data.cms.gov

Prepaid Shared Savings Spend Plan

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).

Freshness

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

Dates as CMS lists them in its catalog.

Columns 9

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 prepaid shared savings.string
General Spend CategoryGeneral_Spend_CategoryIndicates which one of the three required categories the payment use falls under: Investing in Staffing, Healthcare Infrastructure, or Direct Beneficiary Services.string
General Spend SubcategoryGeneral_Spend_SubcategoryIndicates a selected general spend subcategory under a general spend category that a payment use falls under.string
Beneficiary GroupBeneficiary_GroupIndicates the population that will benefit from the direct beneficiary service described by the payment use.string
Cost Sharing SupportCost_Sharing_SupportThe eligible Part B service(s) that will be subsidized using prepaid shared savings.string
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
29
Columns
9
State column
None found
Topics
ACOs and payment models, Spending and use of services, Quality and ratings
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/522f7e2d-58fc-4267-a073-8fa5fd18859f/data?size=10

CMS's 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).

Methodology and other documents from CMS:

The summary at the top is the first sentence of this description. Record id cms:522f7e2d-58fc-4267-a073-8fa5fd18859f. This record as JSON.

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