[Data Formatted for Mapping] The Innovation Center develops new payment and service delivery models in accordance with the requirements of section 1115A of the Social Security Act. Additionally, Congress has defined – both through the Affordable Care Act and previous legislation – a number of specific demonstrations to be conducted by CMS.

The Comprehensive Primary Care (CPC) initiative is a multi-payer initiative fostering collaboration between public and private health care payers to strengthen primary care. Medicare will work with commercial and State health insurance plans and offer bonus payments to primary care doctors who better coordinate care for their patients. Primary care practices that choose to participate in this initiative will be given resources to better coordinate primary care for their Medicare patients.

Based upon Medicare Shared Savings Program Accountable Care Organizations Performance Year 2014 Results

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-Progr

This data set presents Metropolitan Statistical Areas (MSAs) that are participating in the Comprehensive Care for Joint Replacement Model, a proposed model to support better and more efficient care for beneficiaries undergoing the most common inpatient surgery for Medicare beneficiaries: hip and knee replacements.\"

This data set presents information on updates and milestones representing Models in varying stages of implementation at the CMS Innovation Center.

The Medicare Shared Savings Program (Shared Savings Program) facilitates coordination among providers to improve the quality of care for Medicare fee-for-service beneficiaries while reducing the growth in health care costs. Eligible providers, hospitals, and suppliers may apply to participate in the Shared Savings Program by creating or participating in an Accountable Care Organization (ACO).

NOTE (1): Data descriptions are available in the Data Dictionary. See the Attachments section on this page to download the Data Dictionary.

NOTE (2): Excel may drop the leading zero from the ACO’s zip code in the aco_zip column when exporting the csv file. To retain this information, we recommend using the “Import” feature of Excel to manually import the relevant data or exporting the file using one of the other supported file formats.

DISCLAIMER: This information is current as of January 1, 2020. Changes to ACO information occur periodically. Each ACO has the most up-to-date information about their organization. Consider contacting the ACO for the latest information.

[Data Formatted for Mapping] The Innovation Center develops new payment and service delivery models in accordance with the requirements of section 1115A of the Social Security Act. Additionally, Congress has defined – both through the Affordable Care Act and previous legislation – a number of specific demonstrations to be conducted by CMS.

This data set presents standardized summary information for CMS Innovation Center Models that are in varying stages of implementation.

[Data Formatted for Mapping] The Innovation Center develops new payment and service delivery models in accordance with the requirements of section 1115A of the Social Security Act. Additionally, Congress has defined – both through the Affordable Care Act and previous legislation – a number of specific demonstrations to be conducted by CMS.