data.cms.gov

ACO REACH Financial and Quality Results

Official page on data.cms.gov Download CSV Data dictionary

Last posted: Jul 20, 2026
Period covered: Jan 1, 2024 to Dec 31, 2024
Update frequency: Annually

Dates as CMS lists them in its catalog.

Columns 132

Column	What it means	Type
ACO ID`ACO_ID`	ACO Identifier Number	string
ACO Name`ACO_NAME`		string
ACO Type`ACO_TYPE`	Classification of ACO as Standard, New Entrant, or High Needs	string
First Participation Year`FIRST_PART_YEAR`	First year of participation in the model	string
Performance Year`PERF_YEAR`	Year in which the ACO participated	string
Risk Arrangement`RISK_ARRANGEMENT`	ACO election of either Global or Professional risk	string
Stop Loss Election`STOP_LOSS_ELECTION`	ACO Participated in Stop-Loss Arrangement	string
Capitation Arrangement`CAPITATION_ARRANGEMENT`	Capitation Arrangement Elected by the ACO	string
Enhanced PCC Election`ENHANCED_PCC_ELECTION`	ACO Elected to Participate in Enhanced Primary Care Capitation	string
APO Election`APO_ELECTION`	ACO Elected to Participate in Advanced Payment Option	string
Alignment Plus`ALIGNMENT_PLUS`	ACO Elected to Participate in Alignment Plus	string
Discount`DISCOUNT`	Discount based on risk arrangement	number
Retention Withhold`RETENTION_WITHHOLD`		number
Unadjusted Benchmark`UNADJ_BENCHMARK`	Benchmark before Adjustments, Withhold, Discounts, and Retrospective Trend Adjustment	number
Final Benchmark`FINAL_BENCHMARK`	Final Benchmark before Population Adjustment (PA)	number
Normalized weighted average risk score`NORM_RISK_SCORE`		number
Normalized weighted average risk score, adjusted for CIF and Risk Score Cap`CIF_CAP_RISK`		number
Total amount of upwards adjustment PA dollars`PA_UP_AMT`	Total amount of upwards Population Adjustment (PA) dollars	number
Total amount of downwards adjustment PA dollars`PA_DOWN_AMT`	Total amount of downwards Population Adjustment (PA) dollars	number
Total months receiving an upwards PA adjustment`PA_UP_MNTHS`	Total months receiving an upwards Population Adjustment (PA)	number
Total months receiving a downwards PA adjustment`PA_DOWN_MNTHS`	Total months receiving a downwards Population Adjustment (PA)	number
Savings Rate`SAV_RATE`	Gross Savings divided by Final Benchmark	number
Trended Aged/Disabled Baseline`TRENDED_AD_BASELINE`	3-year average benchmark historical rate for the Aged/Disabled Benchmark	number
Trended ESRD Baseline`TRENDED_ESRD_BASELINE`	3-year average benchmark historical rate for the ESRD Benchmark	number
Regional Aged/Disabled Baseline`REGIONAL_AD_BASELINE`	3-year average benchmark regional rate for the Aged/Disabled Benchmark	number
Regional ESRD Baseline`REGIONAL_ESRD_BASELINE`	3-year average benchmark regional rate for the ESRD Benchmark	number
Historical Aged/Disabled Baseline Adjustment`HIST_AD_BASELINE_ADJ`	Historical rate baseline adjustment for the Aged/Disabled Benchmark	number
Historical ESRD Baseline Adjustment`HIST_ESRD_BASELINE_ADJ`	Historical rate baseline adjustment for the ESRD Benchmark	number
Total Cost Care Net`TOT_COST_CARE_NET`	Total Cost of Care after Stop-Loss	number
Total Cost Care`TOT_COST_CARE`	Total Cost of Care before Stop-Loss	number
Gross Savings`GROSS_SAVINGS`	Final benchmark less total cost of care after Stop-Loss	number
Shared Savings`SHARED_SAVINGS`	Amount of Gross Savings to be shared with the ACO	number
Shared Savings Sequestration`SHARED_SAVINGS_SEQ`	Amount of Gross Savings to be shared with the ACO after Sequestration and Extreme and Uncontrollable Circumstances (EUC) Adjustment	number
Capitation Payment Amount`CAP_PMT_AMT`	Total capitation payment amount	number
Enhanced PCC Amount`EPCC_PMT_AMT`	Total enhanced PCC amount	number
Claim Payment Amount`CLM_PMT_AMT`	Total aggregate claim payment amount	number
Expenditure DME`EXPND_DME`	Durable medical equipment aggregate expenditures	number
Expenditure Home Health`EXPND_HHA`	Home health aggregate expenditures	number
Expenditure Hospice`EXPND_HSP`	Hospice aggregate expenditures	number
Expenditure Inpatient`EXPND_INP_ALL`	Total Inpatient aggregate expenditures	number
Expenditure Outpatient`EXPND_OPD`	Outpatient aggregate expenditures	number
Expenditure Physician`EXPND_PB`	Physician/supplier aggregate expenditures	number
Expenditure SNF`EXPND_SNF`	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.	number
Historical By1 Aged/Disabled Benchmark PBPM`HIST_BY1_AD_PBPM`	Historical BY1 Aged and Disabled Benchmark PBPM	number
Historical By1 ESRD Benchmark PBPM`HIST_BY1_ESRD_PBPM`		number
Historical By2 Aged/Disabled Benchmark PBPM`HIST_BY2_AD_PBPM`	Historical BY2 Aged and Disabled Benchmark PBPM	number
Historical By2 ESRD Benchmark PBPM`HIST_BY2_ESRD_PBPM`		number
Historical By3 Aged/Disabled Benchmark PBPM`HIST_BY3_AD_PBPM`	Historical BY3 Aged and Disabled Benchmark PBPM	number
Historical By3 ESRD Benchmark PBPM`HIST_BY3_ESRD_PBPM`		number
Historical By1 Aged/Disabled Risk Score`HIST_BY1_AD_RISKSCORE`	Historical BY1 Aged and Disabled Risk Score	number
Historical By1 ESRD Risk Score`HIST_BY1_ESRD_RISKSCORE`		number
Historical By2 Aged/Disabled Risk Score`HIST_BY2_AD_RISKSCORE`	Historical BY2 Aged and Disabled Risk Score	number
Historical By2 ESRD Risk Score`HIST_BY2_ESRD_RISKSCORE`		number
Historical By3 Aged/Disabled Risk Score`HIST_BY3_AD_RISKSCORE`	Historical BY3 Aged and Disabled Risk Score	number
Historical By3 ESRD Risk Score`HIST_BY3_ESRD_RISKSCORE`		number
Historical By4 Aged/Disabled Risk Score`HIST_BY4_AD_RISKSCORE`	Historical BY4 Aged and Disabled Risk Score	number
Historical By4 ESRD Risk Score`HIST_BY4_ESRD_RISKSCORE`		number
Performance Year Aged/Disabled Blend Months`PY_AD_BLEND_MNTHS`	Performance year aligned months accruing to the AD/Blend Benchmark	number
Performance Year ESRD Blend Months`PY_ESRD_BLEND_MNTHS`	Performance year aligned months accruing to the ESRD/Blend Benchmark	number
Performance Year Aged/Disabled Ratebook Months`PY_AD_RATEBOOK_MNTHS`	Performance year aligned months accruing to the AD/Ratebook Benchmark	number
Performance Year ESRD Ratebook Months`PY_ESRD_RATEBOOK_MNTHS`	Performance year aligned months accruing to the ESRD/Ratebook Benchmark	number
Performance Year Aged/Disabled Blend Risk Score`PY_AD_BLEND_RISKSCORE`	Average risk score for the the AD/Blend Benchmark	number
Performance Year ESRD Blend Risk Score`PY_ESRD_BLEND_RISKSCORE`	Average risk score for the the ESRD/Blend Benchmark	number
Performance Year Aged/Disabled Rate Book Risk Score`PY_AD_RATEBOOK_RISKSCORE`	Average risk score for the the AD/Ratebook Benchmark	number
Performance Year ESRD Rate Book Risk Score`PY_ESRD_RATEBOOK_RISKSCORE`	Average risk score for the the ESRD/Ratebook Benchmark	number
Elected Teaching Amendment Hospitals`N_ETA`	Number of Elected Teaching Amendment (ETA) hospitals	number
Critical Access Hospitals`N_CAH`	Number of CAHs	number
Federally Qualified Health Centers`N_FQHC`	Number of FQHCs	number
Rural Health Centers`N_RHC`	Number of RHCs	number
Short-term Acute Care Hospitals`N_HOSP`	Number of short-term acute care hospitals	number
Other Facilities`N_FAC_OTHER`	Number of other facility types	number
Primary Care Practitioners`N_PCP`	Number of participating PCPs	number
Specialists`N_SPEC`	Number of participating specialists	number
Nurse Practitioners`N_NP`	Number of participating nurse practitioners	number
Physician Assistants`N_PA`	Number of participating physician assistants	number
Clinical Nurse Specialists`N_CNS`	Number of participating clinical nurse specialists	number
Total Quality Score`QUAL_SCR`	The Total Quality Score is the proportion of the Quality Withhold that will be earned back by the REACH ACO.	number
Risk-Standardized, All-Condition Readmissions`ACR_SCR`	Risk-Standardized, All-Condition Readmissions (ACR) Score. A lower (↓) score indicates better performance.	number
Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions`UAMCC_SCR`	Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years) (UAMCC) score. A lower (↓) score indicates better performance.	number
Days at Home for Patients with Complex, Chronic Conditions`DAH_SCR`	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.	number
Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU) score`TFU_SCR`	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.	number
CAHPS: Getting Timely Appointments, Care, and Information Summary Survey Measure (SSM)`SSM_TACI_SCR`	CAHPS: Getting Timely Appointments, Care, and Information Summary Survey Measure (SSM). A higher (↑) score indicates better performance.	number
CAHPS: How Well Providers Communicate SSM`SSM_COM_SCR`	CAHPS: How Well Providers Communicate SSM. A higher (↑) score indicates better performance.	number
CAHPS: Care Coordination SSM`SSM_CC_SCR`	CAHPS: Care Coordination SSM. A higher (↑) score indicates better performance.	number
CAHPS: Shared Decision-Making SSM`SSM_SDM_SCR`	CAHPS: Shared Decision-Making SSM. A higher (↑) score indicates better performance.	number
CAHPS: Patient Rating of Provider SSM`SSM_PR_SCR`	CAHPS: Patient Rating of Provider SSM. A higher (↑) score indicates better performance.	number
CAHPS: Courteous and Helpful Office Staff SSM`SSM_CHOS_SCR`	CAHPS: Courteous and Helpful Office Staff SSM. A higher (↑) score indicates better performance.	number
CAHPS: Health Promotion and Education SSM`SSM_HPE_SCR`	CAHPS: Health Promotion and Education SSM. A higher (↑) score indicates better performance.	number
CAHPS: Stewardship of Patient Resources SSM`SSM_SPR_SCR`	CAHPS: Stewardship of Patient Resources SSM. A higher (↑) score indicates better performance.	number
CAHPS Composite Score`CAHPS_SCR`	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).	number
CI/SEP Criteria`CISEP_FLAG`	Met Continuous Improvement/Sustained Exceptional Performance (CI/SEP) Criteria- (Y/N) This indicates whether the REACH ACO met the CI/SEP Criteria.	string
High Performers Pool`HPP_FLAG`	High Performers Pool (HPP) Flag- (Y/N) This indicates whether the ACO qualitfied for the HPP Bonus.	string
Data Reporting Adjustment`DR_ADJUST`	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.	number
Beneficiary Count`BENE_CNT`	Total number of aligned beneficiaries	number
Aligned Beneficiaries, Age Under 65`N_BEN_AGE_0_64`	Total aligned beneficiaries, age 0-64	number
Aligned Beneficiaries, Age 65-74`N_BEN_AGE_65_74`	Total aligned beneficiaries, age 65-74	number
Aligned Beneficiaries, Age 75-84`N_BEN_AGE_75_84`	Total aligned beneficiaries, age 75-84	number
Aligned Beneficiaries, Age 85-Plus`N_BEN_AGE_85PLUS`	Total aligned beneficiaries, age 85+	number
Male Aligned Beneficiaries`N_BEN_MALE`	Total aligned beneficiaries, female	number
Female Aligned Beneficiaries`N_BEN_FEMALE`	Total aligned beneficiaries, male	number
Unknown Sex of Aligned Beneficiaries`N_BEN_SEX_UNKNOWN`	Total aligned beneficiaries, unknown gender	number
Non-Hispanic While Aligned Beneficiaries`N_BEN_RACE_WHITE`	Total aligned beneficiaries, Non-Hispanic White	number
Black Aligned Beneficiaries`N_BEN_RACE_BLACK`	Total aligned beneficiaries, Black	number
Asian Aligned Beneficiaries`N_BEN_RACE_ASIAN`	Total aligned beneficiaries, Asian	number
Hispanic Aligned Beneficiaries`N_BEN_RACE_HISP`	Total aligned beneficiaries, Hispanic	number
North American Native Aligned Beneficiaries`N_BEN_RACE_NATIVE`	Total aligned beneficiaries, North American Native	number
Pacific Islander Aligned Beneficiaries`N_BEN_RACE_PI`	Total aligned beneficiaries, Pacific Islander	number
Other Race Aligned Beneficiaries`N_BEN_RACE_OTHER`	Total aligned beneficiaries, Other	number
Dual-Eligible Proportion`PERC_DUAL`	Proportion of Dual Beneficiaries	number
Long-Term Institutionalized Proportion`PERC_LTI`	Proportion of Long-Term Institutionalized Beneficiaries	number
IPPS/CAH Spend`EXPND_INP_S_TRM`	Short term inpatient acute care hospital (IPPS/CAH) claim expenditures	number
Long-term Inpatient Spend`EXPND_INP_L_TRM`	Long term inpatient care hospital claim expenditures	number
IRF Spend`EXPND_INP_REHAB`	Inpatient rehabilitation facility (IRF) claim expenditures	number
Inpatient Psych Spend`EXPND_INP_PSYCH`	Inpatient psychiatric hospital claim expenditures	number
Ambulance Spend`EXPND_AMBUPAY`	Ambulance claim expenditures	number
Short-term Hospital Discharges`ADM_S_TRM_N`		number
Long-term Hospital Discharges`ADM_L_TRM_N`		number
Rehab Hospital Discharges`ADM_REHAB_N`	Rehabilitation hospital or unit discharges	number
Psych Discharges`ADM_PSYCH_N`	Psychiatric hospital or unit discharges	number
Inpatient Discharges`ADM_N`	Inpatient hospital discharges	number
Outpatient ED Rate`P_EDV_VIS`	Outpatient ED visits per 1,000 person-years	number
ED Hospitalization Rate`P_EDV_VIS_HOSP`	Emergency department visits that lead to a hospitalization per 1,000 person-years	number
CT Rate`P_CT_VIS`	CT events per 1,000 person-years	number
MRI Rate`P_MRI_VIS`	MRI events per 1,000 person-years	number
Primary Care PCP Services Rate`P_EM_PCP_VIS`	Primary care services with a primary care physician (PCP) per 1,000 person-years	number
Primary Care Specialist Services Rate`P_EM_SP_VIS`	Primary care services with a specialist per 1,000 person-years	number
Primary Care Services Rate`P_EM_TOTAL`	Primary care services per 1,000 person-years	number
Primary Care NP/PA/CNS Services Rate`P_NURSE_VIS`	Primary care services with a NP/PA/CNS per 1,000 person-years	number
Primary Care FQHC/RHC Services Rate`P_FQHC_RHC_VIS`	Primary care services with a FQHC/RHC per 1,000 person-years	number
SNF Discharge Rate`P_SNF_ADM`	Skilled nursing facility discharges per 1,000 person-years. Compiled from complete stays.	number
SNF Length of Stay`SNF_LOS`	Skilled nursing facility length of stay. Compiled from complete stays.	number
SNF Payment Per Stay`SNF_PAYPERSTAY`	Skilled nursing facility payment per stay. Calculated as aggregate spend amount for all complete stays, divided by number of complete stays.	number

At a glance

Catalog: data.cms.gov
Publisher: Office of Enterprise Data and Analytics (OEDA)
Rows: 115
Columns: 132
State column: None found
Topics: Spending and use of services, Quality and ratings, ACOs and payment models
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/6c3532b3-8325-48fd-a939-12b41d2b126a/data?size=10

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 Sep 10, 2025
2022-12-01posted May 21, 2025
2021-12-03posted Apr 25, 2025

CMS's 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.

Methodology and other documents from CMS:

Aco Reach Model Methodology

The summary at the top is the first sentence of this description. Record id cms:6c3532b3-8325-48fd-a939-12b41d2b126a. This record as JSON.

Freshness

Columns 132

At a glance

API

Versions 4

CMS's description