{
 "id": "cms:522f7e2d-58fc-4267-a073-8fa5fd18859f",
 "slug": "prepaid-shared-savings-spend-plan",
 "source": "data.cms.gov",
 "title": "Prepaid Shared Savings Spend Plan",
 "summary": "The Prepaid Shared Savings (PSS) Spend Plan data provides payment use, spending category, projected and actual spending of prepaid shared savings by Accountable Care Organizations (ACOs).",
 "description": "The Prepaid Shared Savings (PSS) Spend Plan data provides payment use, spending category, projected and actual spending of prepaid shared savings by Accountable Care Organizations (ACOs).",
 "aliases": [],
 "keywords": [
  "Medicare",
  "Original Medicare",
  "Value-Based Care",
  "Coordinated Care",
  "Financials",
  "Payment Models",
  "Accountable Care Organizations"
 ],
 "themes": [
  "Medicare"
 ],
 "topics": [
  "aco-value-based",
  "spending-utilization",
  "quality"
 ],
 "category": "medicare-shared-savings-program",
 "publisher": "Office of Enterprise Data and Analytics (OEDA)",
 "contact": "SharedSavingsProgram@cms.hhs.gov",
 "landing_url": "https://data.cms.gov/medicare-shared-savings-program/prepaid-shared-savings-spend-plan",
 "csv_url": "https://data.cms.gov/sites/default/files/2026-04/Prepaid_Shared_Savings_Spend_Plan_2026_.csv",
 "api_url": "https://data.cms.gov/data-api/v1/dataset/522f7e2d-58fc-4267-a073-8fa5fd18859f/data",
 "api_kind": "cms-data-api",
 "preview_url": "https://data.cms.gov/data-api/v1/dataset/522f7e2d-58fc-4267-a073-8fa5fd18859f/data?size=10",
 "dictionary_url": "https://data.cms.gov/resources/prepaid-shared-savings-spend-plan-data-dictionary",
 "dictionary_kind": "page",
 "methodology_urls": [
  "https://data.cms.gov/resources/prepaid-shared-savings-spend-plan-methodology"
 ],
 "state_column": null,
 "row_count": 29,
 "posted": "2026-05-01",
 "modified": "2026-05-01",
 "period_start": "2026-01-01",
 "period_end": "2026-12-31",
 "latest_period": "2026-01-01 to 2026-12-31",
 "cadence": "annually",
 "next_update": null,
 "versions": [
  {
   "label": "2026-01-01",
   "uuid": "522f7e2d-58fc-4267-a073-8fa5fd18859f",
   "posted": "2026-05-01",
   "period_start": "2026-01-01",
   "period_end": "2026-12-31"
  }
 ],
 "columns": [
  {
   "name": "ACO_ID",
   "label": "ACO ID",
   "type": "string",
   "meaning": "Unencrypted ACO Identifier. This identifier can be linked to the encrypted ACO identifier used for prior performance years (PY) using the ACO ID Crosswalk.",
   "source": "cms-dictionary"
  },
  {
   "name": "ACO_Name",
   "label": "ACO Name",
   "type": "string",
   "meaning": "ACO Doing Business As (DBA) or Legal Business Name (LBN). Listed name is DBA unless DBA is not available, in which case LBN is used.",
   "source": "cms-dictionary"
  },
  {
   "name": "Payment_Use",
   "label": "Payment Use",
   "type": "string",
   "meaning": "Indicates ACO description of use of prepaid shared savings.",
   "source": "cms-dictionary"
  },
  {
   "name": "General_Spend_Category",
   "label": "General Spend Category",
   "type": "string",
   "meaning": "Indicates which one of the three required categories the payment use falls under: Investing in Staffing, Healthcare Infrastructure, or Direct Beneficiary Services.",
   "source": "cms-dictionary"
  },
  {
   "name": "General_Spend_Subcategory",
   "label": "General Spend Subcategory",
   "type": "string",
   "meaning": "Indicates a selected general spend subcategory under a general spend category that a payment use falls under.",
   "source": "cms-dictionary"
  },
  {
   "name": "Beneficiary_Group",
   "label": "Beneficiary Group",
   "type": "string",
   "meaning": "Indicates the population that will benefit from the direct beneficiary service described by the payment use.",
   "source": "cms-dictionary"
  },
  {
   "name": "Cost_Sharing_Support",
   "label": "Cost Sharing Support",
   "type": "string",
   "meaning": "The eligible Part B service(s) that will be subsidized using prepaid shared savings.",
   "source": "cms-dictionary"
  },
  {
   "name": "Projected_Spending_2026",
   "label": "Projected Spending 2026",
   "type": "number",
   "meaning": "The dollar amount the ACO estimates will be spent on the payment use during the 2026 performance year.",
   "source": "cms-dictionary"
  },
  {
   "name": "Actual_Spending_2026",
   "label": "Actual Spending 2026",
   "type": "number",
   "meaning": "The dollar amount the ACO actually spent on the payment use during the 2026 performance year.",
   "source": "cms-dictionary"
  }
 ],
 "caveats": [],
 "curated": false,
 "license": "https://www.usa.gov/government-works",
 "detail_key": "522f7e2d-58fc-4267-a073-8fa5fd18859f|2026-05-01",
 "checked": "2026-10-25",
 "source_name": "data.cms.gov"
}