{"identifier":"8d0ffead-9bea-492e-bbc8-771ab435fca8","data":{"title":"Pioneer ACO Model Performance Year 2012 -2014 Data Dictionary","fields":[{"name":"PRFM_YR","label":"Performance Year","description":"Performance Year"},{"name":"ACO_ID","label":"ACO ID","description":"Unique identifier of the Pioneer ACO"},{"name":"CMMI_NAME","label":"CMMI Name","description":"Name of the Pioneer ACO"},{"name":"PRVDR_CT","label":"Provider Count","description":"Number of participating providers"},{"name":"PRAC_CT","label":"Practice Count","description":"Total number of physician practices"},{"name":"PROF_PRAC_CT","label":"Professional Practice Count","description":"Total number of non-institutional physician practices"},{"name":"INST_PRAC_CT","label":"Institutional Practice Count","description":"Number of institutional physician practices"},{"name":"PROF_PRVDR_CT","label":"Professional Provider Count","description":"Number of professional providers"},{"name":"PAR_FAC_CT","label":"Practice Facilities Count","description":"Total number of participating health care facilities"},{"name":"PCP_PRVDR_CT","label":"Primary Care Provider Count","description":"Number of participating primary care specialists"},{"name":"ALGN_COUNT","label":"Alignment Count","description":"The total number of performance-year aligned beneficiaries"},{"name":"AGED_COUNT","label":"Aged Count","description":"The number of performance-year aligned beneficiaries who were classified as Aged under the Pioneer ACO Model Benchmarking method"},{"name":"DISABLED_COUNT","label":"Disabled Count","description":"The number of performance-year aligned beneficiaries who were classified as Aged under the Pioneer ACO Model Benchmarking method"},{"name":"ESRD_COUNT","label":"ESRD Count","description":"The number of performance-year aligned beneficiaries who were classified as Aged under the Pioneer ACO Model Benchmarking method"},{"name":"MALE_COUNT","label":"Male Count","description":"The number of performance-year aligned beneficiaries who were male"},{"name":"FEMALE_COUNT","label":"Female Count","description":"The number of performance-year aligned beneficiaries who were female"},{"name":"AGE_LT65_COUNT","label":"Age \u003C65 Count","description":"The number of performance-year aligned beneficiaries who were classified as under age 65 in the Pioneer ACO Model Benchmarking method"},{"name":"AGE_6569_COUNT","label":"Age 65 - 69 Count","description":"The number of performance-year aligned beneficiaries who were classified as 65 to 69 years of age in the Pioneer ACO Model Benchmarking method"},{"name":"AGE_7079_COUNT","label":"Age 70-79 Count","description":"The number of performance-year aligned beneficiaries who were classified as 70 to 79 years of age in the Pioneer ACO Model Benchmarking method"},{"name":"AGE_GE80","label":"Age \u003E80 Count","description":"The number of performance-year aligned beneficiaries who were classified as 80 years of age or older in the Pioneer ACO Model Benchmarking method"},{"name":"EXP_TOT","label":"Expenditure Total","description":"Total expenditure for all claim types"},{"name":"EXP_NCH10","label":"Expenditure NCH 10","description":"Total expenditure for home health agency services (NCH claim type 10)"},{"name":"EXP_NCH20","label":"Expenditure NCH 20","description":"Total expenditure for SNF services (NCH claim type 20)"},{"name":"EXP_NCH30","label":"Expenditure NCH 30","description":"Total expenditure for SNF\/Swing-bed services (NCH claim type 30)"},{"name":"EXP_NCH40","label":"Expenditure NCH 40","description":"Total expenditure for outpatient services (NCH claim type 40)"},{"name":"EXP_NCH50","label":"Expenditure NCH 50","description":"Total expenditure for hospice services (NCH claim type 50)"},{"name":"EXP_NCH60","label":"Expenditure NCH 60","description":"Total expenditure for inpatient services (NCH claim type 60)"},{"name":"EXP_NCH71","label":"Expenditure NCH 71","description":"Total expenditure for physician non-DMEPOS services (NCH claim type 71)"},{"name":"EXP_NCH72","label":"Expenditure NCH 72","description":"Total expenditure for DMEPOS services non-DMAC (NCH claim type 72)"},{"name":"EXP_NCH81","label":"Expenditure NCH 81","description":"Total expenditure for DMEPOS services DMAC (NCH claim type 81)"},{"name":"EXP_NCH82","label":"Expenditure NCH 82","description":"Total expenditure for non-DMEPOS services DMAC (NCH claim type 82)"},{"name":"STLMNT_DT","label":"Settlement Date","description":"A reference date identifying the financial settlement (CCYYMMDD)"},{"name":"ALGND_BENE_CT","label":"Aligned Beneficiary Count","description":"The number of beneficiaries aligned with the Pioneer ACO in the yearend financial settlement"},{"name":"ALGND_BENE_MNTHS","label":"Aligned Beneficiary Months","description":"The number of person-months accrued during the performance-year by the beneficiaries aligned with the Pioneer ACO"},{"name":"ACO_BASELINE_PBPY","label":"ACO Baseline PBPY","description":"The Pioneer ACO baseline expenditure expressed on a per-beneficiary per-year (PBPY) basis"},{"name":"ADJ_REF_BASELINE_PBPY","label":"Adjusted Reference Baseline PBPY","description":"The adjusted reference baseline for the Pioneer ACO expressed on a PBPY basis"},{"name":"ADJ_REF_PERFYEAR_PBPY","label":"Adjusted Reference Performance Year PBPY","description":"The adjusted reference performance-year expenditure for the Pioneer ACO expressed on a PBPY basis"},{"name":"REF_PBPY_CHNG","label":"Reference PBPY Change","description":"The difference between the adjusted reference baseline and the adjusted reference performance-year expenditure for the Pioneer ACO"},{"name":"REF_PBPY_TRND","label":"Reference PBPY Trend","description":"The ratio of the difference between the adjusted reference baseline and the adjusted reference performance-year reference to the adjusted reference baseline for the Pioneer ACO"},{"name":"ACO_PBPY_TRND_CMPNT","label":"ACO PBPY Trend Component","description":"The product of the adjusted reference trend (REF_PBPY_TRND) and the ACO baseline"},{"name":"ACO_BLND_PBPY_INCR","label":"ACO Blind PBPY Increase","description":"The simple average of the change in the adjusted reference expenditure (REF_PBPY_CHNG) and the product of the adjusted reference trend and the ACO baseline (ACO_PBPY_TRND_CMPNT)"},{"name":"ACO_BNMRK_PBPY","label":"ACO Benchmark PBPY","description":"The ACO expenditure benchmark expressed on a PBPY basis"},{"name":"ACO_PERFYEAR_PBPY","label":"ACO Performance Year PBPY","description":"The performance-year expenditure of the Pioneer ACO expressed on a PBPY basis"},{"name":"GROSS_SAVINGS_PBPY","label":"Gross Savings PBPY","description":"The difference between the ACO benchmark and the ACO performance year expenditure expressed on a PBPY basis"},{"name":"BNCHMRK_EXPEND","label":"Benchmark Expenditure","description":"The aggregate expenditure benchmark for the Pioneer ACO, equal to the product of ACO_BNMRK_PBPY and the aligned beneficiary person months that accrued during the performance-year"},{"name":"ACO_PERFYEAR_EXPND","label":"ACO Performance Year Expenditure","description":"The aggregate performance-year expenditure of the Pioneer ACO"},{"name":"GROSS_SAVINGS","label":"Gross Savings","description":"The difference between the aggregate expenditure benchmark and the performance-year expenditure of the Pioneer ACO"},{"name":"PERFYEAR_QUAL_SCRE","label":"Performance Year Quality Score","description":"The quality score attained by the Pioneer ACO in the performance year"},{"name":"QLTY_ADJ_SSL_RATE","label":"Quality Adjustment Shared Savings or Losses Rate","description":"The quality adjusted shared savings (or shared loss) rate of the Pioneer ACO"},{"name":"SHARED_SAVINGS","label":"Shared Savings","description":"The shared savings (or loss) of the Pioneer ACO, equal to the product of the gross savings and the quality adjusted shared savings rate"},{"name":"BNCH_MTHD","label":"Benchmark Method","description":"The variant of the Pioneer benchmarking method elected by the Pioneer ACO in the performance year"},{"name":"AWI_GPCI_ADJ","label":"Area Wage Index Geographic Practice Cost Adjustment","description":"The Area Wage Index\/Geographic Practice Cost Index adjustment applicable to the Pioneer ACO in the performance year"},{"name":"RISK_ARNGMNT","label":"Risk Arrangement","description":"The risk sharing arrangement selected by the Pioneer ACO in the performance year"},{"name":"MSR","label":"Minimum Savings Rate","description":"The minimum savings rate selected by the Pioneer ACO for the performance year under its risk arrangement"},{"name":"MNTH_ESRD_BY2","label":"Months ESRD Base Year 2","description":"Eligible Months accruing to ESRD Benchmark in Base Year 2"},{"name":"EXPND_ESRD_BY2","label":"Expenditure ESRD Base Year 2","description":"Base Year 2 Expenditure for ESRD Experience"},{"name":"RISK_SCRE_ESRD_BY2","label":"Risk Score ESRD Base Year 2","description":"Base Year 2 Risk Score for ESRD Experience"},{"name":"MNTH_ESRD_BY3","label":"Months ESRD Base Year 3","description":"Eligible Months accruing to ESRD Benchmark in Base Year 3"},{"name":"EXPND_ESRD_BY3","label":"Expenditure ESRD Base Year 3","description":"Base Year 3 Expenditure for ESRD Experience"},{"name":"RISK_SCRE_ESRD_BY3","label":"Risk Score ESRD Base Year 3","description":"Base Year 3 Risk Score for ESRD Experience"},{"name":"BNMRK_ESRD","label":"Benchmark ESRD","description":"Benchmark for ESRD Experience"},{"name":"RISK_SCRE_ESRD_PY","label":"Risk Score ESRD Performance Year","description":"Performance Year Risk Score for ESRD Experience"},{"name":"EXPND_HHA","label":"Expenditure Home Health","description":"Home Health Expenditure (National Claims History Claim Type 10)"},{"name":"EXPND_SNF","label":"Expenditure SNF","description":"SNF and SNF\/DPU Expenditures (NCH Claim Types 20 and 30)"},{"name":"EXPND_OUTP","label":"Expenditure Outpatient","description":"Outpatient Expenditure (NCH Claim Type 40)"},{"name":"EXPND_HOSP","label":"Expenditure Hospice","description":"Hospice Expenditure (NCH Claim Type 50)"},{"name":"EXPND_INP","label":"Expenditure Inpatient","description":"Inpatient Expenditure (NCH Claim Type 60)"},{"name":"EXPND_PROF","label":"Expenditure Professional Claims","description":"Professional Claims Expenditure (NCH Claim Types 71 and 72)"},{"name":"EXPND_DME","label":"Expenditure DME","description":"DMERC\/DMEPOS Expenditure (NCH Claim Types 81 and 82)"}]}}