data.cms.gov
Comprehensive End-Stage Renal Disease Care Model Data
The Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model dataset includes summarized information on attributed beneficiary populations, affiliated providers, and financial performance for each ESRD Seamless...
Freshness
- Last posted
- Period covered
- Jan 1, 2017 to Dec 31, 2017
- Update frequency
- Annually
Dates as CMS lists them in its catalog.
Columns 83
| Column | What it means | Type |
|---|---|---|
Name of ESCOESCO_name | string | |
Period of PerformancePerformance_period | string | |
ESCO Effective DateESCO_effective_date | ESCO Start date for the CEC Model. | date |
ESCO End DateESCO_end_date | ESCO End date for the Period of Performance. | date |
Large Dialysis Organization IndicatorLDO_indicator | If LDO_Indicator=Y then ESCO Belongs to Large Dialysis Organization or otherwise. | string |
Provider Participant Type - Non OwnerPrvdr_type_participant_non_owner | Provider Type: Participant Non-Owner. | string |
Provider Participant Type - OwnerPrvdr_type_participant_owner | Provider Type: Participant Owner. | string |
Provider Participant Type - Provider or SupplierPrvdr_type_provider_or_supplier | Provider Type: Provider/Supplier. | string |
Number of ProvidersNum_prvdrs | Number of Providers attached to the ESCO. | number |
Number of Dialysis FacilitiesN_dial_fac_attached | Number of Dialysis Facilities attached to the ESCO. | number |
Aligned BeneficiariesAligned_bene | Total number of aligned beneficiaries, performance year. | number |
Total Assigned Beneficiaries, Age 0-64Age_grp_0_64 | Total number of assigned beneficiaries, age 0-64 in CY 2017; age calculated as of 12/31/2017. Based on most current date of birth in Medicare records. | number |
Total Assigned Beneficiaries, Age 65-74Age_grp_65_74 | Total number of assigned beneficiaries, age 65-74 in CY 2017; age calculated as of 12/31/2017. Based on most current date of birth in Medicare records. | number |
Total Assigned Beneficiaries, Age 75-84Age_grp_75_84 | Total number of assigned beneficiaries, age 75-84 in CY 2017; age calculated as of 12/31/2017. Based on most current date of birth in Medicare records. | number |
Total Assigned Beneficiaries, Age 85+Age_grp_85_plus | Total number of assigned beneficiaries, age 85+ in CY 2017; age calculated as of 12/31/2017. Based on most current date of birth in Medicare records. | number |
Total Assigned Beneficiaries, MaleMale | Total number of assigned beneficiaries, male (Sex=1) in CY 2017. Based on most current sex in Medicare records. | number |
Total Assigned Beneficiaries, FemaleFemale | Total number of assigned beneficiaries, female (Sex=2) in CY 2017. Based on most current sex in Medicare records. | number |
Nephrologists Care CoordinationICH_CAHPS_nephrologists_communication_and_caring | Nephrologists' Communication and Caring. | number |
Providing Information to PatientsICH_CAHPS_providing_information_to_patients | number | |
Quality of Dialysis Center Care and OperationICH_CAHPS_rating_of_dialysis_center | number | |
Rating FacilityICH_CAHPS_dialysis_center_care_and_operations | Rating of the Dialysis Facility. | number |
Rating of Dialysis StaffICH_CAHPS_rating_of_dialysis_center_staff | Rating of Dialysis Center Staff. | number |
Nephrologist RatingsICH_CAHPS_rating_of_kidney_doctors | Rating of Kidney Doctors. | number |
Advance Care RateAdvance_care_plan | Percentage of ESCO aligned beneficiaries who had evidence of advance care planning during the measurement year. | number |
Screening for Clinical Depression and Follow-Up PlanDepression_screen_rate | Percentage of ESCO aligned beneficiaries who were screened for clinical depression using an age-appropriate standardized depression screening tool from January 1 to December 1 AND, if positive, for which follow-up care within 30 days (inclusive) was documented during the measurement year. | number |
Diabetes Eye ExamDiabetes_care_eye_exam | Percentage of ESCO aligned beneficiaries age 18 to 75 with diabetes (type 1 or type 2) who had an eye exam (retinal) performed. | number |
Diabetes Foot ExamDiabetes_care_foot_exam | Percentage of ESCO aligned beneficiaries age 18 to 75 with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year. | number |
Falls Plan RateFalls_plan_of_care | Plan of Care to Prevent Future Falls: Percentage of ESCO aligned beneficiaries with a history of falls that had a plan of care for falls documented within the measurement year. | number |
Fall Risk RateFalls_risk_assessment | Risk Assessment: Percentage of ESCO aligned beneficiaries with a history of falls that had a risk assessment for falls completed within the measurement year. | number |
Fall ScreeningFalls_screening | Screening for Future Fall Risk: Percentage of ESCO aligned beneficiaries who were screened for future fall risk at least once within the measurement year. | number |
Influenza Immunization in the ESRD PopulationInfluenza_immunization | Percentage of ESCO aligned beneficiaries who received the influenza vaccine from July 1 to December 31 of the measurement year. | number |
Medication Reconciliation Post DischargeMedication_reconciliation | Percentage of discharges from January 1 to December 1 of the measurement year for ESCO aligned beneficiaries for whom medications were reconciled on the date of discharge through 30 days after discharge (31 total days). | number |
Pneumococcal VaccinationPneumococcal_vaccination_status | Percentage of ESCO aligned beneficiaries who received one or more pneumococcal vaccinations by the end of the measurement year. | number |
Tobacco Use: Screening and Cessation InterventionTobacco_use_rate | Percentage of ESCO aligned beneficiaries who were screened for tobacco use at least once during the measurement year AND who received cessation intervention if identified as a tobacco user. | number |
Degree of ESCO'S SMRStandardized_mortality_ratio | The degree to which the ESCO’s SMR varies from 1.00 is the measurement of the degree to which the overall mortality rate at that ESCO is greater than (SMR >1.00) or less than (SMR <1.00) the national mortality rate for patients with the same characteristics. | number |
Percentage of Patients at Each Dialysis Facility Who Were on the Kidney or Kidney-Pancreas Transplant WaitlistT_PPPW | ESCO-level standardized measure that reports the percentage of patients at each dialysis facility who were on the kidney or kidney-pancreas transplant waitlist. Results are averaged across patients prevalent on the last day of each month during the reporting year. | number |
Number of Incident Patients at the Dialysis Facility Under the Age of 75 Listed on the Kidney or Kidney-Pancreas Transplant WaitlistT_SWR | ESCO-level standardized ratio measure that reports the number of incident patients at the dialysis facility under the age of 75 listed on the kidney or kidney-pancreas transplant waitlist or who received living donor transplants within the first year of initiating dialysis. | number |
Quality ScoreOverall_TQS | The Quality Scoring Methodology includes weights for each quality measure to reflect its respective contribution to the ESCO Total Quality Score (TQS). The methodology assigns outcome quality measures a weight of 3 and process quality measures a weight of 2. The quality measures with QIP results as their data source are assigned a weight of 1. Notably, the ICH CAHPS survey includes six reported measures, each of which are assigned a weight of 1 so the survey as a whole contributes a weight of 6. | number |
PBPY ESRD Only Expenditures in Benchmark Year 1PBPY_exp_ESRD_only_BY1 | Total expenditures for aligned beneficiaries with ESRD enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY Aged-Dual Expenditures in Benchmark Year 1PBPY_exp_age_dua_BY1 | Total expenditures for aligned beneficiaries with Aged-Dual enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY Aged-Non-Dual Expenditures in Benchmark Year 1PBPY_exp_age_non_dua_BY1 | Total expenditures for aligned beneficiaries with Aged Non-Dual enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY Disable-Dual Expenditures in Benchmark Year 1PBPY_exp_disable_dua_BY1 | Total expenditures for aligned beneficiaries with Disabled Dual enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY Disable-Non-Dual Expenditures in Benchmark Year 1PBPY_exp_disable_no_dua_BY1 | Total expenditures for aligned beneficiaries with Disabled Non-Dual enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY ESRD Only Expenditures in Benchmark Year 2PBPY_exp_ESRD_only_BY2 | Total expenditures for aligned beneficiaries with ESRD enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY Aged-Dual Expenditures in Benchmark Year 2PBPY_exp_age_dua_BY2 | Total expenditures for aligned beneficiaries with Aged-Dual enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY Aged-Non-Dual Expenditures in Benchmark Year 2PBPY_exp_age_non_dua_BY2 | Total expenditures for aligned beneficiaries with Aged Non-Dual enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY Disable-Dual Expenditures in Benchmark Year 2PBPY_exp_disable_dua_BY2 | Total expenditures for aligned beneficiaries with Disabled Dual enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY Disable-Non-Dual Expenditures in Benchmark Year 2PBPY_exp_disable_no_dua_BY2 | Total expenditures for aligned beneficiaries with Disabled Non-Dual enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY ESRD Only Expenditures in Benchmark Year 3PBPY_exp_ESRD_only_BY3 | Total expenditures for aligned beneficiaries with ESRD enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY Aged-Dual Expenditures in Benchmark Year 3PBPY_exp_age_dua_BY3 | Total expenditures for aligned beneficiaries with Aged-Dual enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY Aged-Non-Dual Expenditures in Benchmark Year 3PBPY_exp_age_non_dua_BY3 | Total expenditures for aligned beneficiaries with Aged Non-Dual enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY Disable-Dual Expenditures in Benchmark Year 3PBPY_exp_disable_dua_BY3 | Total expenditures for aligned beneficiaries with Disabled Dual enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
PBPY Disable-Non-Dual Expenditures in Benchmark Year 3PBPY_exp_disable_no_dua_BY3 | Total expenditures for aligned beneficiaries with Disabled Non-Dual enrollment divided by the number of aligned beneficiary-years. These Per-Beneficiary-Per-Year (PBPY) figures account for the fact that some beneficiaries are aligned for only a portion of the year. | number |
Historical Benchmark for Beneficiaries With ESRD Only EnrollmentHistbnchmk_ESRD_only_PY | The Historical Expenditure Baseline is the BY1, BY2, and BY3 simple average for aligned beneficiaries with ESRD only enrollment. | number |
Historical Benchmark for Beneficiaries With Age Dual EnrollmentHistbnchmk_age_dua_PY | The Historical Expenditure Baseline is the BY1, BY2, and BY3 simple average for aligned beneficiaries with Age Dual enrollment. | number |
Historical Benchmark for Beneficiaries With Age Non-Dual EnrollmentHistbnchmk_age_non_dua_PY | The Historical Expenditure Baseline is the BY1, BY2, and BY3 simple average for aligned beneficiaries with Age Non-Dual enrollment. | number |
Historical Benchmark for Beneficiaries With Disabled Dual EnrollmentHistbnchmk_disable_dua_PY | The Historical Expenditure Baseline is the BY1, BY2, and BY3 simple average for aligned beneficiaries with Disabled Dual enrollment. | number |
Historical Benchmark for Beneficiaries With Disabled Non-Dual EnrollmentHistbnchmk_disable_non_dua_PY | The Historical Expenditure Baseline is the BY1, BY2, and BY3 simple average for aligned beneficiaries with Disabled Non-Dual enrollment. | number |
Risk Ratio for ESRD-Only in Performance YearRisk_rt_ESRD_only_PY | Overall E/C weighted average Risk Score used to calculate the Risk Score Ratio. The Risk Score Ratio used to, say, risk adjust HB expenditures to make them comparable to Model PY2 expenditures is the overall E/C weighted Risk Score for Model PY2 divided by the overall E/C weighted average Risk Score for BY3. | number |
Risk Ratio for Age-Dual in Performance YearRisk_rt_age_dua_PY | Overall E/C weighted average Risk Score used to calculate the Risk Score Ratio. The Risk Score Ratio used to, say, risk adjust HB expenditures to make them comparable to Model PY2 expenditures is the overall E/C weighted Risk Score for Model PY2 divided by the overall E/C weighted average Risk Score for BY3. | number |
Risk Ratio for Age-Non-Dual in Performance YearRisk_rt_age_non_dua_PY | Overall E/C weighted average Risk Score used to calculate the Risk Score Ratio. The Risk Score Ratio used to, say, risk adjust HB expenditures to make them comparable to Model PY2 expenditures is the overall E/C weighted Risk Score for Model PY2 divided by the overall E/C weighted average Risk Score for BY3. | number |
Risk Ratio for Disable-Dual in Performance YearRisk_rt_disable_dua_PY | Overall E/C weighted average Risk Score used to calculate the Risk Score Ratio. The Risk Score Ratio used to, say, risk adjust HB expenditures to make them comparable to Model PY2 expenditures is the overall E/C weighted Risk Score for Model PY2 divided by the overall E/C weighted average Risk Score for BY3. | number |
Risk Ratio for Disable-Non-Dual in Performance YearRisk_rt_disable_non_dua_PY | Overall E/C weighted average Risk Score used to calculate the Risk Score Ratio. The Risk Score Ratio used to, say, risk adjust HB expenditures to make them comparable to Model PY2 expenditures is the overall E/C weighted Risk Score for Model PY2 divided by the overall E/C weighted average Risk Score for BY3. | number |
Total Benchmark Expenditure in Performance YearTol_benchmrk_exp_PY | Total Benchmark Expenditure is the weighted average of PBPY discounted Expenditure Benchmark multiplied by the total eligible beneficiary-years. | number |
PBPY ESRD Only Expenditures in Performance YearPBPY_exp_ESRD_only_PY | Total expenditures for aligned beneficiaries with ESRD only enrollment divided by the number of aligned beneficiary-years. | number |
PBPY Age Dual Expenditures in Performance YearPBPY_exp_age_dua_PY | Total expenditures for aligned beneficiaries with Age Dual enrollment divided by the number of aligned beneficiary-years. | number |
PBPY Aged Non-Dual Expenditures in Performance YearPBPY_exp_age_non_dua_PY | Total expenditures for aligned beneficiaries with Age-Non-Dual enrollment divided by the number of aligned beneficiary-years. | number |
PBPY Disable Dual Expenditures in Performance YearPBPY_exp_disable_dua_PY | Total expenditures for aligned beneficiaries with Disabled Dual enrollment divided by the number of aligned beneficiary-years. | number |
PBPY Disable Non-Dual Expenditures in Performance YearPBPY_exp_disable_non_dua_PY | Total expenditures for aligned beneficiaries with Disabled Non-Dual enrollment divided by the number of aligned beneficiary-years. | number |
ESRD Person-Years in Performance YearBene_yrs_ESRD_only_PY | Aligned and Eligible Beneficiary-Years: Number of beneficiary-years included in the financial calculations for beneficiaries with ESRD enrollment type in the Performance year. | number |
Age-Dual Person-Years in Performance YearBene_yrs_age_dua_PY | Aligned and Eligible Beneficiary-Years: Number of beneficiary-years included in the financial calculations for beneficiaries with Age-Dual enrollment type in the Performance year. | number |
Age-Non-Dual Person-Years in Performance YearBene_yrs_age_non_dua_PY | Aligned and Eligible Beneficiary-Years: Number of beneficiary-years included in the financial calculations for beneficiaries with Age-Non-Dual enrollment type in the Performance year. | number |
Disable-Dual Person-Years in Performance YearBene_yrs_disable_dua_PY | Aligned and Eligible Beneficiary-Years: Number of beneficiary-years included in the financial calculations for beneficiaries with Disable-Dual enrollment type in the Performance year. | number |
Disable-Non-Dual Person-Years in Performance YearBene_yrs_disable_non_dua_PY | Aligned and Eligible Beneficiary-Years: Number of beneficiary-years included in the financial calculations for beneficiaries with Disable-Non-Dual enrollment type in the Performance year. | number |
Total Beneficiary Expenditure in Performance YearTol_bene_exp_PY | number | |
Aligned Beneficiary Person-Years in Performance Year in FinanceAlign_bene_yrs | The number of beneficiary-years included in the financial calculations. | number |
Minimum Savings Rate (%)Min_sav_rate | To remain eligible for Shared Savings/Losses, the Shared Savings/Losses amount must meet or exceed the product of the Minimum Savings/Losses Rate and the Total Expenditure Benchmark. One-sided non-LDOs have no responsibility for Shared Losses, and their MSRs are determined by formula. Additional detail on the formula is available from Appendix B to the CEC Model Participation Agreement. For LDOs and two-sided non-LDOs, both their MSRs and MLRs are 1-2 percent (increments of 0.5 percent) in Model PY2. These rates are selected by the ESCOs. | number |
Minimum Losses RateMin_los_rate | To remain eligible for Shared Savings/Losses, the Shared Savings/Losses amount must meet or exceed the product of the Minimum Savings/Losses Rate and the Total Expenditure Benchmark. One-sided non-LDOs have no responsibility for Shared Losses, and their MSRs are determined by formula. Additional detail on the formula is available from Appendix B to the CEC Model Participation Agreement. For LDOs and two-sided non-LDOs, both their MSRs and MLRs are 1-2 percent (increments of 0.5 percent) in Model PY2. These rates are selected by the ESCOs. | number |
Minimum Savings AmountMin_savig_amt | ESCO's Minimum Savings Amount. | number |
Minimum Losses AmountMin_losses_amt | ESCO's Minimum Losses Amount. | number |
Quality Reporting MetMet_qscore | The ESCO must completely and accurately report quality measures. Complete reporting means that the ESCO meets all of the reporting requirements including timing and reporting the requested data for all measure. | string |
Generated Total Savings/LossesGen_sav | For LDOs, Preliminary Shared Savings or Preliminary Shared Losses are capped at 10 percent of the Total PY Expenditure Benchmark in Model PY2, and at 15 percent in Model PY3 and later years. For one-sided non-LDOs, Preliminary Shared Savings are capped at 5 percent of the Total PY Expenditure Benchmark in all PYs. For two-sided non-LDOs, Preliminary Shared Savings and Preliminary Shared Losses are capped at 10 percent of the Total PY Expenditure Benchmark in Model PY2 and 15 percent in Model PY3 and later years. Finally, as part of the Budget Control Act of 2011, payments to Medicare providers were reduced by 2 percent beginning on April 1, 2013. To calculate shared savings on a pre-sequestration basis, we remove the effect of sequestration from all payments occurring during the time that sequestration was in effect. By law, preliminary Shared Savings amounts are subject to the 2 percent sequestration reduction, and will be adjusted for sequestration. | number |
Savings RateSav_rate | Total shared savings/lossess divided by Total Benchmark Expenditures. | number |
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At a glance
- Catalog
- data.cms.gov
- Publisher
- Office of Enterprise Data and Analytics (OEDA)
- Rows
- 37
- Columns
- 83
- State column
- None found
API
Free, no key needed. This request returns the first 10 rows as JSON:
https://data.cms.gov/data-api/v1/dataset/7bd74bf4-e396-43a6-af12-42ffb31ee00b/data?size=10
Versions 2
The newest version is the one linked above. Older releases stay on the official site.
- 2017-12-01posted Mar 25, 2026
- 2016-12-01posted Mar 25, 2026
CMS's description
The Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model dataset includes summarized information on attributed beneficiary populations, affiliated providers, and financial performance for each ESRD Seamless Care Organization (ESCO), including measures such as beneficiary counts, provider participation, expenditure benchmarks, and shared savings or losses.
Methodology and other documents from CMS:
The summary at the top is the first sentence of this description. Record id cms:7bd74bf4-e396-43a6-af12-42ffb31ee00b. This record as JSON.