Medicare Shared Savings Program Accountable Care Organizations Performance Year 2014 Results

data.cms.gov | Last Updated 8 May 2018

Based upon <a href="https://data.cms.gov/dataset/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu">Medicare Shared Savings Program Accountable Care Organizations Performance Year 2014 Results</a> This dataset presents data on Calendar Year 2014 financial reconciliation and quality performance results for ACOs with 2012, 2013 and 2014 agreement start dates. ACOs that generated savings earned a performance payment if they met the quality standard. Quality performance for ACOs with 2014 start dates that are in their first performance year is based on complete and accurate reporting of all required quality measures for Calendar Year 2014. Notes: 1 - (Gross) Generated savings: Total savings (first to last dollar) for ACOs whose savings equaled or exceeded their minimum savings rates (variable based on ACO size under Track 1 and flat 2% under Track 2). This amount does not account for the application of the ACO’s final sharing rate based on quality performance, reduction due to sequestration or repayment of advance payments. 2 - (Gross) Generated losses: Total losses (first to last dollar) for Track 2 ACOs whose losses equaled or exceeded their minimum loss rate (flat 2%). This amount does not account for the application of the ACO’s final sharing rate based on quality performance. 3 - Total earned shared savings: The ACO’s share of savings for ACOs whose savings equaled or exceeded their minimum savings rates, and who were eligible for a performance payment because they met the program’s quality performance standard. This amount accounts for the application of the ACO’s final sharing rate based on quality performance (up to 50% under Track 1 and up to 60% under Track 2), as well as the reduction in performance payment due to sequestration. This amount does not account for repayment of advance payments. 4 - Total earned shared losses: The ACO’s share of losses for Track 2 ACOs whose losses equaled or exceeded their minimum loss rate (flat 2%). This amount accounts for the application of the ACO’s final loss sharing rate (which does not exceed 60%) based on quality performance. 5 - Successfully Reported Quality: ACOs are considered to have successfully reported quality if they completely reported in 2014. 6 - Quality Score: ACOs with 2014 start dates will have a “P4R” (Pay for Reporting) displayed for the Quality Score to reflect that their quality performance is based on complete and accurate reporting. For more information on how the Overall Quality Score was determined for ACOs with an Agreement Start Date in 2012 or 2013, please refer to the Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 Reporting Year document posted on the Shared Savings Program website http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Quality_Measures_Standards.html. ACO-1 through ACO-33: ACOs that did not successfully report CAHPS measures in 2014 will have a dash "-" displayed for CAHPS measures (ACO-1 through ACO-7). ACOs that did not successfully report GPRO Web Interface measures in 2014 will have a dash "-" displayed for GPRO Web Interface measures (ACO-12 through ACO-33). These measure fields appear as blank cells in the downloaded file (the dash is not displayed). For measure ACO-11, if no providers were eligible for this measure due to the measure's inclusion/exclusion criteria, then "N/A" (Not Applicable) will appear in place of a performance rate. For measures ACO-12 through ACO-33, if no beneficiaries were eligible for this measure due to the measure's inclusion/exclusion criteria, then an "N/A" (Not Applicable) will appear in the place of a performance rate. ^Measures marked with a caret (^) are measures where a lower performance rate is indicative of better quality. For a crosswalk of ACO measure numbers to ACO measure names, please consult the following table: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/ACO-Shared-Savings-Program-Quality-Measures.pdf. Disclaimer - This information is current as of August 2015. Updates to the website will be made annually based on final performance year financial reconciliation and quality results.

Tags: mssp, value-based purchasing, performance-based payment

This dataset has the following 49 columns:

Column NameAPI Column NameData TypeSample Values
ACO Doing Business As (DBA) or Legal Business Name (LBN)aco_doing_business_as_dba_or_legal_business_name_lbntext
States Where Beneficiaries Residestates_where_beneficiaries_residetext
Agreement Start Dateagreement_start_datecalendar_date
Tracktracktext
Participate in Advance Payment Modelparticipate_in_advance_payment_modeltext
Total Assigned Beneficiariestotal_assigned_beneficiariesnumber
Total Benchmark Expenditurestotal_benchmark_expendituresnumber
Total Expenditurestotal_expendituresnumber
Total Benchmark Expenditures Minus Total Assigned Beneficiary Expenditurestotal_benchmark_expenditures_minus_total_assigned_beneficiary_expendituresnumber
Total Benchmark Minus Assigned Beneficiary Expenditures as % of Total Benchmarktotal_benchmark_minus_assigned_beneficiary_expenditures_as_of_total_benchmarknumber
Generated Savings/Losses1,2generated_savings_losses1_2number
Earned Shared Savings Payments/Owe Losses3,4earned_shared_savings_payments_owe_losses3_4text
Successfully Reported Quality5successfully_reported_quality5text
Quality Score6quality_score6text
ACO-1aco_1number
ACO-2aco_2number
ACO-3aco_3number
ACO-4aco_4number
ACO-5aco_5number
ACO-6aco_6number
ACO-7aco_7number
ACO-8^aco_8number
ACO-9^aco_9number
ACO-10^aco_10number
ACO-11aco_11number
ACO-12aco_12number
ACO-13aco_13number
ACO-14aco_14number
ACO-15aco_15number
ACO-16aco_16number
ACO-17aco_17number
ACO-18aco_18number
ACO-19aco_19number
ACO-20aco_20number
ACO-21aco_21number
DM Compositedm_compositenumber
ACO-22aco_22number
ACO-23aco_23number
ACO-24aco_24number
ACO-25aco_25number
ACO-26aco_26number
ACO-27^aco_27number
ACO-28aco_28number
ACO-29aco_29number
ACO-30aco_30number
ACO-31aco_31number
CAD Compositecad_compositenumber
ACO-32aco_32number
ACO-33aco_33number