data.cms.gov

ACO REACH Eligible Beneficiaries

Accountable Care Organization (ACO) REACH Eligible Beneficiary Public Use File (PUF) data details Medicare Beneficiaries who were used as the reference population for comparison to aligned to the ACO REACH Model,...

Freshness

Last posted
Period covered
Jan 1, 2024 to Dec 31, 2024
Update frequency
Annually

Dates as CMS lists them in its catalog.

Columns 11

ColumnWhat it meansType
PERF_YEARPERF_YEARnumber
State NameSTATE_NAMEstring
County NameCOUNTY_NAMEstring
State IdentifierSTATE_IDFIPS state identification codenumber
County IdentifierCOUNTY_IDFIPS county identification codenumber
EXPND_PBPM_ADEXPND_PBPM_ADnumber
AVG_PROSP_RISK_SCORE_ADAVG_PROSP_RISK_SCORE_ADnumber
Eligible Months - Aged & DisabledELIG_MONTHS_ADEligible months accruing to the Aged/Disabled benchmarknumber
EXPND_PBPM_ESRDEXPND_PBPM_ESRDnumber
AVG_PROSP_RISK_SCORE_ESRDAVG_PROSP_RISK_SCORE_ESRDnumber
Eligible Months - End-Stage Renal DiseaseELIG_MONTHS_ESRDEligible months accruing to the ESRD benchmarknumber

At a glance

Catalog
data.cms.gov
Publisher
Office of Enterprise Data and Analytics (OEDA)
Rows
3,229
Columns
11
State column
STATE_NAME
Topics
ACOs and payment models, Spending and use of services, Quality and ratings
Contact
ACOREACH@cms.hhs.gov

API

Free, no key needed. This request returns the first 10 rows as JSON:

https://data.cms.gov/data-api/v1/dataset/54551982-39a8-4744-90f6-c38bb4dd5108/data?size=10

To keep only one state, filter on the STATE_NAME column.

Versions 4

The newest version is the one linked above. Older releases stay on the official site.

  • 2024-12-01posted Jul 20, 2026
  • 2023-12-01posted May 21, 2025
  • 2022-12-01posted May 21, 2025
  • 2021-12-02posted Apr 25, 2025

CMS's description

Accountable Care Organization (ACO) REACH Eligible Beneficiary Public Use File (PUF) data details Medicare Beneficiaries who were used as the reference population for comparison to aligned to the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC) Model, including average risk scores and eligibility months. This data is redacted and does not include identifiable information.

Methodology and other documents from CMS:

The summary at the top is the first sentence of this description. Record id cms:54551982-39a8-4744-90f6-c38bb4dd5108. This record as JSON.

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