data.cms.gov
Pioneer ACO Model
The Pioneer Accountable Care Organization (ACO) Model Public Use File (PUF) provides information on ACOs participating in the model.
Freshness
- Last posted
- Period covered
- Jan 1, 2016 to Dec 31, 2016
- Update frequency
- Annually
Dates as CMS lists them in its catalog.
Columns 62
| Column | What it means | Type |
|---|---|---|
ACO IDACO_ID | string | |
ACO NameACO_NAME | string | |
Performance YearPERF_YR | string | |
PBP ElectionPBP_ELECTION | ACO elected Population-Based Payment | string |
Beneficiary CountBENE_CT | Number of Aligned Beneficiaries in Performance Year | number |
Month PYMNTH_PY | Eligible months accrued by Aligned Beneficiaries in Performance Year | number |
Benchmark ExpenditureBNMRK_EXPND | number | |
PERF_YR_EXPNDPERF_YR_EXPND | number | |
Gross SavingsGROSS_SAVINGS | Gross Savings (Loss) - Benchmark less Performance Year Expenditure | number |
Shared SavingsSHARED_SAVINGS | Shared Savings (Loss) | number |
Quality ScoreQUAL_SCRE | Quality Score (included as a %) | number |
Month Aged/Dual-Eligible Base Year 1MNTH_AD_BY1 | Eligible Months accruing to Aged/Dual-Eligible Benchmark in Base Year One | number |
Expenditure Aged/Dual-Eligible Base Year 1EXPND_AD_BY1 | Base Year One Expenditure for Aged/Dual-Eligible Experience | number |
Risk Score Aged/Dual-Eligible Base Year 1RISK_SCRE_AD_BY1 | Base Year One Risk Score for Aged/Dual-Eligible Experience | number |
Month Aged/Dual-Eligible Base Year 2MNTH_AD_BY2 | Eligible Months accruing to Aged/Dual-Eligible Benchmark in Base Year Two | number |
Expenditure Aged/Dual-Eligible Base Year 2EXPND_AD_BY2 | Base Year Two Expenditure for Aged/Dual-Eligible Experience | number |
Risk Score Aged/Dual-Eligible Base Year 2RISK_SCRE_AD_BY2 | Base Year Two Risk Score for Aged/Dual-Eligible Experience | number |
Month Aged/Dual-Eligible Base Year 3MNTH_AD_BY3 | Eligible Months accruing to Aged/Dual-Eligible Benchmark in Base Year 1 | number |
Expenditure Aged/Dual-Eligible Base Year 3EXPND_AD_BY3 | Base Year 1 Expenditure for Aged/Dual-Eligible Experience | number |
Risk Score Aged/Dual-Eligible Base Year 3RISK_SCRE_AD_BY3 | Base Year 1 Risk Score for Aged/Dual-Eligible Experience | number |
Benchmark Aged/Dual-EligibleBNMRK_AD | Benchmark for Aged/Dual-Eligible Experience | number |
Risk Score Aged/Dual-Eligible Performance YearRISK_SCRE_AD_PY | Performance Year Risk Score for Aged/Dual-Eligible Experience | number |
Months Aged/Not-Dual Base Year 1MNTH_AN_BY1 | Eligible Months accruing to Aged/Not-Dual Benchmark in Base Year 1 | number |
Expenditure Aged/Not-Dual Base Year 1EXPND_AN_BY1 | Base Year 1 Expenditure for Aged/Not-Dual Experience | number |
Risk Score Aged/Not-Dual Base Year 1RISK_SCRE_AN_BY1 | Base Year 1 Risk Score for Aged/Not-Dual Experience | number |
Months Aged/Not-Dual Base Year 2MNTH_AN_BY2 | Eligible Months accruing to Aged/Not-Dual Benchmark in Base Year 2 | number |
Expenditure Aged/Not-Dual Base Year 2EXPND_AN_BY2 | Base Year 2 Expenditure for Aged/Not-Dual Experience | number |
Risk Score Aged/Not-Dual Base Year 2RISK_SCRE_AN_BY2 | Base Year 2 Risk Score for Aged/Not-Dual Experience | number |
Months Aged/Not-Dual Base Year 3MNTH_AN_BY3 | Eligible Months accruing to Aged/Not-Dual Benchmark in Base Year 3 | number |
Expenditure Aged/Not-Dual Base Year 3EXPND_AN_BY3 | Base Year 3 Expenditure for Aged/Not-Dual Experience | number |
Risk Score Aged/Not-Dual Base Year 3RISK_SCRE_AN_BY3 | Base Year 3 Risk Score for Aged/Not-Dual Experience | number |
Benchmark Aged/Not-DualBNMRK_AN | Benchmark for Aged/Not-Dual Experience | number |
Risk Score Aged/Not-Dual Performance YearRISK_SCRE_AN_PY | Performance Year Risk Score for Aged/Not-Dual Experience | number |
Month Disabled Base Year 1MNTH_DISA_BY1 | Eligible Months accruing to Disabled Benchmark in Base Year 1 | number |
Expenditure Disabled Base Year 1EXPND_DISA_BY1 | Base Year 1 Expenditure for Disabled Experience | number |
Risk Score Disabled Base Year 1RISK_SCRE_DISA_BY1 | Base Year 1 Risk Score for Disabled Experience | number |
Month Disabled Base Year 2MNTH_DISA_BY2 | Eligible Months accruing to Disabled Benchmark in Base Year 2 | number |
Expenditure Disabled Base Year 2EXPND_DISA_BY2 | Base Year 2 Expenditure for Disabled Experience | number |
Risk Score Disabled Base Year 2RISK_SCRE_DISA_BY2 | Base Year 2 Risk Score for Disabled Experience | number |
Month Disabled Base Year 3MNTH_DISA_BY3 | Eligible Months accruing to Disabled Benchmark in Base Year 3 | number |
Expenditure Disabled Base Year 3EXPND_DISA_BY3 | Base Year 3 Expenditure for Disabled Experience | number |
Risk Score Disabled Base Year 3RISK_SCRE_DISA_BY3 | Base Year 3 Risk Score for Disabled Experience | number |
Benchmark DisabledBNMRK_DISA | Benchmark for Disabled Experience | number |
Risk Score Disabled Performance YearRISK_SCRE_DISA_PY | Performance Year Risk Score for Disabled Experience | number |
Month ESRD Base Year 1MNTH_ESRD_BY1 | Eligible Months accruing to ESRD Benchmark in Base Year 1 | number |
Expenditure ESRD Base Year 1EXPND_ESRD_BY1 | Base Year 1 Expenditure for ESRD Experience | number |
Risk Score ESRD Base Year 1RISK_SCRE_ESRD_BY1 | Base Year 1 Risk Score for ESRD Experience | number |
Month ESRD Base Year 2MNTH_ESRD_BY2 | Eligible Months accruing to ESRD Benchmark in Base Year 2 | number |
Expenditure ESRD Base Year 2EXPND_ESRD_BY2 | Base Year 2 Expenditure for ESRD Experience | number |
Risk Score ESRD Base Year 2RISK_SCRE_ESRD_BY2 | Base Year 2 Risk Score for ESRD Experience | number |
Month ESRD Base Year 3MNTH_ESRD_BY3 | Eligible Months accruing to ESRD Benchmark in Base Year 3 | number |
Expenditure ESRD Base Year 3EXPND_ESRD_BY3 | Base Year 3 Expenditure for ESRD Experience | number |
Risk Score ESRD Base Year 3RISK_SCRE_ESRD_BY3 | Base Year 3 Risk Score for ESRD Experience | number |
Benchmark ESRDBNMRK_ESRD | Benchmark for ESRD Experience | number |
Risk Score ESRD Performance YearRISK_SCRE_ESRD_PY | Performance Year Risk Score for ESRD Experience | number |
Expenditure Home HealthEXPND_HHA | Home Health Expenditure (National Claims History Claim Type 10) | number |
Expenditure SNFEXPND_SNF | SNF and SNF/DPU Expenditures (NCH Claim Types 20 and 30) | number |
Expenditure OutpatientEXPND_OUTP | Outpatient Expenditure (NCH Claim Type 40) | number |
Expenditure HospiceEXPND_HOSP | Hospice Expenditure (NCH Claim Type 50) | number |
Expenditure InpatientEXPND_INP | Inpatient Expenditure (NCH Claim Type 60) | number |
Expenditure ProfessionalEXPND_PROF | Professional Claims Expenditure (NCH Claim Types 71 and 72) | number |
Expenditure DMEEXPND_DME | DMERC/DMEPOS Expenditure (NCH Claim Types 81 and 82) | number |
No column matches that filter.
At a glance
- Catalog
- data.cms.gov
- Publisher
- Office of Enterprise Data and Analytics (OEDA)
- Rows
- 8
- Columns
- 62
- State column
- None found
- 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/bb2a336c-0710-4de9-80ad-6a2a5cbdbdeb/data?size=10
Versions 5
The newest version is the one linked above. Older releases stay on the official site.
- 2016-12-01posted May 25, 2023
- 2015-12-01posted May 25, 2023
- 2014-12-01posted May 25, 2023
- 2013-12-01posted May 25, 2023
- 2012-05-11posted May 25, 2023
CMS's description
The Pioneer Accountable Care Organization (ACO) Model Public Use File (PUF) provides information on ACOs participating in the model. This dataset includes information on each ACO regarding beneficiaries, financial and quality results.
Methodology and other documents from CMS:
The summary at the top is the first sentence of this description. Record id cms:bb2a336c-0710-4de9-80ad-6a2a5cbdbdeb. This record as JSON.