data.cms.gov

Advance Investment Payment Spend Plan

The Advance Investment Payment Spend Plan data provides payment use, spending category, projected and actual spending of advanced investments payments by Accountable Care Organizations (ACOs).

Freshness

Last posted
Period covered
Jan 1, 2026 to Dec 31, 2026
Update frequency
Annually

Dates as CMS lists them in its catalog.

Columns 12

ColumnWhat it meansType
ACO IDACO_IDUnencrypted ACO Identifier. This identifier can be linked to the encrypted ACO identifier used for prior performance years (PY) using the ACO ID Crosswalk.string
ACO NameACO_NameACO Doing Business As (DBA) or Legal Business Name (LBN). Listed name is DBA unless DBA is not available, in which case LBN is used.string
Payment UsePayment_UseIndicates ACO description of use of advance investment payments.string
General Spend CategoryGeneral_Spend_CategoryIndicates which one of the three required categories the payment use falls under: increased staffing, health care infrastructure, or the provision of accountable care for underserved beneficiaries.string
General Spend SubcategoryGeneral_Spend_SubcategoryIndicates a selected general spend subcategory under a general spend category that a payment use falls under.string
Total_AIP_Funding_Received_through_December_2025Total_AIP_Funding_Received_through_December_2025number
Projected Spending 2024Projected_Spending_2024The dollar amount the ACO estimates will be spent on the payment use during the 2024 performance year.number
Actual Spending 2024Actual_Spending_2024The dollar amount the ACO actually spent on the payment use during the 2024 performance year.number
Projected Spending 2025Projected_Spending_2025The dollar amount the ACO estimates will be spent on the payment use during the 2025 performance year.number
Actual Spending 2025Actual_Spending_2025The dollar amount the ACO actually spent on the payment use during the 2025 performance year.number
Projected Spending 2026Projected_Spending_2026The dollar amount the ACO estimates will be spent on the payment use during the 2026 performance year.number
Actual Spending 2026Actual_Spending_2026The dollar amount the ACO actually spent on the payment use during the 2026 performance year.number

At a glance

Catalog
data.cms.gov
Publisher
Office of Enterprise Data and Analytics (OEDA)
Rows
272
Columns
12
State column
None found
Topics
Spending and use of services, Quality and ratings, ACOs and payment models
Contact
SharedSavingsProgram@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/a3d35ba1-3ff4-48dd-91b4-8e1f9e7a19b7/data?size=10

Versions 3

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

  • 2026-01-01posted May 1, 2026
  • 2025-01-01posted Mar 18, 2025
  • 2024-01-02posted Jan 29, 2024

CMS's description

The Advance Investment Payment Spend Plan data provides payment use, spending category, projected and actual spending of advanced investments payments by Accountable Care Organizations (ACOs).

Methodology and other documents from CMS:

The summary at the top is the first sentence of this description. Record id cms:a3d35ba1-3ff4-48dd-91b4-8e1f9e7a19b7. This record as JSON.

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