Profile Picture OEDA

created Jul 31 2015

updated May 8 2018

Description

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.

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Category
Special Programs/Initiatives - Medicare Shared Savings Program (MSSP)
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Public
Tags
mssp, value-based purchasing, performance-based payment
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Licensing and Attribution
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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.
Common Core
Contact Name
CMS
Contact Email
DataNavigator@cms.hhs.gov
Bureau Code
009:38
Program Code
009:000
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