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created Aug 25 2016

updated Mar 30 2017

Description

This dataset presents data on Calendar Year 2015 financial reconciliation and quality performance results for ACOs with 2012, 2013, 2014 and 2015 agreement start dates. ACOs that generated savings earned a performance payment if they met the quality standard.

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 (for ACOs participating in the Advance Payment model and ACO Investment Model, AIM). 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 - Earned shared savings: The ACO’s share of savings 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), and that 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 - Owed 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 - Met the Quality Performance Standard: An ACO must meet the quality performance standard to be eligible to share in any savings generated. For the 2015 performance year, any ACO that did not completely report quality data did not meet the quality performance standard. The quality performance standard for ACOs with 2015 start dates that are in their first performance year is based on complete and accurate reporting of all required quality measures for Calendar Year 2015. ACOs beyond the first performance year of their first agreement period must also meet minimum attainment (which is ≥30% or ≥30th percentile benchmark) on at least one Pay for Performance measure in each domain in order to meet the quality performance standard. 6 - Quality Score: ACOs with 2015 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.
^ - Measures marked with a caret (^) are measures where a lower performance rate is indicative of better quality.
ACOs that did not successfully report CAHPS measures in 2015 will have a dash "-" displayed for CAHPS measures (ACO-1 through ACO-7 and ACO-34). ACOs that did not successfully report GPRO Web Interface measures in 2015 will have a dash "-" displayed for GPRO Web Interface measures (ACO-13 through ACO-33 and ACO-39 through ACO-41). These measure fields appear as blank cells in the downloaded file (the dash is not displayed).
For measures ACO-13 through ACO-33 and ACO-39 through ACO-41, 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.
For a crosswalk of ACO measure numbers to ACO measure names and for more information on how the Quality Score was determined for ACOs with an Agreement Start Date in 2012, 2013, 2014, or 2015, please refer to the Medicare Shared Savings Program Quality Measure Benchmarks for the 2015 Reporting Year document posted on the Shared Savings Program website in the 2015 ACO Quality Reporting Documentation zip under Prior Reporting Years’ Documentation.
For a description of the methodology for assigning beneficiaries to an ACO and determining ACO financial performance relevant for performance year 2015, see Medicare Shared Savings Program: Shared Savings and Losses and Assignment Methodology Specifications(Version 3, December 2014) posted on the Shared Savings Program website.
This information is current as of August 2016. Updates to the website will be made annually based on performance year financial reconciliation and quality results.

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This information is current as of August 2016. Updates to the website will be made annually based on final performance year financial reconciliation and quality results.
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CMS
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DataNavigator@cms.hhs.gov
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009:38
Program Code
009:000
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