe_LossesTotal earned shared savingsnumberlevel : Ratio
Quality_ScoreACOs performance quality based on reportingstring-
Updated_Benchmark_ExpendituresBenchmark 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.numberlevel : Ratio
Historical_Benchmark3-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.numberlevel : Ratio
Total_Benchmark_ExpendituresPer capita benchmark (UpdatedBnchmk) multiplied by total person-years (N_AB_Year).numberlevel : Ratio
Total_ExpendituresPer capita performance year expenditures (Per_Capita_Exp_TOTAL) multiplied by total person-years (N_AB_Year).numberlevel : Ratio
Advance_Payment_Amountnumber-
Advance_Payment_RecoupmentAmount of advance payment actually recouped at PY14. Populated for advance payment ACOs that shared savings and is no greater than the maximum amount owed.numberlevel : Ratio
Quality_Sharing_RateSet at 50% for Track 1 ACOs and 60% for Track 2 ACOs.numberlevel : Ratio
Final_Sharing_RateQuality performance sharing rate (QualPerfShare) multiplied by quality score (QualScore). The percentage of savings an ACO shares if the ACO is eligible for shared savings.numberlevel : Ratio
Per_Capita_ESRD_Expenditures_In_Benchmark_Year_1Annualized, truncated, weighted mean total expenditures per ESRD assigned beneficiary person years in benchmark year 1.numberlevel : Ratio
Per_Capita_Disabled_Expenditures_In_Benchmark_Year_1Annualized, truncated, weighted mean total expenditures per DISABLED assigned beneficiary person years in benchmark year 1.numberlevel : Ratio
Per_Capita_Aged_or_Dual_Expenditures_In_Benchmark_Year_1Annualized, truncated, weighted mean total expenditures per AGED/DUAL assigned beneficiary person years in benchmark year 1.numberlevel : Ratio
Per_Capita_Aged_or_NonDual_Expenditures_In_Benchmark_Year_1Annualized, truncated, weighted mean total expenditures per AGED/NON-DUAL assigned beneficiary person years in benchmark year 1.numberlevel : Ratio
Per_Capita_ESRD_Expenditures_In_Benchmark_Year_2Annualized, truncated, weighted mean total expenditures per ESRD assigned beneficiary person years in benchmark year 2.numberlevel : Ratio
Per_Capita_Disabled_Expenditures_In_Benchmark_Year_2Annualized, truncated, weighted mean total expenditures per DISABLED assigned beneficiary person years in benchmark year 2.numberlevel : Ratio
Per_Capita_Aged_or_Dual_Expenditures_In_Benchmark_Year_2Annualized, truncated, weighted mean total expenditures per AGED/DUAL assigned beneficiary person years in benchmark year 2.numberlevel : Ratio
Per_Capita_Aged_or_NonDual_Expenditures_In_Benchmark_Year_2Annualized, truncated, weighted mean total expenditures per AGED/NON-DUAL assigned beneficiary person years in benchmark year 2.numberlevel : Ratio
Per_Capita_ESRD_Expenditures_In_Benchmark_Year_3Annualized, truncated, weighted mean total expenditures per ESRD assigned beneficiary person years in benchmark year 3.numberlevel : Ratio
Per_Capita_Disabled_Expenditures_In_Benchmark_Year_3Annualized, truncated, weighted mean total expenditures per DISABLED assigned beneficiary person years in benchmark year 3.numberlevel : Ratio
Per_Capita_Aged_or_Dual_Expenditures_In_Benchmark_Year_3Annualized, truncated, weighted mean total expenditures per DISABLED assigned beneficiary person years in benchmark year 3.numberlevel : Ratio
Per_Capita_Aged_or_NonDual_Expenditures_In_Benchmark_Year_3Annualized, truncated, weighted mean total expenditures per AGED/DUAL assigned beneficiary person years in benchmark year 3.numberlevel : Ratio
Per_Capita_ESRD_Expenditures_In_Performance_YearAnnualized, truncated, weighted mean total expenditures per ESRD assigned beneficiary person years in performance year.numberlevel : Ratio
Per_Capita_Disabled_Expenditures_In_Performance_YearAnnualized, truncated, weighted mean total expenditures per DISABLED assigned beneficiary person years in performance year.numberlevel : Ratio
Per_Capita_Aged_or_Dual_Expenditures_In_Performance_YearAnnualized, truncated, weighted mean total expenditures per AGED/DUAL assigned beneficiary person years in performance year.numberlevel : Ratio
Per_Capita_Aged_or_NonDual_Expenditures_In_Performance_YearAnnualized, truncated, weighted mean total expenditures per AGED/NON-DUAL assigned beneficiary person years in performance year.numberlevel : Ratio
Per_Capita_All_Expenditures_In_Performance_YearAnnualized, truncated, weighted mean total expenditures per assigned beneficiary person years in performance year.numberlevel : Ratio
Average_ESRD_HCC_Risk_Score_In_Benchmark_Year_1Mean 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.numberlevel : Ratio
Average_Disabled_HCC_Risk_Score_In_Benchmark_Year_1Mean 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.numberlevel : Ratio
Average_Aged_or_Dual_HCC_Risk_Score_In_Benchmark_Year_1Mean 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.numberlevel : Ratio
Average_Aged_or_NonDual_Hcc_Risk_Score_In_Benchmark_Year_1Mean 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.numberlevel : Ratio
Average_ESRD_HCC_Risk_Score_In_Benchmark_Year_2Mean 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.numberlevel : Ratio
Average_Disabled_HCC_Risk_Score_In_Benchmark_Year_2Mean 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.numberlevel : Ratio
Average_Aged_or_Dual_HCC_Risk_Score_In_Benchmark_Year_2Mean 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.numberlevel : Ratio
Average_Aged_or_NonDual_HCC_Risk_Score_In_Benchmark_Year_2Mean 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.numberlevel : Ratio
Average_ESRD_HCC_Risk_Score_In_Benchmark_Year_3Mean 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.numberlevel : Ratio
Average_Disabled_HCC_Risk_Score_In_Benchmark_Year_3Mean 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.numberlevel : Ratio
Average_Aged_or_Dual_HCC_Risk_Score_In_Benchmark_Year_3Mean 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.numberlevel : Ratio
Average_Aged_or_NonDual_HCC_Risk_Score_In_Benchmark_Year_3Mean 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.numberlevel : Ratio
Average_ESRD_HCC_Risk_Score_In_Performance_YearMean 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.numberlevel : Ratio
Average_Disabled_HCC_Risk_Score_In_Performance_YearMean 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.numberlevel : Ratio
Average_Aged_or_Dual_HCC_Risk_Score_In_Performance_YearMean 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.numberlevel : Ratio
Average_Aged_or_NonDual_HCC_Risk_Score_In_Performance_YearMean 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.numberlevel : Ratio
ESRD_Person_Years_In_Benchmark_Year_3Number 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.numberlevel : Ratio
Disabled_Person_Years_In_Benchmark_Year_3Number 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.numberlevel : Ratio
Aged_or_Dual_Person_Years_In_Benchmark_Year_3Number 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.numberlevel : Ratio
Aged_or_NonDual_Person_Years_In_Benchmark_Year_3Number 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.numberlevel : Nominal
Total_Person_Years_In_Performance_YearNumber 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.numberlevel : Nominal
ESRD_Person_Years_In_Performance_YearNumber 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.numberlevel : Ratio
Disabled_Person_Years_In_Performance_YearNumber 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.numberlevel : Ratio
Aged_or_Dual_Person_Years_In_Performance_YearNumber 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.numberlevel : Ratio
Aged_or_NonDual_Person_Years_In_Performance_YearNumber 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.numberlevel : Ratio
Total_Assigned_Beneficiaries_Age_0_to_64Total 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.numberlevel : Ratio
Total_Assigned_Beneficiaries_Age_65_to_74Total 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.numberlevel : Ratio
Total_Assigned_Beneficiaries_Age_75_to_84Total 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.numberlevel : Ratio
Total_Assigned_Beneficiaries_Age_Above85Total 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.numberlevel : Ratio
Total_Assigned_Beneficiaries_FemaleTotal number of assigned beneficiaries, female (Gender=2) in performance year. Based on most current gender in Medicare records.numberlevel : Ratio
Total_Assigned_Beneficiaries_MaleTotal number of assigned beneficiaries, male (Gender=1) in performance year. Based on most current gender in Medicare records.numberlevel : Ratio
Total_Assigned_Beneficiaries_NonHispanic_WhiteTotal number of assigned beneficiaries, Non-Hispanic White (Race=1) in performance year. Based on most current race in Medicare records.numberlevel : Ratio
Total_Assigned_Beneficiaries_BlackTotal number of assigned beneficiaries, Black (Race=2) in performance year. Based on most current race in Medicare records.numberlevel : Ratio
Total_Assigned_Beneficiaries_AsianTotal number of assigned beneficiaries, Asian (Race=4) in performance year. Based on most current race in Medicare records.numberlevel : Ratio
Total_Assigned_Beneficiaries_HispanicTotal number of assigned beneficiaries, Hispanic (Race=5) in performance year. Based on most current race in Medicare records.numberlevel : Ratio
Total_Assigned_Beneficiaries_North_American_NativeTotal number of assigned beneficiaries, North American Native (Race=6) in performance year. Based on most current race in Medicare records.numberlevel : Ratio
Total_Assigned_Beneficiaries_OtherTotal number of assigned beneficiaries, Other (Race=0,3,~) in performance year. Based on most current race in Medicare records.numberlevel : Ratio
Total_Inpatient_ExpendituresAnnualized, truncated, weighted mean expenditures per assigned beneficiary person years for inpatient services for assigned beneficiaries in performance year.numberlevel : Ratio
Short_Term_Acute_Care_Hospital_IPPR_or_CAH_ExpendituresAnnualized, 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.numberlevel : Ratio
Long_Term_Care_Hospital_ExpendituresAnnualized, truncated, weighted mean expenditures per assigned beneficiary person years for inpatient services in a long term care setting for assigned beneficiaries in performance year.numberlevel : Ratio
Inpatient_Rehabilitation_Facility_IRF_ExpendituresAnnualized, truncated, weighted mean expenditures per assigned beneficiary person years for inpatient services in a rehabilitation facility or unit for assigned beneficiaries in performance year.numberlevel : Ratio
Inpatient_Psychiatric_Hospital_ExpendituresAnnualized, 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.numberlevel : Ratio
Hospice_ExpendituresAnnualized, 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.numberlevel : Ratio
Skilled_Nursing_Facility_Or_Unit_ExpendituresAnnualized, 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.numberlevel : Ratio
Other_Inpatient_ExpendituresAnnualized, 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.numberlevel : Ratio
Hospital_Outpatient_ExpendituresAnnualized, 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.numberlevel : Ratio
Physician_or_Supplier_ExpendituresAnnualized, truncated, weighted mean expenditures per assigned beneficiary person years for Part B physician/supplier (Carrier) services for assigned beneficiaries in performance year.numberlevel : Ratio
Ambulance_ExpendituresAnnualized, truncated, weighted mean expenditures per assigned beneficiary person years for ambulance services for assigned beneficiaries in performance year.numberlevel : Ratio
Home_Health_ExpendituresAnnualized, 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.numberlevel : Ratio
Durable_Medical_Equipment_ExpendituresAnnualized, 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.numberlevel : Ratio
Inpatient_Hospital_DischargesTotal number of inpatient hospital discharges per 1,000 person-years in performance year.numberlevel : Ratio
Short_Term_Acute_Care_Hospital_DischargesTotal number of short term acute care hospital discharges per 1,000 person-years in performance year.numberlevel : Ratio
LTCH_DischargesTotal number of long term care hospital (LTCH) discharges per 1,000 person-years in performance year.numberlevel : Ratio
IRF_DischargesTotal number of inpatient rehabilitation facility (IRF) discharges per 1,000 person-years in performance year.numberlevel : Ratio
IPF_DischargesTotal number of inpatient psychiatric facility (IPF) discharges per 1,000 person-years in performance year.numberlevel : Ratio
CHF_DischargesTotal number of discharges for congestive heart failure (CHF) per 1,000 person-years in performance year.numberlevel : Ratio
COPD_or_Asthma_DischargesTotal number of discharges for chronic obstructive pulmonary disease (COPD) or asthma per 1,000 person-years in performance year.numberlevel : Ratio
Bacterial_Pneumonia_DischargesTotal number of discharges for bacterial pneumonia per 1,000 person-years in performance year.numberlevel : Ratio
Short_Term_Acute_Care_Readmissions_All_Cause_30_DayRate 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.numberlevel : Ratio
Post_Discharge_Provider_Visits_30_DayRate of provider visits 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.numberlevel : Ratio
Skilled_Nursing_Facility_DischargesTotal number of discharges from a skilled nursing facility per 1,000 person-years in performance year.numberlevel : Ratio
Outpatient_ED_VisitsTotal number of visits to an outpatient emergency department (ED) per 1,000 person-years in performance year.numberlevel : Ratio
Inpatient_ED_VisitsTotal number of visits to an emergency department (ED) that result in an inpatient stay per 1,000 person-years in performance year.numberlevel : Ratio
CT_EventsTotal number of computed tomography (CT) events per 1,000 person-years in performance year.numberlevel : Ratio
MRI_EventsTotal number of magnetic resonance imaging (MRI) events per 1,000 person-years in performance year.numberlevel : Ratio
Primary_Care_ServicesTotal number of primary care services per 1,000 person-years in performance year.numberlevel : Ratio
Primary_Care_Services_With_PCPTotal number of primary care services provided by a primary care physician (PCP) per 1,000 person-years in performance year.numberlevel : Ratio
Primary_Care_Services_With_A_SpecialistTotal number of primary care services provided by a specialist per 1,000 person-years in performance year.numberlevel : Ratio
Primary_Care_Services_With_A_NP_or_PA_or_CNSTotal 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.numberlevel : Ratio
Primary_Care_Services_With_A_FQHC_or_RHCTotal 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.numberlevel : Ratio
Number_Of_CAH_IISTotal number of Method II Critical Access Hospitals participating in the ACO in the performance period.numberlevel : Ratio
Number_Of_FQHCSTotal 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.numberlevel : Ratio
Number_Of_RHCSTotal 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.numberlevel : Ratio
Number_Of_ETA_HospitalsTotal 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.numberlevel : Ratio
Number_Of_Other_Facility_TypesTotal 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.numberlevel : Ratio
Number_Of_Participating_PCPsTotal 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).numberlevel : Ratio
Number_Of_Participating_SpecialistsTotal 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).numberlevel : Ratio
Number_Of_Participating_Nurse_PractitionersTotal 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).numberlevel : Ratio
Number_Of_Participating_Physician_AssistantsTotal 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).numberlevel : Ratio
Number_Of_Participating_Clinical_Nurse_SpecialistsTotal 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).numberlevel : Ratio
ACO_IDACO_NameStateStart_DateTrack_1Track_2Is_Participate_In_Advance_Payment_ModelTotal_Assigned_BeneficiariesSavings_RateMinimum_Savings_Rate_PercentBenchmark_Minus_ExpendituresGenerated_Total_Savings_or_LossesEarned_Shared_Savings_Payments_or_Owe_LossesQuality_ScoreUpdated_Benchmark_ExpendituresHistorical_BenchmarkTotal_Benchmark_ExpendituresTotal_ExpendituresAdvance_Payment_AmountAdvance_Payment_RecoupmentQuality_Sharing_RateFinal_Sharing_RatePer_Capita_ESRD_Expenditures_In_Benchmark_Year_1Per_Capita_Disabled_Expenditures_In_Benchmark_Year_1Per_Capita_Aged_or_Dual_Expenditures_In_Benchmark_Year_1Per_Capita_Aged_or_NonDual_Expenditures_In_Benchmark_Year_1Per_Capita_ESRD_Expenditures_In_Benchmark_Year_2Per_Capita_Disabled_Expenditures_In_Benchmark_Year_2Per_Capita_Aged_or_Dual_Expenditures_In_Benchmark_Year_2Per_Capita_Aged_or_NonDual_Expenditures_In_Benchmark_Year_2Per_Capita_ESRD_Expenditures_In_Benchmark_Year_3Per_Capita_Disabled_Expenditures_In_Benchmark_Year_3Per_Capita_Aged_or_Dual_Expenditures_In_Benchmark_Year_3Per_Capita_Aged_or_NonDual_Expenditures_In_Benchmark_Year_3Per_Capita_ESRD_Expenditures_In_Performance_YearPer_Capita_Disabled_Expenditures_In_Performance_YearPer_Capita_Aged_or_Dual_Expenditures_In_Performance_YearPer_Capita_Aged_or_NonDual_Expenditures_In_Performance_YearPer_Capita_All_Expenditures_In_Performance_YearAverage_ESRD_HCC_Risk_Score_In_Benchmark_Year_1Average_Disabled_HCC_Risk_Score_In_Benchmark_Year_1Average_Aged_or_Dual_HCC_Risk_Score_In_Benchmark_Year_1Average_Aged_or_NonDual_Hcc_Risk_Score_In_Benchmark_Year_1Average_ESRD_HCC_Risk_Score_In_Benchmark_Year_2Average_Disabled_HCC_Risk_Score_In_Benchmark_Year_2Average_Aged_or_Dual_HCC_Risk_Score_In_Benchmark_Year_2Average_Aged_or_NonDual_HCC_Risk_Score_In_Benchmark_Year_2Average_ESRD_HCC_Risk_Score_In_Benchmark_Year_3Average_Disabled_HCC_Risk_Score_In_Benchmark_Year_3Average_Aged_or_Dual_HCC_Risk_Score_In_Benchmark_Year_3Average_Aged_or_NonDual_HCC_Risk_Score_In_Benchmark_Year_3Average_ESRD_HCC_Risk_Score_In_Performance_YearAverage_Disabled_HCC_Risk_Score_In_Performance_YearAverage_Aged_or_Dual_HCC_Risk_Score_In_Performance_YearAverage_Aged_or_NonDual_HCC_Risk_Score_In_Performance_YearESRD_Person_Years_In_Benchmark_Year_3Disabled_Person_Years_In_Benchmark_Year_3Aged_or_Dual_Person_Years_In_Benchmark_Year_3Aged_or_NonDual_Person_Years_In_Benchmark_Year_3Total_Person_Years_In_Performance_YearESRD_Person_Years_In_Performance_YearDisabled_Person_Years_In_Performance_YearAged_or_Dual_Person_Years_In_Performance_YearAged_or_NonDual_Person_Years_In_Performance_YearTotal_Assigned_Beneficiaries_Age_0_to_64Total_Assigned_Beneficiaries_Age_65_to_74Total_Assigned_Beneficiaries_Age_75_to_84Total_Assigned_Beneficiaries_Age_Above85Total_Assigned_Beneficiaries_FemaleTotal_Assigned_Beneficiaries_MaleTotal_Assigned_Beneficiaries_NonHispanic_WhiteTotal_Assigned_Beneficiaries_BlackTotal_Assigned_Beneficiaries_AsianTotal_Assigned_Beneficiaries_HispanicTotal_Assigned_Beneficiaries_North_American_NativeTotal_Assigned_Beneficiaries_OtherTotal_Inpatient_ExpendituresShort_Term_Acute_Care_Hospital_IPPR_or_CAH_ExpendituresLong_Term_Care_Hospital_ExpendituresInpatient_Rehabilitation_Facility_IRF_ExpendituresInpatient_Psychiatric_Hospital_ExpendituresHospice_ExpendituresSkilled_Nursing_Facility_Or_Unit_ExpendituresOther_Inpatient_ExpendituresHospital_Outpatient_ExpendituresPhysician_or_Supplier_ExpendituresAmbulance_ExpendituresHome_Health_ExpendituresDurable_Medical_Equipment_ExpendituresInpatient_Hospital_DischargesShort_Term_Acute_Care_Hospital_DischargesLTCH_DischargesIRF_DischargesIPF_DischargesCHF_DischargesCOPD_or_Asthma_DischargesBacterial_Pneumonia_DischargesShort_Term_Acute_Care_Readmissions_All_Cause_30_DayPost_Discharge_Provider_Visits_30_DaySkilled_Nursing_Facility_DischargesOutpatient_ED_VisitsInpatient_ED_VisitsCT_EventsMRI_EventsPrimary_Care_ServicesPrimary_Care_Services_With_PCPPrimary_Care_Services_With_A_SpecialistPrimary_Care_Services_With_A_NP_or_PA_or_CNSPrimary_Care_Services_With_A_FQHC_or_RHCNumber_Of_CAH_IISNumber_Of_FQHCSNumber_Of_RHCSNumber_Of_ETA_HospitalsNumber_Of_Other_Facility_TypesNumber_Of_Participating_PCPsNumber_Of_Participating_SpecialistsNumber_Of_Participating_Nurse_PractitionersNumber_Of_Participating_Physician_AssistantsNumber_Of_Participating_Clinical_Nurse_Specialists
A50147Southern NMIPA ACO LLCNew Mexico2014-01-01one-sided shared savings modelOtherwisefalse7419-7.0999432873.316116116-417574800P4R8150836658813820.0062989567.000.50724707475993575447014482431039776465950874351044874176189079989168817187291.0610755091.0486180860.9744140960.9863416341.0331717811.1012385360.9540581620.9938911571.0083897541.0793828651.0042306610.9985242410.9793868011.0260477670.8824694190.98945665474.75968632.557737216.08333373.25869.1666667245.56028.1666671158329521917754084333564911064258327170292521911655496914145701455294199646290325.8000069282.84041444.5731179228.963080169.4233945019.284815179.70055316312.88787777154.1802389739.413680841.57379927616.4008638209.1162103627.7643689285.47342169528.1604754716.1317894149.342326634.554756228.131604170000000000
A74254UPSA ACO LLCTexas2014-01-01one-sided shared savings modelOtherwisefalse5817-3.6760053683.654654655-179883600P4R8632853548934527.0050733363.000.50.57418591841112172317600885491103173967519786469864719381377934513536741289491.0169694961.0681296380.9676438330.9375002351.0125295511.0680394240.9706301560.9416261141.0698953161.038341870.9358177050.9531211991.0533390461.0677128860.9765139080.95751743569.5694.1666667323.16666674355.55669.08333373.91666667702.3333333308.254584.583333964279415055543283253449273607531921342554207910735759345351711823637103763197278.5282747244.66036543.17511649424.166164435.9974422678.9961634015.1154654638.81976804176.0797342749.169435237.04302577558.6441077175.8661747631.142601293.34548510166.899414525.9521685203.486748425.994796311.4656984500000240000
A29818FamilyHealth ACO, LLCNew York, Connecticut2014-01-01one-sided shared savings modelOtherwisefalse36181.0832124064.65992996534987500P4R9143915132299760.0031949885.000.50.58238491148985819684139910993629291668198967855776746502094638720747190441.0017494221.0437699960.8810025421.0727284171.0112706531.061517690.8874891151.1068304060.9930140851.0298063850.8496116461.0361266410.9660211221.0030404250.8338079181.02787997735.751626.666667683.751514.253532.7532.833333331416.8333336761407.083333158213005541822069154922347134745941613326245706980240284025252480147303173316.7504069262.967942803.96291840649.8195456813.0210176218.399264037.642771212151.8386714803.08422328.872691251058.099215240.6057604588.2103177250.7961229816.431958332.88514614446.960583478.38086484558.2053640430002092155800
A68410Health Connect ACO, LLCVirginia2014-01-01one-sided shared savings modelOtherwisefalse138741.3430793742.767513503160754700P4R88729026119691108.00118083562.000.50.594734844011566896982134920010563880583660925911513850789237845210598832587531.0436209591.0964725990.8663966920.9239503571.0294788431.0541237760.8612971190.8999013141.0508628931.0470097120.8648898460.8817929451.0025370580.9830411570.869057320.86190559453.6666666789841510845.2513491.2557.25926.25446.916666712060.833331578734933931554813157431147910434502017694260722772927845272746013133362109460153272.1022885250.68099690.5929769314.305568426.52274622410.08060787.78282225.63328083167.1671672733.400066759.22357083572.9639581179.5978875601.2044844311.01639959694.579824506.1799314613.360511571.03678314.00259427400000150132100
A23913UR Care LLCMaryland2014-01-01one-sided shared savings modelOtherwisefalse60484.2335133073.59039039292620829262080P4R117441138069120079.0066193872.000.50688211079813687102097403310750132459974805571055514957101087869612577136859622112460.9634930471.1513095831.0939039971.0813294581.0412348911.1358237521.0601559941.0898892681.0294766641.1267009611.0986913281.0916544171.0584726021.1228688561.0777139731.12373394685.58333333776.75350.583333348495885.7585.58333333757.6666667347.254695.25102428211586617353825103579232939112884232412325672988582022233756107408257342.5221934335.55621630.5097056453.5679395152.88833198819.7086182720.7280295610.70381855177.2885284775.20278158.95595294848.1501933256.0421357742.1314191290.702119510075.181584530.6035764988.659049549.29278346.62617338500000220100
A65270Midwest Independent Physicians LLCNebraska, Iowa2014-01-01one-sided shared savings modelOtherwisefalse4634-0.7844229614.100850425-32341800P4R9199998741230079.0041553498.000.50.583368976213043925270808957413204955674106871314300919488950886812709878992711.0396984441.1316685841.0498552021.0456174421.1003202061.1144723881.2038042931.0565194711.0062747471.1056408381.1853142741.0411114381.0128799511.0112105030.9932513120.98709623547.08333333591117.539874482.08333321.5548.8333333100.7538117832130118853326332001436113223169932965264021914423177108801588287563547289328.8649252311.01608265.5777633178.2550897094.01598958810.039973978.03197917610.2630845173.1707317796.747967596.82997118609.9841963209.9470113647.4667658285.80459248944.9474764688.8909553565.306312677.809798312.940410900000293400
A03202Augusta Care Partners, LLCVirginia2014-01-01one-sided shared savings modelOtherwisefalse6029-6.4470275443.594194194-279463500P4R7407743543347656.0046142291.000.50.56478470808346660478297661675917059693456651747771156787277428737741478850.9690321631.0443460940.9889978420.961140711.0777958031.0633519310.9917366110.9510504431.0604440881.0311743790.9080459140.9229013681.0368896651.0123959030.8986435270.9245128145.251065.666667222.58333334393.755851.916667361004.416667188.83333334622.6666671278274615064993620240956443018826625282368177285144304024422032113245241262.4781055249.32002340.512652553.5885678489.05686171212.303661195.1265254977.177135696155.4160126743.328100547.84757131745.9094599167.808268630.391752224.02916428297.9650543484.8411493777.3948711027.6974788.03155661300005841723510
A38301Physicians Accountable Care of UtahUtah2014-01-01one-sided shared savings modelOtherwisefalse6767-5.8119210423.446446446-270759600P4R7066715546586937.0049294533.000.50.55203470608299686752147644477897077532676718638369455007572048775725674770.9313177061.0166378580.8699238780.9184889770.8870286231.0208075720.9606147490.9191102180.9444428951.0153724060.750942390.9022203390.9008283550.9686571140.7538877520.88455449933.25661.666666746.333333335424.9166676592.7533673.416666751.55834.833333993335018126123844292363852788631119322241862762586313847101388256441550254225.0957491201.2817111.66849948813.196314138.9492245275.6122255514.0954078348.494179212112.1416526731.028667847.47639452497.2128475125.2891434535.1332904277.88100577870.3120853670.2438283362.784877832.42956284.853816693000007353720
A50010PHYSICIAN FIRST ACOFlorida2014-01-01one-sided shared savings modelOtherwisefalse6245-4.6548451463.550950951-362994200P4R129831298777982007.0081611949.000.50.57706511270168231216682470959816055110808039111649177981162885915135121555311934135881.0502958841.2721311221.194427271.3143237011.0942434721.2301944361.2893259461.2906763561.0698448211.2203215921.2461579461.3212838381.03499921.3196389321.1886666421.29747869596.25714.5403.54880.4166676006.25102.4166667675.3333333357.08333334871.41666791723241824118036482597536059360925135398136921061735078516570189542751241024275486.1602497468.0124871.9979188358.6576482837.4921956329.9687825213.6524453712.15400624205.952381823.015873158.3350676912.049948389.4276795906.5556712319.667013512381.60255866.3891785604.828304859.771071850.6139438100000250400
A12732Buena Vida y Salud LLCTexas2014-01-01one-sided shared savings modelOtherwisefalse5204-1.7785065373.838738739-99781200P4R111181114356103954.0057101767.000.50.5724379628134617904696749122134497504649359069131117774660388960131188195113160.9931273181.0606514971.1498713591.0409244480.9870365361.0689392771.1083205491.0043304521.0042678191.1450335591.1108780481.0260809580.998779751.0646053351.041977221.049168867112.83333331039.4166671761.752449.8333335046.083333130.9166667906.416666715202488.75116919181482635289223124069388101817036742961472219711867090165332981661749239370.1880997330.35522614.8630125714.2684920710.7013690513.2776245610.106848557.332419533179.1044776750.33921363.61369379772.4803065267.3360527662.29584254.058428210709.494166217.099074159.46361269.119614263.81186729000002311510