data.cms.gov
End-Stage Renal Disease Facility Aggregation Group Performance
The End-Stage Renal Disease (ESRD) Facility Aggregation Group Performance dataset provides performance information in the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model.
Freshness
- Last posted
- Period covered
- Jul 1, 2024 to Dec 31, 2024
- Update frequency
- Twice a year
Dates as CMS lists them in its catalog.
Columns 31
| Column | What it means | Type |
|---|---|---|
Aggregation Group IDAGG_ID | The Aggregation Group ID. The aggregation group for a subsidiary ESRD facility includes all ESRD facilities owned in whole or in part by the same legal entity located in the same Hospital Referral Region in which the ESRD facility is located. An ESRD facility that is not a Subsidiary ESRD facility is not included in an aggregation group but will have its own aggregation group ID. | string |
Hospital Referral Region NumberHRR_NUM_MY | The Hospital Referral Region number during the Measurement Year. | number |
Home Dialysis Rate used to calculate both achievement andimprovement scoresHDR_MY | For Measurement Year 1 and Measurement Year 2, the Home Dialysis Rate for an aggregation group is the percent of attributed ESRD beneficiary months in which ESRD beneficiaries received dialysis at home or self-dialysis in-center during the Measurement Year. For Measurement Year 3 through Measurement Year 10, the Home Dialysis Rate for an aggregation group is the percent of attributed ESRD beneficiary months in which ESRD beneficiaries received dialysis at home, or self-dialysis in-center, or nocturnal in-center dialysis. The same Home Dialysis Rate is used for achievement scoring and improvement scoring. | number |
Number of ESRD beneficiary-months included in the Home DialysisRate denominatorHDR_DNM_MY | The Home Dialysis Rate's denominator is the number of attributed ESRD beneficiary months at the aggregation group level during the Measurement Year. | number |
Number of ESRD beneficiary-months included in the Home DialysisRate numeratorHDR_NUM_MY | For Measurement Year 1 and Measurement Year 2, the Home Dialysis Rate's numerator is the number of home dialysis treatment beneficiary months for attributed ESRD beneficiaries during the Measurement Year plus one half the total number of self-dialysis in-center treatment beneficiary months. For Measurement Year 3 through Measurement Year 10, the Home Dialysis Rate's numerator is the number of home dialysis treatment beneficiary months for attributed ESRD beneficiaries during the Measurement Year, plus one half the total number of self-dialysis in-center treatment beneficiary months, plus one half the total number of nocturnal in-center dialysis treatment beneficiary months. | number |
Number of home dialysis beneficiary-monthsHD_NUM_MY | The number of months during which attributed ESRD beneficiaries received maintenance dialysis at home. | number |
Number of in-center self dialysis beneficiary-monthsSD_NUM_MY | The number of months during which attributed ESRD beneficiaries received self-dialysis in-center. | number |
Number of nocturnal in-center dialysis beneficiary monthsNOCD_NUM_MY | The number of months during which attributed ESRD beneficiaries received nocturnal in-center dialysis. This variable is only applicable from Measurement Year 3 onwards. | number |
Transplant rate used to calculate achievement scoreTR_MY_ACHSCR | The Transplant Rate for an aggregation group of ESRD facilities is the sum of the Transplant Waitlist Rate and Living Donor Transplant Rate. The Transplant Rate displayed here is used for achievement scoring. For transplant, the achievement scoring rate differs slightly from the improvement scoring rate due to differences in reference population groups used for risk adjusting transplant waitlist rates in the Measurement Year. | number |
Transplant rate used to calculate improvement scoreTR_MY_IMPSCR | The Transplant Rate for an aggregation group of ESRD facilities is the sum of the Transplant Waitlist Rate and Living Donor Transplant Rate. The Transplant Waitlist Rate and Living Donor Transplant Rate do not include beneficiary months from beneficiaries who are 75 years of age or older at any point during the month. For Measurement Year 3 through Measurement Year 10, the Transplant Waitlist Rate and Living Donor Transplant Rate also do not include beneficiary months from beneficiaries who had a vital solid organ cancer diagnosis and were receiving treatment with chemotherapy or radiation for vital solid organ cancer during the Measurement Year. The Transplant Rate displayed here is used for improvement scoring. For transplant, the achievement scoring rate differs slightly from the improvement scoring rate due to differences in reference population groups used for risk adjusting transplant waitlist rates in the Measurement Year. | number |
Number of ESRD beneficiary-months included in the Transplant WaitlistRate denominatorTWR_DNM_MY | The Transplant Waitlist Rate's denominator is the number of attributed ESRD beneficiary months at the aggregation group level during the Measurement Year. | number |
Number of ESRD beneficiary-months included in the Transplant WaitlistRate numeratorTWR_NUM_MY | The Transplant Waitlist Rate's numerator is the number of attributed ESRD beneficiary months at the aggregation group level during the Measurement Year for which attributed ESRD beneficiaries were on the kidney transplant waitlist. | number |
Number of ESRD beneficiary-months included in the Living DonorTransplant rate denominatorLDT_DNM_MY | The Living Donor Transplant Rate's denominator is the number of attributed ESRD beneficiary months at the aggregation group level during the Measurement Year. For each aggregation group of ESRD facilities, the Living Donor Transplant Rate's denominator is the same as its Transplant Waitlist Rate's denominator. | number |
Number of Living Donor Transplant beneficiary-months includedin the Living Donor Transplant rate numeratorLDT_NUM_MY | The Living Donor Transplant Rate's numerator is the number of attributed beneficiary months for living donor transplant beneficiaries at the aggregation group level during the Measurement Year. Beneficiary months included in the numerator are composed of those months between the beginning of the Measurement Year up to and including the month of the transplant for Living Donor Transplant beneficiaries attributed to an ESRD facility during the month of the transplant. | number |
Number of Living Donor Transplant beneficiariesBENECNT_LDT_MY | The number of Living Donor Transplant beneficiaries during the Measurement Year. | number |
Health Equity Incentive for Home Dialysis Improvement ScoreHEI_HDR | From Measurement Year 3 onwards, CMS incentivizes ETC Participants to decrease disparities in the Home Dialysis Rate and the Transplant Rate between beneficiaries who are dual-eligible or Low-Income Subsidy recipients (DE/LIS) and those who are not by adding a Health Equity Incentive to the improvement scoring methodology. An ETC Participant earns the Health Equity Incentive for the Home Dialysis Rate improvement score if the Home Dialysis Rate for the Measurement Year is at least 2.5 percentage points higher than the corresponding Benchmark Year rate for attributed ESRD beneficiaries who are dual-eligible or DE/LIS. If the ETC Participant earns the Health Equity Incentive for the Home Dialysis Rate improvement score, CMS adds 0.5 points to the ETC Participant's Home Dialysis Rate improvement score. This variable is only applicable from Measurement Year 3 onwards. | number |
Health Equity Incentive Home Dialysis Rate Difference Between BY and MYHDR_DELIS_DIFF | The difference between the Benchmark Year and Measurement Year in the Home Dialysis Rate for attributed ESRD beneficiaries who are dual eligible or Low Income Subsidy recipients (DE/LIS). This variable is only applicable from Measurement Year 3 onwards. | number |
Health Equity Incentive Home Dialysis Rate in the MYHDR_DELIS_MY | The Home Dialysis Rate in the Measurement Year for attributed ESRD beneficiaries who are dual eligible or Low Income Subsidy recipients (DE/LIS). This variable is only applicable from Measurement Year 3 onwards. | number |
Number of DE/LIS beneficiary-months included in the Health Equity Incentive Home Dialysis Rate denominatorHDR_DNM_DELIS_MY | The Health Equity Incentive Home Dialysis Rate's denominator is the number of attributed ESRD beneficiary months at the aggregation group level during the Measurement Year for attributed ESRD beneficiaries who are dual eligible or Low Income Subsidy recipients (DE/LIS). This variable is only applicable from Measurement Year 3 onwards. | number |
Number of DE/LIS beneficiary-months included in the Health Equity Incentive Home Dialysis Rate numeratorHDR_NUM_DELIS_MY | The Health Equity Incentive Home Dialysis Rate's numerator is the number of home dialysis treatment beneficiary months, plus one half the total number of self-dialysis in-center treatment beneficiary months, plus one half the total number of nocturnal in-center dialysis treatment beneficiary months during the Measurement Year, for attributed ESRD beneficiaries who are dual eligible or Low Income Subsidy recipients (DE/LIS). This variable is only applicable from Measurement Year 3 onwards. | number |
Health Equity Incentive for Transplant Improvement ScoreHEI_TR | From Measurement Year 3 onwards, CMS incentivizes ETC Participants to decrease disparities in the Home Dialysis Rate and the Transplant Rate between beneficiaries who are dual-eligible or Low-Income Subsidy recipients (DE/LIS) and those who are not by adding a Health Equity Incentive to the improvement scoring methodology. An ETC Participant earns the Health Equity Incentive for the Transplant Rate improvement score if the Transplant Rate for the Measurement Year is at least 2.5 percentage points higher than the corresponding Benchmark Year rate for attributed ESRD beneficiaries who are dual-eligible or DE/LIS. If the ETC Participant earns the Health Equity Incentive for the Transplant Rate improvement score, CMS adds 0.5 points to the ETC Participant's transplant rate improvement score. This variable is only applicable from Measurement Year 3 onwards. | number |
Health Equity Incentive Transplant Rate Difference Between BY and MYTR_DELIS_DIFF | The difference between the Benchmark Year and Measurement Year in the Transplant Rate for attributed ESRD beneficiaries who are dual eligible or Low Income Subsidy recipients (DE/LIS). This variable is only applicable from Measurement Year 3 onwards. | number |
Health Equity Incentive for Transplant Rate in the MYTR_DELIS_MY | The Transplant Rate in the Measurement Year for attributed ESRD beneficiaries who are dual eligible or Low Income Subsidy recipients (DE/LIS). This variable is only applicable from Measurement Year 3 onwards. | number |
Number of DE/LIS beneficiary-months included in the Health Equity Incentive Transplant Waitlist Rate denominatorTWR_DNM_DELIS_MY | The number of dual eligible or Low Income Subsidy recipient (DE/LIS) beneficiary months at the aggregation group level during the Measurement Year included in the Health Equity Incentive Transplant Waitlist Rate denominator. This variable is only applicable from Measurement Year 3 onwards. | number |
Number of DE/LIS beneficiary-months included in the Health Equity Incentive Transplant Waitlist Rate numeratorTWR_NUM_DELIS_MY | The number of dual eligible or Low Income Subsidy (DE/LIS) beneficiary months at the aggregation group level during the Measurement Year for which DE/LIS beneficiaries were on the kidney transplant waitlist. This variable is only applicable from Measurement Year 3 onwards. | number |
Number of DE/LIS beneficiary-months included in the Health Equity Incentive Living Donor Transplant Rate denominatorLDT_DNM_DELIS_MY | The number of dual eligible or Low Income Subsidy (DE/LIS) beneficiary months at the aggregation group level during the Measurement Year. For each aggregation group of ESRD facilities, the Living Donor Transplant Rate's denominator is the same as its Transplant Waitlist Rate's denominator. This variable is only applicable from Measurement Year 3 onwards. | number |
Number of DE/LIS beneficiary-months included in the Health Equity Incentive Living Donor Transplant Rate numeratorLDT_NUM_DELIS_MY | The number of dual eligible or Low Income Subsidy (DE/LIS) beneficiary months for living donor transplant beneficiaries at the aggregation group level during the Measurement Year. This variable is only applicable from Measurement Year 3 onwards. | number |
Modality Performance ScoreMPS | The Modality Performance Score is a weighted sum of the higher of the achievement score or the improvement score for the ETC Participant's Home Dialysis Rate and Transplant Rate. For Measurement Year 1 and Measurement Year 2 the MPS=2×(The higher of the home dialysis rate achievement or improvement score)+(The higher of the transplant rate achievement or improvement score). For Measurement Year 3 through Measurement Year 10, the MPS=2×(The higher of the home dialysis achievement or (home dialysis improvement score + Health Equity Bonus))+(The higher of the transplant achievement or (transplant improvement score + Health Equity Bonus)). | number |
Performance Payment AdjustmentPPA | The Performance Period Adjustment (PPA) is an upward or downward payment adjustment that is made on all dialysis claims with claim service dates during the corresponding PPA period based on an ETC Participant's Home Dialysis Rate and Transplant Rate related performance during the Measurement Year. | number |
Performance Payment Adjustment PeriodPPA_PERIOD | The 6-month period during which the payments are adjusted based on ETC Participants' performance in each Measurement Year. PPA Period 1: 07/01/2022-12/31/2022 PPA Period 2: 01/01/2023-06/30/2023 PPA Period 3: 07/01/2023-12/31/2023 PPA Period 4: 01/01/2024-06/30/2024 PPA Period 5: 07/01/2024-12/31/2024 PPA Period 6: 01/01/2025-06/30/2025 PPA Period 7: 07/01/2025-12/31/2025 PPA Period 8: 01/01/2026-06/30/2026 PPA Period 9: 07/01/2026-12/31/2026 PPA Period 10: 01/01/2027-06/30/2027 | number |
Measurement YearMY | The 12-month period for which achievement and improvement on the home dialysis rate and transplant rate are assessed for the purpose of calculating ETC Participants' MPS and PPA. MY1: 01/01/2021-12/31/2021 MY2: 07/01/2021-06/30/2022 MY3: 01/01/2022-12/31/2022 MY4: 07/01/2022-06/30/2023 MY5: 01/01/2023-12/31/2023 MY6: 07/01/2023-06/30/2024 MY7: 01/01/2024-12/31/2024 MY8: 07/01/2024-06/30/2025 MY9:01/01/2025-12/31/2025 MY10: 07/01/2025-06/30/2026 | number |
No column matches that filter.
At a glance
- Catalog
- data.cms.gov
- Publisher
- Office of Enterprise Data and Analytics (OEDA)
- Rows
- 433
- Columns
- 31
- State column
- None found
- Contact
- ETC-CMMI@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/4bae4223-a1dc-4b9c-bd7e-d9622461be35/data?size=10
Versions 7
The newest version is the one linked above. Older releases stay on the official site.
- 2024-12-01posted Dec 22, 2025
- 2024-06-01posted Jul 1, 2025
- 2023-12-01posted Jun 9, 2025
- 2023-06-01posted Aug 9, 2024
- 2022-12-31posted Feb 20, 2024
- 2022-06-30posted Nov 30, 2023
- 2021-12-31posted Nov 30, 2023
CMS's description
The End-Stage Renal Disease (ESRD) Facility Aggregation Group Performance dataset provides performance information in the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model. The dataset includes information on Performance Payment Adjustment (PPA), Modality Performance Score (MPS), home dialysis rate, and transplant rate, as well as the individual components of each rate for each model participant ESRD facility aggregation group. All ESRD facilities within the same aggregation group share the same performance information. The supplementary aggregation group crosswalk file may be used to map aggregation groups to individual ETC Participant ESRD facilities.
Methodology and other documents from CMS:
The summary at the top is the first sentence of this description. Record id cms:4bae4223-a1dc-4b9c-bd7e-d9622461be35. This record as JSON.