Others titles
- Repricing of FFS Claims ACO Combined Data Parts A and B by State and County of Residence
- ACO Combined Data for Aged and Disabled Beneficiaries Reimbursement for Part A and Part B
- Fee For Service Reimbursement Aged and Disabled beneficiaries PartA PartB
Keywords
- ACO Combined Data
- ACO Aged and Disabled Beneficiary Reimbursement
- ACO Part A and Part B Reimbursement
- Medicare Fee for Service
- Medicare Spending per Beneficiary
- Medicare Advantage Fee-For-Service
- Repricing FFS Claims
- Disabled Beneficiaries Reimbursement
- Aged Beneficiaries Reimbursement
Repricing FFS Claims ACO Combined Data Aged Disabled PartsA PartB

The dataset includes the Accountable Care Organizations (ACOs) combined data for aged and disabled beneficiaries reimbursement for part A and part B by state and county of residence for the years 2012-2016.
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Description
The historical claims data is used to rebase the Medicare Advantage (MA) Fee-For-Service (FFS) capitation rate book for the years that follow. The historical claims data is rebased to reflect the most current wage and cost indices, repriced the claims to account for the changes made by the Affordable Care Act (ACA) to payments to disproportionate share hospitals, and also repriced durable medical equipment claims to account for the change in prices associated with the competitive bid program. The adjusted or repriced datasets for aged and disabled reflect the annual impact of the repricing of FFS claims. The institutional claims – acute inpatient hospital, skilled nursing facility, hospital outpatient, home health agency, and physician – reflect the repricing of the original claims with the current geographic practice cost index (GPCI).
Adjustments have also been made to reflect the transition of disproportionate share hospital (DSH) payments to uncompensated care payments (UCP). The effects of competitive bidding for durable medical equipment (DME) are reflected in the corresponding adjustment dataset. An additional adjustment to the 2012-2016 claims to account for shared savings payments and shared losses is made to Medicare Shared Savings Program (MSSP) ACOs, including ACOs from Pioneer program for 2012 and without the ACOs of Pioneer program for 2013-2016. The dataset contains information on ACOs combined data for aged and disabled beneficiaries reimbursement for part A and part B by state and county of residence.
Data cells with less than 11 beneficiaries have been suppressed for privacy.
About this Dataset
Data Info
Date Created | 2016-04-04 |
---|---|
Last Modified | 2018-02-01 |
Version | 2018-02-01 |
Update Frequency |
Annual |
Temporal Coverage |
2012-2016 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare and Medicaid Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | ACO Combined Data, ACO Aged and Disabled Beneficiary Reimbursement, ACO Part A and Part B Reimbursement, Medicare Fee for Service, Medicare Spending per Beneficiary, Medicare Advantage Fee-For-Service, Repricing FFS Claims, Disabled Beneficiaries Reimbursement, Aged Beneficiaries Reimbursement |
Other Titles | Repricing of FFS Claims ACO Combined Data Parts A and B by State and County of Residence, ACO Combined Data for Aged and Disabled Beneficiaries Reimbursement for Part A and Part B, Fee For Service Reimbursement Aged and Disabled beneficiaries PartA PartB |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
FIPS_Code | The 5 digits county Federal Information Processing Standard (FIPS) code | string | - |
State_Abbreviation | The abbreviated name of the state | string | - |
State | The full name of the state | string | - |
County | Name of county | string | - |
Reimbursement_2012 | Adjustments to reimbursement combined data for aged and disabled Parts A and B for shared saving payments and shared losses made to ACOs, including those from Pioneer program | integer | level : Ratio |
Reimbursement_2013 | Adjustments to reimbursement combined data for aged and disabled Parts A and B for shared saving payments and shared losses made to ACOs | integer | level : Ratio |
Reimbursement_2014 | Adjustments to reimbursement combined data for aged and disabled Parts A and B for shared saving payments and shared losses made to ACOs | integer | level : Ratio |
Reimbursement_2015 | Adjustments to reimbursement combined data for aged and disabled Parts A and B for shared saving payments and shared losses made to ACOs | integer | level : Ratio |
Reimbursement_2016 | Adjustments to reimbursement combined data for aged and disabled Parts A and B for shared saving payments and shared losses made to ACOs | integer | level : Ratio |
Data Preview
FIPS Code | State Abbreviation | State | County | Reimbursement 2012 | Reimbursement 2013 | Reimbursement 2014 | Reimbursement 2015 | Reimbursement 2016 |
1000 | AL | Alabama | Autauga | 1704.0 | 474.0 | 1218.0 | 1029 | |
1010 | AL | Alabama | Baldwin | 244.0 | 3526.0 | 7747.0 | 285609.0 | 233093 |
1020 | AL | Alabama | Barbour | 330.0 | 1028.0 | 1109.0 | 6384.0 | 2613 |
1030 | AL | Alabama | Bibb | 151.0 | 114 | |||
1040 | AL | Alabama | Blount | 576.0 | 859.0 | 812 | ||
1050 | AL | Alabama | Bullock | 266.0 | 151.0 | 326.0 | 368 | |
1060 | AL | Alabama | Butler | 1156.0 | 1258 | |||
1070 | AL | Alabama | Calhoun | 3611.0 | 4149.0 | 5299.0 | 6971 | |
1080 | AL | Alabama | Chambers | 1523.0 | 664.0 | 3148.0 | 660 | |
1090 | AL | Alabama | Cherokee | 3120.0 | 1490.0 | 3896.0 | 14268 |