{
 "id": "cms:6c3532b3-8325-48fd-a939-12b41d2b126a",
 "slug": "aco-reach-financial-and-quality-results",
 "source": "data.cms.gov",
 "title": "ACO REACH Financial and Quality Results",
 "summary": "The Accountable Care Organization (ACO) REACH Financial and Quality Results Public Use File (PUF) details performance for the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC) Model, prior to...",
 "description": "The Accountable Care Organization (ACO) REACH Financial and Quality Results Public Use File (PUF) details performance for the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC) Model, prior to settlement. This data includes information such as the ACOs risk arrangement, stop loss, capitation, savings rate, and quality results.",
 "aliases": [],
 "keywords": [
  "Medicare",
  "Original Medicare",
  "Value-Based Care",
  "Coordinated Care",
  "Payment Models",
  "Accountable Care Organizations"
 ],
 "themes": [
  "Medicare"
 ],
 "topics": [
  "spending-utilization",
  "quality",
  "aco-value-based"
 ],
 "category": "cms-innovation-center-programs",
 "publisher": "Office of Enterprise Data and Analytics (OEDA)",
 "contact": "ACOREACH@cms.hhs.gov",
 "landing_url": "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/aco-reach-financial-and-quality-results",
 "csv_url": "https://data.cms.gov/sites/default/files/2026-07/e661e3f7-0ff6-423b-aa83-45bf41193a5f/py4_fncl_qlty_core_exp_puf_redact_02MAR26.csv",
 "api_url": "https://data.cms.gov/data-api/v1/dataset/6c3532b3-8325-48fd-a939-12b41d2b126a/data",
 "api_kind": "cms-data-api",
 "preview_url": "https://data.cms.gov/data-api/v1/dataset/6c3532b3-8325-48fd-a939-12b41d2b126a/data?size=10",
 "dictionary_url": "https://data.cms.gov/resources/aco-reach-financial-and-quality-results-data-dictionary",
 "dictionary_kind": "page",
 "methodology_urls": [
  "https://data.cms.gov/resources/aco-reach-model-methodology"
 ],
 "state_column": null,
 "row_count": 115,
 "posted": "2026-07-20",
 "modified": "2026-07-20",
 "period_start": "2021-01-01",
 "period_end": "2024-12-31",
 "latest_period": "2024-01-01 to 2024-12-31",
 "cadence": "annually",
 "next_update": null,
 "versions": [
  {
   "label": "2024-12-01",
   "uuid": "6c3532b3-8325-48fd-a939-12b41d2b126a",
   "posted": "2026-07-20",
   "period_start": "2024-01-01",
   "period_end": "2024-12-31"
  },
  {
   "label": "2023-12-01",
   "uuid": "0994ccbc-70cf-429e-b29b-b8352fdb6bae",
   "posted": "2025-09-10",
   "period_start": "2023-01-01",
   "period_end": "2023-12-31"
  },
  {
   "label": "2022-12-01",
   "uuid": "57d35301-fe7f-43f6-b414-54c7afe66c32",
   "posted": "2025-05-21",
   "period_start": "2022-01-01",
   "period_end": "2022-12-31"
  },
  {
   "label": "2021-12-03",
   "uuid": "ff55da82-60bc-489b-a3b5-2ca6d117bb7e",
   "posted": "2025-04-25",
   "period_start": "2021-01-01",
   "period_end": "2021-12-31"
  }
 ],
 "columns": [
  {
   "name": "ACO_ID",
   "label": "ACO ID",
   "type": "string",
   "meaning": "ACO Identifier Number",
   "source": "cms-dictionary"
  },
  {
   "name": "ACO_NAME",
   "label": "ACO Name",
   "type": "string",
   "meaning": "ACO Name",
   "source": "cms-dictionary"
  },
  {
   "name": "ACO_TYPE",
   "label": "ACO Type",
   "type": "string",
   "meaning": "Classification of ACO as Standard, New Entrant, or High Needs",
   "source": "cms-dictionary"
  },
  {
   "name": "FIRST_PART_YEAR",
   "label": "First Participation Year",
   "type": "string",
   "meaning": "First year of participation in the model",
   "source": "cms-dictionary"
  },
  {
   "name": "PERF_YEAR",
   "label": "Performance Year",
   "type": "string",
   "meaning": "Year in which the ACO participated",
   "source": "cms-dictionary"
  },
  {
   "name": "RISK_ARRANGEMENT",
   "label": "Risk Arrangement",
   "type": "string",
   "meaning": "ACO election of either Global or Professional risk",
   "source": "cms-dictionary"
  },
  {
   "name": "STOP_LOSS_ELECTION",
   "label": "Stop Loss Election",
   "type": "string",
   "meaning": "ACO Participated in Stop-Loss Arrangement",
   "source": "cms-dictionary"
  },
  {
   "name": "CAPITATION_ARRANGEMENT",
   "label": "Capitation Arrangement",
   "type": "string",
   "meaning": "Capitation Arrangement Elected by the ACO",
   "source": "cms-dictionary"
  },
  {
   "name": "ENHANCED_PCC_ELECTION",
   "label": "Enhanced PCC Election",
   "type": "string",
   "meaning": "ACO Elected to Participate in Enhanced Primary Care Capitation",
   "source": "cms-dictionary"
  },
  {
   "name": "APO_ELECTION",
   "label": "APO Election",
   "type": "string",
   "meaning": "ACO Elected to Participate in Advanced Payment Option",
   "source": "cms-dictionary"
  },
  {
   "name": "ALIGNMENT_PLUS",
   "label": "Alignment Plus",
   "type": "string",
   "meaning": "ACO Elected to Participate in Alignment Plus",
   "source": "cms-dictionary"
  },
  {
   "name": "DISCOUNT",
   "label": "Discount",
   "type": "number",
   "meaning": "Discount based on risk arrangement",
   "source": "cms-dictionary"
  },
  {
   "name": "RETENTION_WITHHOLD",
   "label": "Retention Withhold",
   "type": "number",
   "meaning": "Retention Withhold",
   "source": "cms-dictionary"
  },
  {
   "name": "UNADJ_BENCHMARK",
   "label": "Unadjusted Benchmark",
   "type": "number",
   "meaning": "Benchmark before Adjustments, Withhold, Discounts, and Retrospective Trend Adjustment",
   "source": "cms-dictionary"
  },
  {
   "name": "FINAL_BENCHMARK",
   "label": "Final Benchmark",
   "type": "number",
   "meaning": "Final Benchmark before Population Adjustment (PA)",
   "source": "cms-dictionary"
  },
  {
   "name": "NORM_RISK_SCORE",
   "label": "Normalized weighted average risk score",
   "type": "number",
   "meaning": "Normalized weighted average risk score",
   "source": "cms-dictionary"
  },
  {
   "name": "CIF_CAP_RISK",
   "label": "Normalized weighted average risk score, adjusted for CIF and Risk Score Cap",
   "type": "number",
   "meaning": "Normalized weighted average risk score, adjusted for CIF and Risk Score Cap",
   "source": "cms-dictionary"
  },
  {
   "name": "PA_UP_AMT",
   "label": "Total amount of upwards adjustment PA dollars",
   "type": "number",
   "meaning": "Total amount of upwards Population Adjustment (PA) dollars",
   "source": "cms-dictionary"
  },
  {
   "name": "PA_DOWN_AMT",
   "label": "Total amount of downwards adjustment PA dollars",
   "type": "number",
   "meaning": "Total amount of downwards Population Adjustment (PA) dollars",
   "source": "cms-dictionary"
  },
  {
   "name": "PA_UP_MNTHS",
   "label": "Total months receiving an upwards PA adjustment",
   "type": "number",
   "meaning": "Total months receiving an upwards Population Adjustment (PA)",
   "source": "cms-dictionary"
  },
  {
   "name": "PA_DOWN_MNTHS",
   "label": "Total months receiving a downwards PA adjustment",
   "type": "number",
   "meaning": "Total months receiving a downwards Population Adjustment (PA)",
   "source": "cms-dictionary"
  },
  {
   "name": "SAV_RATE",
   "label": "Savings Rate",
   "type": "number",
   "meaning": "Gross Savings divided by Final Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "TRENDED_AD_BASELINE",
   "label": "Trended Aged/Disabled Baseline",
   "type": "number",
   "meaning": "3-year average benchmark historical rate for the Aged/Disabled Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "TRENDED_ESRD_BASELINE",
   "label": "Trended ESRD Baseline",
   "type": "number",
   "meaning": "3-year average benchmark historical rate for the ESRD Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "REGIONAL_AD_BASELINE",
   "label": "Regional Aged/Disabled Baseline",
   "type": "number",
   "meaning": "3-year average benchmark regional rate for the Aged/Disabled Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "REGIONAL_ESRD_BASELINE",
   "label": "Regional ESRD Baseline",
   "type": "number",
   "meaning": "3-year average benchmark regional rate for the ESRD Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_AD_BASELINE_ADJ",
   "label": "Historical Aged/Disabled Baseline Adjustment",
   "type": "number",
   "meaning": "Historical rate baseline adjustment for the Aged/Disabled Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_ESRD_BASELINE_ADJ",
   "label": "Historical ESRD Baseline Adjustment",
   "type": "number",
   "meaning": "Historical rate baseline adjustment for the ESRD Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "TOT_COST_CARE_NET",
   "label": "Total Cost Care Net",
   "type": "number",
   "meaning": "Total Cost of Care after Stop-Loss",
   "source": "cms-dictionary"
  },
  {
   "name": "TOT_COST_CARE",
   "label": "Total Cost Care",
   "type": "number",
   "meaning": "Total Cost of Care before Stop-Loss",
   "source": "cms-dictionary"
  },
  {
   "name": "GROSS_SAVINGS",
   "label": "Gross Savings",
   "type": "number",
   "meaning": "Final benchmark less total cost of care after Stop-Loss",
   "source": "cms-dictionary"
  },
  {
   "name": "SHARED_SAVINGS",
   "label": "Shared Savings",
   "type": "number",
   "meaning": "Amount of Gross Savings to be shared with the ACO",
   "source": "cms-dictionary"
  },
  {
   "name": "SHARED_SAVINGS_SEQ",
   "label": "Shared Savings Sequestration",
   "type": "number",
   "meaning": "Amount of Gross Savings to be shared with the ACO after Sequestration and Extreme and Uncontrollable Circumstances (EUC) Adjustment",
   "source": "cms-dictionary"
  },
  {
   "name": "CAP_PMT_AMT",
   "label": "Capitation Payment Amount",
   "type": "number",
   "meaning": "Total capitation payment amount",
   "source": "cms-dictionary"
  },
  {
   "name": "EPCC_PMT_AMT",
   "label": "Enhanced PCC Amount",
   "type": "number",
   "meaning": "Total enhanced PCC amount",
   "source": "cms-dictionary"
  },
  {
   "name": "CLM_PMT_AMT",
   "label": "Claim Payment Amount",
   "type": "number",
   "meaning": "Total aggregate claim payment amount",
   "source": "cms-dictionary"
  },
  {
   "name": "EXPND_DME",
   "label": "Expenditure DME",
   "type": "number",
   "meaning": "Durable medical equipment aggregate expenditures",
   "source": "cms-dictionary"
  },
  {
   "name": "EXPND_HHA",
   "label": "Expenditure Home Health",
   "type": "number",
   "meaning": "Home health aggregate expenditures",
   "source": "cms-dictionary"
  },
  {
   "name": "EXPND_HSP",
   "label": "Expenditure Hospice",
   "type": "number",
   "meaning": "Hospice aggregate expenditures",
   "source": "cms-dictionary"
  },
  {
   "name": "EXPND_INP_ALL",
   "label": "Expenditure Inpatient",
   "type": "number",
   "meaning": "Total Inpatient aggregate expenditures",
   "source": "cms-dictionary"
  },
  {
   "name": "EXPND_OPD",
   "label": "Expenditure Outpatient",
   "type": "number",
   "meaning": "Outpatient aggregate expenditures",
   "source": "cms-dictionary"
  },
  {
   "name": "EXPND_PB",
   "label": "Expenditure Physician",
   "type": "number",
   "meaning": "Physician/supplier aggregate expenditures",
   "source": "cms-dictionary"
  },
  {
   "name": "EXPND_SNF",
   "label": "Expenditure SNF",
   "type": "number",
   "meaning": "Skilled Nursing facility expenditures. Due to differing definition of stays used to calculate other SNF variables in this file, it is not expected to be an exact product of SNF Pay Per Stay and SNF discharges.",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY1_AD_PBPM",
   "label": "Historical By1 Aged/Disabled Benchmark PBPM",
   "type": "number",
   "meaning": "Historical BY1 Aged and Disabled Benchmark PBPM",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY1_ESRD_PBPM",
   "label": "Historical By1 ESRD Benchmark PBPM",
   "type": "number",
   "meaning": "Historical BY1 ESRD Benchmark PBPM",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY2_AD_PBPM",
   "label": "Historical By2 Aged/Disabled Benchmark PBPM",
   "type": "number",
   "meaning": "Historical BY2 Aged and Disabled Benchmark PBPM",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY2_ESRD_PBPM",
   "label": "Historical By2 ESRD Benchmark PBPM",
   "type": "number",
   "meaning": "Historical BY2 ESRD Benchmark PBPM",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY3_AD_PBPM",
   "label": "Historical By3 Aged/Disabled Benchmark PBPM",
   "type": "number",
   "meaning": "Historical BY3 Aged and Disabled Benchmark PBPM",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY3_ESRD_PBPM",
   "label": "Historical By3 ESRD Benchmark PBPM",
   "type": "number",
   "meaning": "Historical BY3 ESRD Benchmark PBPM",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY1_AD_RISKSCORE",
   "label": "Historical By1 Aged/Disabled Risk Score",
   "type": "number",
   "meaning": "Historical BY1 Aged and Disabled Risk Score",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY1_ESRD_RISKSCORE",
   "label": "Historical By1 ESRD Risk Score",
   "type": "number",
   "meaning": "Historical BY1 ESRD Risk Score",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY2_AD_RISKSCORE",
   "label": "Historical By2 Aged/Disabled Risk Score",
   "type": "number",
   "meaning": "Historical BY2 Aged and Disabled Risk Score",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY2_ESRD_RISKSCORE",
   "label": "Historical By2 ESRD Risk Score",
   "type": "number",
   "meaning": "Historical BY2 ESRD Risk Score",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY3_AD_RISKSCORE",
   "label": "Historical By3 Aged/Disabled Risk Score",
   "type": "number",
   "meaning": "Historical BY3 Aged and Disabled Risk Score",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY3_ESRD_RISKSCORE",
   "label": "Historical By3 ESRD Risk Score",
   "type": "number",
   "meaning": "Historical BY3 ESRD Risk Score",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY4_AD_RISKSCORE",
   "label": "Historical By4 Aged/Disabled Risk Score",
   "type": "number",
   "meaning": "Historical BY4 Aged and Disabled Risk Score",
   "source": "cms-dictionary"
  },
  {
   "name": "HIST_BY4_ESRD_RISKSCORE",
   "label": "Historical By4 ESRD Risk Score",
   "type": "number",
   "meaning": "Historical BY4 ESRD Risk Score",
   "source": "cms-dictionary"
  },
  {
   "name": "PY_AD_BLEND_MNTHS",
   "label": "Performance Year Aged/Disabled Blend Months",
   "type": "number",
   "meaning": "Performance year aligned months accruing to the AD/Blend Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "PY_ESRD_BLEND_MNTHS",
   "label": "Performance Year ESRD Blend Months",
   "type": "number",
   "meaning": "Performance year aligned months accruing to the ESRD/Blend Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "PY_AD_RATEBOOK_MNTHS",
   "label": "Performance Year Aged/Disabled Ratebook Months",
   "type": "number",
   "meaning": "Performance year aligned months accruing to the AD/Ratebook Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "PY_ESRD_RATEBOOK_MNTHS",
   "label": "Performance Year ESRD Ratebook Months",
   "type": "number",
   "meaning": "Performance year aligned months accruing to the ESRD/Ratebook Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "PY_AD_BLEND_RISKSCORE",
   "label": "Performance Year Aged/Disabled Blend Risk Score",
   "type": "number",
   "meaning": "Average risk score for the the AD/Blend Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "PY_ESRD_BLEND_RISKSCORE",
   "label": "Performance Year ESRD Blend Risk Score",
   "type": "number",
   "meaning": "Average risk score for the the ESRD/Blend Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "PY_AD_RATEBOOK_RISKSCORE",
   "label": "Performance Year Aged/Disabled Rate Book Risk Score",
   "type": "number",
   "meaning": "Average risk score for the the AD/Ratebook Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "PY_ESRD_RATEBOOK_RISKSCORE",
   "label": "Performance Year ESRD Rate Book Risk Score",
   "type": "number",
   "meaning": "Average risk score for the the ESRD/Ratebook Benchmark",
   "source": "cms-dictionary"
  },
  {
   "name": "N_ETA",
   "label": "Elected Teaching Amendment Hospitals",
   "type": "number",
   "meaning": "Number of Elected Teaching Amendment (ETA) hospitals",
   "source": "cms-dictionary"
  },
  {
   "name": "N_CAH",
   "label": "Critical Access Hospitals",
   "type": "number",
   "meaning": "Number of CAHs",
   "source": "cms-dictionary"
  },
  {
   "name": "N_FQHC",
   "label": "Federally Qualified Health Centers",
   "type": "number",
   "meaning": "Number of FQHCs",
   "source": "cms-dictionary"
  },
  {
   "name": "N_RHC",
   "label": "Rural Health Centers",
   "type": "number",
   "meaning": "Number of RHCs",
   "source": "cms-dictionary"
  },
  {
   "name": "N_HOSP",
   "label": "Short-term Acute Care Hospitals",
   "type": "number",
   "meaning": "Number of short-term acute care hospitals",
   "source": "cms-dictionary"
  },
  {
   "name": "N_FAC_OTHER",
   "label": "Other Facilities",
   "type": "number",
   "meaning": "Number of other facility types",
   "source": "cms-dictionary"
  },
  {
   "name": "N_PCP",
   "label": "Primary Care Practitioners",
   "type": "number",
   "meaning": "Number of participating PCPs",
   "source": "cms-dictionary"
  },
  {
   "name": "N_SPEC",
   "label": "Specialists",
   "type": "number",
   "meaning": "Number of participating specialists",
   "source": "cms-dictionary"
  },
  {
   "name": "N_NP",
   "label": "Nurse Practitioners",
   "type": "number",
   "meaning": "Number of participating nurse practitioners",
   "source": "cms-dictionary"
  },
  {
   "name": "N_PA",
   "label": "Physician Assistants",
   "type": "number",
   "meaning": "Number of participating physician assistants",
   "source": "cms-dictionary"
  },
  {
   "name": "N_CNS",
   "label": "Clinical Nurse Specialists",
   "type": "number",
   "meaning": "Number of participating clinical nurse specialists",
   "source": "cms-dictionary"
  },
  {
   "name": "QUAL_SCR",
   "label": "Total Quality Score",
   "type": "number",
   "meaning": "The Total Quality Score is the proportion of the Quality Withhold that will be earned back by the REACH ACO.",
   "source": "cms-dictionary"
  },
  {
   "name": "ACR_SCR",
   "label": "Risk-Standardized, All-Condition Readmissions",
   "type": "number",
   "meaning": "Risk-Standardized, All-Condition Readmissions (ACR) Score. A lower (↓) score indicates better performance.",
   "source": "cms-dictionary"
  },
  {
   "name": "UAMCC_SCR",
   "label": "Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions",
   "type": "number",
   "meaning": "Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years) (UAMCC) score. A lower (↓) score indicates better performance.",
   "source": "cms-dictionary"
  },
  {
   "name": "DAH_SCR",
   "label": "Days at Home for Patients with Complex, Chronic Conditions",
   "type": "number",
   "meaning": "Days at Home for Patients with Complex, Chronic Conditions (DAH) score. This measure only applies to High Needs Population REACH ACOs. A higher (↑) score indicates better performance.",
   "source": "cms-dictionary"
  },
  {
   "name": "TFU_SCR",
   "label": "Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU) score",
   "type": "number",
   "meaning": "Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU) score. This measure only applies to Standard and New Entrant REACH ACOs. A higher (↑) score indicates better performance.",
   "source": "cms-dictionary"
  },
  {
   "name": "SSM_TACI_SCR",
   "label": "CAHPS: Getting Timely Appointments, Care, and Information Summary Survey Measure (SSM)",
   "type": "number",
   "meaning": "CAHPS: Getting Timely Appointments, Care, and Information Summary Survey Measure (SSM). A higher (↑) score indicates better performance.",
   "source": "cms-dictionary"
  },
  {
   "name": "SSM_COM_SCR",
   "label": "CAHPS: How Well Providers Communicate SSM",
   "type": "number",
   "meaning": "CAHPS: How Well Providers Communicate SSM. A higher (↑) score indicates better performance.",
   "source": "cms-dictionary"
  },
  {
   "name": "SSM_CC_SCR",
   "label": "CAHPS: Care Coordination SSM",
   "type": "number",
   "meaning": "CAHPS: Care Coordination SSM. A higher (↑) score indicates better performance.",
   "source": "cms-dictionary"
  },
  {
   "name": "SSM_SDM_SCR",
   "label": "CAHPS: Shared Decision-Making SSM",
   "type": "number",
   "meaning": "CAHPS: Shared Decision-Making SSM. A higher (↑) score indicates better performance.",
   "source": "cms-dictionary"
  },
  {
   "name": "SSM_PR_SCR",
   "label": "CAHPS: Patient Rating of Provider SSM",
   "type": "number",
   "meaning": "CAHPS: Patient Rating of Provider SSM. A higher (↑) score indicates better performance.",
   "source": "cms-dictionary"
  },
  {
   "name": "SSM_CHOS_SCR",
   "label": "CAHPS: Courteous and Helpful Office Staff SSM",
   "type": "number",
   "meaning": "CAHPS: Courteous and Helpful Office Staff SSM. A higher (↑) score indicates better performance.",
   "source": "cms-dictionary"
  },
  {
   "name": "SSM_HPE_SCR",
   "label": "CAHPS: Health Promotion and Education SSM",
   "type": "number",
   "meaning": "CAHPS: Health Promotion and Education SSM. A higher (↑) score indicates better performance.",
   "source": "cms-dictionary"
  },
  {
   "name": "SSM_SPR_SCR",
   "label": "CAHPS: Stewardship of Patient Resources SSM",
   "type": "number",
   "meaning": "CAHPS: Stewardship of Patient Resources SSM. A higher (↑) score indicates better performance.",
   "source": "cms-dictionary"
  },
  {
   "name": "CAHPS_SCR",
   "label": "CAHPS Composite Score",
   "type": "number",
   "meaning": "CAHPS Composite Score- Summarizes a REACH ACO's performance across the SSMs. Defined as the proportion of possible SSM points that were earned by the REACH ACO (calculated by dividing the total of earned SSM points by the total possible SSM points).",
   "source": "cms-dictionary"
  },
  {
   "name": "CISEP_FLAG",
   "label": "CI/SEP Criteria",
   "type": "string",
   "meaning": "Met Continuous Improvement/Sustained Exceptional Performance (CI/SEP) Criteria- (Y/N) This indicates whether the REACH ACO met the CI/SEP Criteria.",
   "source": "cms-dictionary"
  },
  {
   "name": "HPP_FLAG",
   "label": "High Performers Pool",
   "type": "string",
   "meaning": "High Performers Pool (HPP) Flag- (Y/N) This indicates whether the ACO qualitfied for the HPP Bonus.",
   "source": "cms-dictionary"
  },
  {
   "name": "DR_ADJUST",
   "label": "Data Reporting Adjustment",
   "type": "number",
   "meaning": "Data Reporting (DR) Adjustment- ​indicates the DR Adjustment earned by a REACH ACO (range up to 10 percentage points). REACH ACOs received 5 percentage points automatically (i.e. were held harmless) for the demographic reporting component and could earn up to an additional 5 percentage points based on the completeness of the Social Determinants of Health (SDOH) data submitted.",
   "source": "cms-dictionary"
  },
  {
   "name": "BENE_CNT",
   "label": "Beneficiary Count",
   "type": "number",
   "meaning": "Total number of aligned beneficiaries",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_AGE_0_64",
   "label": "Aligned Beneficiaries, Age Under 65",
   "type": "number",
   "meaning": "Total aligned beneficiaries, age 0-64",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_AGE_65_74",
   "label": "Aligned Beneficiaries, Age 65-74",
   "type": "number",
   "meaning": "Total aligned beneficiaries, age 65-74",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_AGE_75_84",
   "label": "Aligned Beneficiaries, Age 75-84",
   "type": "number",
   "meaning": "Total aligned beneficiaries, age 75-84",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_AGE_85PLUS",
   "label": "Aligned Beneficiaries, Age 85-Plus",
   "type": "number",
   "meaning": "Total aligned beneficiaries, age 85+",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_MALE",
   "label": "Male Aligned Beneficiaries",
   "type": "number",
   "meaning": "Total aligned beneficiaries, female",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_FEMALE",
   "label": "Female Aligned Beneficiaries",
   "type": "number",
   "meaning": "Total aligned beneficiaries, male",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_SEX_UNKNOWN",
   "label": "Unknown Sex of Aligned Beneficiaries",
   "type": "number",
   "meaning": "Total aligned beneficiaries, unknown gender",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_RACE_WHITE",
   "label": "Non-Hispanic While Aligned Beneficiaries",
   "type": "number",
   "meaning": "Total aligned beneficiaries, Non-Hispanic White",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_RACE_BLACK",
   "label": "Black Aligned Beneficiaries",
   "type": "number",
   "meaning": "Total aligned beneficiaries, Black",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_RACE_ASIAN",
   "label": "Asian Aligned Beneficiaries",
   "type": "number",
   "meaning": "Total aligned beneficiaries, Asian",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_RACE_HISP",
   "label": "Hispanic Aligned Beneficiaries",
   "type": "number",
   "meaning": "Total aligned beneficiaries, Hispanic",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_RACE_NATIVE",
   "label": "North American Native Aligned Beneficiaries",
   "type": "number",
   "meaning": "Total aligned beneficiaries, North American Native",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_RACE_PI",
   "label": "Pacific Islander Aligned Beneficiaries",
   "type": "number",
   "meaning": "Total aligned beneficiaries, Pacific Islander",
   "source": "cms-dictionary"
  },
  {
   "name": "N_BEN_RACE_OTHER",
   "label": "Other Race Aligned Beneficiaries",
   "type": "number",
   "meaning": "Total aligned beneficiaries, Other",
   "source": "cms-dictionary"
  },
  {
   "name": "PERC_DUAL",
   "label": "Dual-Eligible Proportion",
   "type": "number",
   "meaning": "Proportion of Dual Beneficiaries",
   "source": "cms-dictionary"
  },
  {
   "name": "PERC_LTI",
   "label": "Long-Term Institutionalized Proportion",
   "type": "number",
   "meaning": "Proportion of Long-Term Institutionalized Beneficiaries",
   "source": "cms-dictionary"
  },
  {
   "name": "EXPND_INP_S_TRM",
   "label": "IPPS/CAH Spend",
   "type": "number",
   "meaning": "Short term inpatient acute care hospital (IPPS/CAH) claim expenditures",
   "source": "cms-dictionary"
  },
  {
   "name": "EXPND_INP_L_TRM",
   "label": "Long-term Inpatient Spend",
   "type": "number",
   "meaning": "Long term inpatient care hospital claim expenditures",
   "source": "cms-dictionary"
  },
  {
   "name": "EXPND_INP_REHAB",
   "label": "IRF Spend",
   "type": "number",
   "meaning": "Inpatient rehabilitation facility (IRF) claim expenditures",
   "source": "cms-dictionary"
  },
  {
   "name": "EXPND_INP_PSYCH",
   "label": "Inpatient Psych Spend",
   "type": "number",
   "meaning": "Inpatient psychiatric hospital claim expenditures",
   "source": "cms-dictionary"
  },
  {
   "name": "EXPND_AMBUPAY",
   "label": "Ambulance Spend",
   "type": "number",
   "meaning": "Ambulance claim expenditures",
   "source": "cms-dictionary"
  },
  {
   "name": "ADM_S_TRM_N",
   "label": "Short-term Hospital Discharges",
   "type": "number",
   "meaning": "Short-term hospital discharges",
   "source": "cms-dictionary"
  },
  {
   "name": "ADM_L_TRM_N",
   "label": "Long-term Hospital Discharges",
   "type": "number",
   "meaning": "Long-term hospital discharges",
   "source": "cms-dictionary"
  },
  {
   "name": "ADM_REHAB_N",
   "label": "Rehab Hospital Discharges",
   "type": "number",
   "meaning": "Rehabilitation hospital or unit discharges",
   "source": "cms-dictionary"
  },
  {
   "name": "ADM_PSYCH_N",
   "label": "Psych Discharges",
   "type": "number",
   "meaning": "Psychiatric hospital or unit discharges",
   "source": "cms-dictionary"
  },
  {
   "name": "ADM_N",
   "label": "Inpatient Discharges",
   "type": "number",
   "meaning": "Inpatient hospital discharges",
   "source": "cms-dictionary"
  },
  {
   "name": "P_EDV_VIS",
   "label": "Outpatient ED Rate",
   "type": "number",
   "meaning": "Outpatient ED visits per 1,000 person-years",
   "source": "cms-dictionary"
  },
  {
   "name": "P_EDV_VIS_HOSP",
   "label": "ED Hospitalization Rate",
   "type": "number",
   "meaning": "Emergency department visits that lead to a hospitalization per 1,000 person-years",
   "source": "cms-dictionary"
  },
  {
   "name": "P_CT_VIS",
   "label": "CT Rate",
   "type": "number",
   "meaning": "CT events per 1,000 person-years",
   "source": "cms-dictionary"
  },
  {
   "name": "P_MRI_VIS",
   "label": "MRI Rate",
   "type": "number",
   "meaning": "MRI events per 1,000 person-years",
   "source": "cms-dictionary"
  },
  {
   "name": "P_EM_PCP_VIS",
   "label": "Primary Care PCP Services Rate",
   "type": "number",
   "meaning": "Primary care services with a primary care physician (PCP) per 1,000 person-years",
   "source": "cms-dictionary"
  },
  {
   "name": "P_EM_SP_VIS",
   "label": "Primary Care Specialist Services Rate",
   "type": "number",
   "meaning": "Primary care services with a specialist per 1,000 person-years",
   "source": "cms-dictionary"
  },
  {
   "name": "P_EM_TOTAL",
   "label": "Primary Care Services Rate",
   "type": "number",
   "meaning": "Primary care services per 1,000 person-years",
   "source": "cms-dictionary"
  },
  {
   "name": "P_NURSE_VIS",
   "label": "Primary Care NP/PA/CNS Services Rate",
   "type": "number",
   "meaning": "Primary care services with a NP/PA/CNS per 1,000 person-years",
   "source": "cms-dictionary"
  },
  {
   "name": "P_FQHC_RHC_VIS",
   "label": "Primary Care FQHC/RHC Services Rate",
   "type": "number",
   "meaning": "Primary care services with a FQHC/RHC per 1,000 person-years",
   "source": "cms-dictionary"
  },
  {
   "name": "P_SNF_ADM",
   "label": "SNF Discharge Rate",
   "type": "number",
   "meaning": "Skilled nursing facility discharges per 1,000 person-years. Compiled from complete stays.",
   "source": "cms-dictionary"
  },
  {
   "name": "SNF_LOS",
   "label": "SNF Length of Stay",
   "type": "number",
   "meaning": "Skilled nursing facility length of stay. Compiled from complete stays.",
   "source": "cms-dictionary"
  },
  {
   "name": "SNF_PAYPERSTAY",
   "label": "SNF Payment Per Stay",
   "type": "number",
   "meaning": "Skilled nursing facility payment per stay. Calculated as aggregate spend amount for all complete stays, divided by number of complete stays.",
   "source": "cms-dictionary"
  }
 ],
 "caveats": [],
 "curated": false,
 "license": "https://www.usa.gov/government-works",
 "detail_key": "6c3532b3-8325-48fd-a939-12b41d2b126a|2026-07-20",
 "checked": "2026-10-25",
 "source_name": "data.cms.gov"
}