Data.CMS.gov

Close
Author
Jonnice
Description
Based upon <a href="https://data.cms.gov/ACO/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu">Medicare Shared Savings Program Accountable Care Organizations Performance Year 2015 Results</a> 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 <a href="https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Quality-Measures-Standards.html">Medicare Shared Savings Program Quality Measure Benchmarks</a> 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 <a href="https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Financial-and-Assignment-Specifications.html">Medicare Shared Savings Program: Shared Savings and Losses and Assignment Methodology Specifications</a>(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.
Category
Special Programs/Initiatives - Medicare Shared Savings Program (MSSP)
Tags
mssp, value-based purchasing, performance-based payment
Rating
Current value: 0 out of 5
This view cannot be displayed
This view is currently private. You can preview it, but you will need to make it public before people will be able to see it.
Size
  • 500x425

  • 760x646

  • 950x808

Custom Size

425x425 is the minimum size

The Socrata Open Data API (SODA) provides programmatic access to this dataset including the ability to filter, query, and aggregate data. For more more information, view the API docs for this dataset or visit our developer portal

API Endpoint:

Field Names:

ACO_Num
aco_num
ACO_Name
aco_name
ACO_Service_Area
aco_service_area
ACO_Agreement_Type
aco_agreement_type
Agreement_Period_Num
agreement_period_num
Initial_Start_Date
initial_start_date
Current_Start_Date
current_start_date
Track_1
track_1
Track_2
track_2
Track_3
track_3
Adv_Pay
adv_pay
AIM
aim
Total Assigned Beneficiaries
total_assigned_beneficiaries
Total Benchmark Expenditures
total_benchmark_expenditures
Total Expenditures
total_expenditures
Total Benchmark Minus Assigned Beneficiary Expenditures
total_benchmark_minus_assigned_beneficiary_expenditures
Total Benchmark Minus Assigned Beneficiary Expenditures as % of Total Benchmark
total_benchmark_minus_assigned_beneficiary_expenditures_as_of_total_benchmark
Generated Savings/Losses1,2
generated_savings_losses1_2
Earned Shared Savings Payments/Owe Losses3,4
earned_shared_savings_payments_owe_losses3_4
Met the Quality Performance Standard5
met_the_quality_performance_standard5
Quality Score6
quality_score6
ACO1
aco1
ACO2
aco2
ACO3
aco3
ACO4
aco4
ACO5
aco5
ACO6
aco6
ACO7
aco7
ACO34
aco34
ACO8^
aco8
ACO35^
aco35
ACO36^
aco36
ACO37^
aco37
ACO38^
aco38
ACO9^
aco9
ACO10^
aco10
ACO11
aco11
ACO39
aco39
ACO13
aco13
ACO14
aco14
ACO15
aco15
ACO16
aco16
ACO17
aco17
ACO18
aco18
ACO19
aco19
ACO20
aco20
ACO21
aco21
ACO40
aco40
Diabetes Composite
diabetes_composite
ACO27^
aco27
ACO41
aco41
ACO28
aco28
ACO30
aco30
ACO31
aco31
ACO33
aco33

Use OData to open the dataset in tools like Excel or Tableau. This provides a direct connection to the data that can be refreshed on-demand within the connected application.

Socrata OData documentation

Tableau users should select the OData v2 endpoint option.

OData V4 Endpoint:

OData V2 Endpoint:

You are viewing a mobile version of this dataset. To access the full dataset, tap here.