_dta: 1. aco2013 data set up by Jean Roth , jroth@nber.org , 16 May 2015 2. For January 2013 starters (106 ACOs) all variables are for CY2013 (1/1/2013- 12/31/2013) which is their PY1 Final performance period. 3. For April 2012 starters ( 27 ACOs) all variables are for the entire 21- month period (4/1/2012- 12/31/2013) which is their PY1 Final performance period, unless otherwise noted. 4. For July 2012 starters (87 ACOs) all variables are for the entire 18-month period (7/1/2012- 12/31/2013) which is their PY1 Final performance period, unless otherwise noted. 5. For details on the Medicare Shared Savings Program, please visit: 6. Shared Savings Program on CMS.gov 7. For details on the methodology used to determine shared savings and losses, please visit: 8. Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology aco_num: 1. ACO identifier 2. Encrypted ACO Identifier. 3. Format/Values: Axxxxx aco_name: 1. ACO name 2. Legal business name associated with the ACO. 3. Format/Values: VarChar start_date: 1. Start date 2. ACO agreement start date. 3. Format/Values: Date start_datestr: 1. Start date 2. ACO agreement start date. 3. Format/Values: Date track2: 1. Track 2 2. 0/1 flag; =1 if ACO selected Track 2 (two-sided shared savings / losses model); otherwise 0 (ACO selected Track 1 (one-sided shared savings model)). 3. Format/Values: Num 4. More Information available at: Overview of Shared Savings Program Financial Models adv_pay: 1. Advance pay status 2. 0/1 flag; =1 if ACO elected Advanced Payment; otherwise 0. 3. Format/Values: Num 4. More Information available at: Advance Payment ACO Model int_pmt: 1. Interim payment election 2. 0/1 flag; =1 if ACO elected Interim Payment; otherwise 0; Field populated for ACOs with 2012 start dates only. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology adv_pay_amt: 1. Advanced payment amount 2. Maximum amount of advance payment available for recoupment at PY1 Final. Total of all advance payment disbursements prior to July 23, 2014. Field populated only for ACOs with Adv_Pay=1. 3. Format/Values: Num 4. More Information available at: Advance Payment ACO Model qualscore: 1. Quality score 2. During PY1 Final, quality reporting is pay for reporting for all ACOs. 100% for complete and accurate reporting, otherwise 0%. For 2012 starters, quality score must be 100% in both 2012 and 2013 in order to be eligible for earned performance payment. 3. Format/Values: Num 4. More Information available at: Shared Savings Program 2013 Quality Reporting Documentation qualperfshare: 1. Quality sharing rate 2. Set at 50% for Track 1 ACOs and 60% for Track 2 ACOs in PY1 Final. 3. Format/Values: Num finalsharerate: 1. Final sharing rate 2. Quality performance sharing rate multiplied by quality score. The percentage of savings an ACO shares if the ACO is eligible for shared savings. 3. Format/Values: Num minlossperc: 1. Minimum loss rate 2. Minimum rate of losses allowed before an ACO shares losses. For Track 2 ACOs, always equal to -2.00%. Field populated only for Track 2 ACOs. 3. Format/Values: Num minsavperc: 1. Minimum savings rate 2. Minimum rate of savings an ACO must achieve in order to share savings. For Track 1 ACOs, determined based on number of assigned beneficiaries. For Track 2 ACOs, always equal to 2.00%. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology abtotbnchmk: 1. Total benchmark expenditures 2. Per capita benchmark expenditures multiplied by total person-years, PY1 Final. 3. Format/Values: Num abtotexp: 1. Total performance year expenditures 2. Per capita expenditures multiplied by total person-years, PY1 Final. 3. Format/Values: Num bnchmkminexp: 1. Total savings/losses 2. Total benchmark expenditures minus total performance year expenditures. Does not account for the application of the ACO's final sharing rate based on quality performance or reduction for sequestration. 3. Format/Values: Num earnshrsavings: 1. Total earned shared savings 2. 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, as well as the reduction in performance payment due to sequestration. This amount does not account for repayment of advance payments. 3. Format/Values: Num owelosses: 1. Total owed shared losses 2. 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 is equal to 1 minus the final sharing rate and does not exceed 60%) based on quality performance. Only for Track 2 ACOs. 3. Format/Values: Num n_ab: 1. Total number of assigned beneficiaries 2. Number of assigned beneficiaries for the PY1 Final performance period. For 2012 starters, the number of unique assigned beneficiaries assigned in either the interim period (6 or 9-months of CY2012) or in CY2013. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology n_ab_year: 1. Total assigned beneficiary person years 2. Number of assigned beneficiaries for CY2013 adjusted downwards for beneficiaries with less than a full 12 months of eligibility ; Number of person months divided by 12. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology n_ab_year_esrd: 1. Total number of ESRD person years 2. Number of assigned beneficiaries with ESRD enrollment type for CY2013 adjusted for the total number of months that each beneficiary was classified as ESRD; Number of ESRD person months divided by 12. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology n_ab_year_dis: 1. Total number of DISABLED person years 2. Number of assigned beneficiaries with Disabled enrollment type for CY2013 adjusted for the total number of months that each beneficiary was classified as Disabled; Number of Disabled person months divided by 12. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology n_ab_year_aged_dual: 1. Total number of AGED/DUAL person years 2. Number of assigned beneficiaries with Aged/Dual enrollment type for CY2013 adjusted for the total number of months that each beneficiary was classified as Aged/Dual; Number of Aged/Dual person months divided by 12. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology n_ab_year_aged_nondual: 1. Total number of AGED/NON-DUAL person years 2. Number of assigned beneficiaries with Aged/Non-dual enrollment type for CY2013 adjusted for the total number of months that each beneficiary was classified as Aged/Non-dual; Number of Aged/Non-dual person months divided by 12. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology n_ben_age_0_64: 1. Total assigned beneficiaries, age 0-64 2. Total number of assigned beneficiaries, age 0-64 in CY2013; age calculated as of 1/1/2013. 3. Format/Values: Num n_ben_age_65_74: 1. Total assigned beneficiaries, age 65-74 2. Total number of assigned beneficiaries, age 65-74 in CY2013; age calculated as of 1/1/2013. 3. Format/Values: Num n_ben_age_75_84: 1. Total assigned beneficiaries, age 75-84 2. Total number of assigned beneficiaries, age 75-84 in CY2013; age calculated as of 1/1/2013. 3. Format/Values: Num n_ben_age_85plus: 1. Total assigned beneficiaries, age 85+ 2. Total number of assigned beneficiaries, age 85+ in CY2013; age calculated as of 1/1/2013. 3. Format/Values: Num n_ben_female: 1. Total assigned beneficiaries, female 2. Total number of assigned beneficiaries, female (Gender=2) in CY2013. 3. Format/Values: Num n_ben_male: 1. Total assigned beneficiaries, male 2. Total number of assigned beneficiaries, male (Gender=1) in CY2013. 3. Format/Values: Num n_ben_race_white: 1. Total assigned beneficiaries, Non-Hispanic White 2. Total number of assigned beneficiaries, Non-Hispanic White (Race=1) in CY2013. 3. Format/Values: Num n_ben_race_black: 1. Total assigned beneficiaries, Black 2. Total number of assigned beneficiaries, Black (Race=2) in CY2013. 3. Format/Values: Num n_ben_race_asian: 1. Total assigned beneficiaries, Asian 2. Total number of assigned beneficiaries, Asian (Race=4) in CY2013. 3. Format/Values: Num n_ben_race_hisp: 1. Total assigned beneficiaries, Hispanic 2. Total number of assigned beneficiaries, Hispanic (Race=5) in CY2013. 3. Format/Values: Num n_ben_race_native: 1. Total assigned beneficiaries, North American Native 2. Total number of assigned beneficiaries, North American Native (Race=6) in CY2013. 3. Format/Values: Num n_ben_race_other: 1. Total assigned beneficiaries, Other 2. Total number of assigned beneficiaries, Other (Race=0,3,~) in CY2013. 3. Format/Values: Num per_capita_exp_all_esrd: 1. Per capita ESRD expenditures 2. Total expenditures per assigned ESRD beneficiary in CY2013. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology per_capita_exp_all_dis: 1. Per capita DISABLED expenditures 2. Total expenditures per assigned DISABLED beneficiary in CY2013. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology per_capita_exp_all_agdu: 1. Per capita AGED/DUAL expenditures 2. Total expenditures per assigned AGED/DUAL beneficiary in CY2013. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology per_capita_exp_all_agnd: 1. Per capita AGED/NON-DUAL expenditures 2. Total expenditures per assigned AGED/NON-DUAL beneficiary in CY2013. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology capann_inp_all: 1. Total Inpatient expenditures 2. Per capita expenditures on inpatient services for assigned beneficiaries in CY2013. 3. Format/Values: Num capann_inp_s_trm: 1. Short term acute care hospital (IPPS/CAH) expenditures 2. Per capita expenditures on acute care inpatient services in a short term acute care setting for assigned beneficiaries in CY2013. 3. Format/Values: Num capann_inp_l_trm: 1. Long term care hospital expenditures 2. Per capita expenditures on inpatient services in a long term care setting for assigned beneficiaries in CY2013. 3. Format/Values: Num capann_inp_rehab: 1. Inpatient rehabilitation facility (IRF) expenditures 2. Per capita expenditures on inpatient services in a rehabilitation facility setting for assigned beneficiaries in CY2013. 3. Format/Values: Num capann_inp_psych: 1. Inpatient psychiatric hospital expenditures 2. Per capita expenditures on inpatient services in a psychiatric hospital setting for assigned beneficiaries in CY2013. 3. Format/Values: Num capann_hsp: 1. Hospice expenditures 2. Per capita expenditures on hospice services for assigned beneficiaries in CY2013. 3. Format/Values: Num capann_snf: 1. Skilled nursing facility expenditures 2. Per capita expenditures for services in a skilled nursing facility setting for assigned beneficiaries in CY2013. 3. Format/Values: Num capann_inp_other: 1. Other inpatient expenditures 2. Per capita expenditures for other inpatient services for assigned beneficiaries in CY2013. 3. Format/Values: Num capann_pb: 1. Physician/supplier expenditures 2. Per capita expenditures for physician/supplier services for assigned beneficiaries in CY2013. 3. Format/Values: Num capann_ambpay: 1. Ambulance expenditures 2. Per capita expenditures for ambulance services for assigned beneficiaries in CY2013. 3. Format/Values: Num capann_hha: 1. Home health expenditures 2. Per capita expenditures for home health services for assigned beneficiaries in CY2013. 3. Format/Values: Num capann_dme: 1. Durable medical equipment expenditures 2. Per capita expenditures on durable medical equipment for assigned beneficiaries in CY2013. 3. Format/Values: Num adm: 1. Inpatient hospital discharges 2. Total number of inpatient hospital discharges per 1,000 person years in CY2013. 3. Format/Values: Num adm_s_trm: 1. Short term acute care hospital discharges 2. Total number of short term acute care hospital discharges per 1,000 person years in CY2013. 3. Format/Values: Num adm_l_trm: 1. LTCH discharges 2. Total number of long term care hospital (LTCH) discharges per 1,000 person years in CY2013. 3. Format/Values: Num adm_rehab: 1. IRF discharges 2. Total number of inpatient rehabilitation facility (IRF) discharges per 1,000 person years in CY2013. 3. Format/Values: Num adm_psych: 1. IPF discharges 2. Total number of inpatient psychiatric facility (IPF) discharges per 1,000 person years in CY2013. 3. Format/Values: Num chf_adm: 1. CHF discharges 2. Total number of discharges for congestive heart failure (CHF) per 1,000 person years in CY2013. 3. Format/Values: Num copd_adm: 1. COPD/Asthma discharges 2. Total number of discharges for chronic obstructive pulmonary disease (COPD) or asthma per 1,000 person years in CY2013. 3. Format/Values: Num pneu_adm: 1. Bacterial pneumonia discharges 2. Total number of discharges for bacterial pneumonia per 1,000 person years in CY2013. 3. Format/Values: Num readm_rate_1000: 1. Short term acute care readmissions (all-cause 30 day) 2. Total number of short term acute care readmissions (all-cause 30 day) per 1,000 discharges in CY2013. 3. Format/Values: Num prov_rate_1000: 1. Post-discharge provider visits (30 day) 2. Total number of provider visits within 30 days of discharge from a short term acute care hospital per 1,000 discharges in CY2013. 3. Format/Values: Num p_snf_adm: 1. Skilled nursing facility discharges 2. Total number of discharges from a skilled nursing facility per 1,000 person years in CY2013. 3. Format/Values: Num p_edv_vis: 1. Outpatient ED visits 2. Total number of visits to an outpatient emergency department (ED) per 1,000 person years in CY2013. 3. Format/Values: Num p_edv_vis_hosp: 1. Inpatient ED visits 2. Total number of visits to an emergency department (ED) that result in an inpatient stay per 1,000 person years in CY2013. 3. Format/Values: Num p_ct_vis: 1. CT events 2. Total number of computed tomography (CT) events per 1,000 person years in CY2013. 3. Format/Values: Num p_mri_vis: 1. MRI events 2. Total number of magnetic resonance imaging (MRI) events per 1,000 person years in CY2013. 3. Format/Values: Num p_em_total: 1. Primary care services 2. Total number of primary care services per 1,000 person years in CY2013. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program Shared Savings and Losses and Assignment Methodology p_em_pcp_vis: 1. Primary care services with a PCP 2. Total number of primary care services provided by a primary care physician (PCP) per 1,000 person years in CY2013. 3. Format/Values: Num p_em_sp_vis: 1. Primary care services with a specialist 2. Total number of primary care services provided by a specialist per 1,000 person years in CY2013. 3. Format/Values: Num p_nurse_vis: 1. Primary care services with a NP/PA/CNS 2. Total number of primary care services provided by a nurse practitioner (NP), physician's assistant (PA), or clinical nurse specialist (CNS) per 1,000 person years in CY2013. 3. Format/Values: Num p_fqhc_rhc_vis: 1. Primary care services with a FQHC/RHC 2. Total number of primary care services provided at a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) per 1,000 person years in CY2013. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program and Rural Providers n_cah: 1. Number of CAH IIs 2. Total number of Method II Critical Access Hospitals participating in the ACO in the performance period. Based on the ACO's certified participant list used in financial reconciliation. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program and Rural Providers n_fqhc: 1. Number of FQHCs 2. Total number of Federally Qualified Health Centers participating in the ACO in the performance period. Based on the ACO's certified participant list used in financial reconciliation. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program and Rural Providers n_rhc: 1. Number of RHCs 2. Total number of Rural Health Clinics participating in the ACO in the performance period. Based on the ACO's certified participant list used in financial reconciliation. 3. Format/Values: Num 4. More Information available at: Medicare Shared Savings Program and Rural Providers n_eta: 1. Number of ETA hospitals 2. Total number of Electing Teaching Amendment Hospitals participating in the ACO in the performance period. Based on the ACO's certified participant list used in financial reconciliation. 3. Format/Values: Num n_fac_other: 1. Number of other facility types 2. Total number of other facilities participating in the ACO in the performance period. Based on the ACO's certified participant list used in financial reconciliation. 3. Format/Values: Num n_pcp: 1. Number of participating PCPs 2. Total number of primary care physicians (PCPs) that reassigned billing rights to an ACO participant in the performance period. Based on the ACO's certified participant list used in financial reconciliation and information in the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). 3. Format/Values: Num 4. More Information available at: Changes in ACO participants and ACO providers/suppliers during the Agreement Period n_spec: 1. Number of participating specialists 2. Total number of physician specialists that reassigned billing rights to an ACO participant in the performance period. Based on the ACO's certified participant list used in financial reconciliation and information in the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). 3. Format/Values: Num 4. More Information available at: Changes in ACO participants and ACO providers/suppliers during the Agreement Period n_np: 1. Number of participating nurse practitioners 2. Total number of nurse practitioners that reassigned billing rights to an ACO participant in the performance period. Based on the ACO's certified participant list used in financial reconciliation and information in the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). 3. Format/Values: Num 4. More Information available at: Changes in ACO participants and ACO providers/suppliers during the Agreement Period n_pa: 1. Number of participating physician assistants 2. Total number of physician assistants that reassigned billing rights to an ACO participant in the performance period. Based on the ACO's certified participant list used in financial reconciliation and information in the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). 3. Format/Values: Num 4. More Information available at: Changes in ACO participants and ACO providers/suppliers during the Agreement Period n_cns: 1. Number of participating clinical nurse specialists 2. Total number of clinical nurse specialists that reassigned billing rights to an ACO participant in the performance period. Based on the ACO's certified participant list used in financial reconciliation and information in the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). 3. Format/Values: Num 4. More Information available at: Changes in ACO participants and ACO providers/suppliers during the Agreement Period obs: 220 vars: 82 16 May 2015 17:59 size: 78,320 (_dta has notes) ----------------------------------------------------------------------------------------------------------------------------------------------------------------------- storage display value variable name type format label variable label ----------------------------------------------------------------------------------------------------------------------------------------------------------------------- aco_num str6 %9s * ACO identifier aco_name str73 %73s * ACO name start_date byte %td * Start date start_datestr str8 %9s * Start date track2 byte %8.0g * Track 2 adv_pay byte %8.0g * Advance pay status int_pmt byte %8.0g * Interim payment election adv_pay_amt long %12.0g * Advanced payment amount qualscore byte %8.0g * Quality score qualperfshare float %9.0g * Quality sharing rate finalsharerate float %9.0g * Final sharing rate minlossperc float %9.0g * Minimum loss rate minsavperc float %9.0g * Minimum savings rate abtotbnchmk float %9.0g * Total benchmark expenditures abtotexp float %9.0g * Total performance year expenditures bnchmkminexp str12 %12s * Total savings/losses earnshrsavings float %9.0g * Total earned shared savings owelosses float %9.0g * Total owed shared losses n_ab long %12.0g * Total number of assigned beneficiaries n_ab_year float %9.0g * Total assigned beneficiary person years n_ab_year_esrd float %9.0g * Total number of ESRD person years n_ab_year_dis float %9.0g * Total number of DISABLED person years n_ab_year_aged_dual float %9.0g * Total number of AGED/DUAL person years n_ab_year_aged_nondual float %9.0g * Total number of AGED/NON-DUAL person years n_ben_age_0_64 int %8.0g * Total assigned beneficiaries, age 0-64 n_ben_age_65_74 long %12.0g * Total assigned beneficiaries, age 65-74 n_ben_age_75_84 long %12.0g * Total assigned beneficiaries, age 75-84 n_ben_age_85plus int %8.0g * Total assigned beneficiaries, age 85+ n_ben_female long %12.0g * Total assigned beneficiaries, female n_ben_male long %12.0g * Total assigned beneficiaries, male n_ben_race_white long %12.0g * Total assigned beneficiaries, Non-Hispanic White n_ben_race_black int %8.0g * Total assigned beneficiaries, Black n_ben_race_asian int %8.0g * Total assigned beneficiaries, Asian n_ben_race_hisp int %8.0g * Total assigned beneficiaries, Hispanic n_ben_race_native int %8.0g * Total assigned beneficiaries, North American Native n_ben_race_other int %8.0g * Total assigned beneficiaries, Other per_capita_exp_all_esrd float %9.0g * Per capita ESRD expenditures per_capita_exp_all_dis float %9.0g * Per capita DISABLED expenditures per_capita_exp_all_agdu float %9.0g * Per capita AGED/DUAL expenditures per_capita_exp_all_agnd float %9.0g * Per capita AGED/NON-DUAL expenditures capann_inp_all float %9.0g * Total Inpatient expenditures capann_inp_s_trm float %9.0g * Short term acute care hospital (IPPS/CAH) expenditures capann_inp_l_trm float %9.0g * Long term care hospital expenditures capann_inp_rehab float %9.0g * Inpatient rehabilitation facility (IRF) expenditures capann_inp_psych float %9.0g * Inpatient psychiatric hospital expenditures capann_hsp float %9.0g * Hospice expenditures capann_snf float %9.0g * Skilled nursing facility expenditures capann_inp_other float %9.0g * Other inpatient expenditures capann_pb float %9.0g * Physician/supplier expenditures capann_ambpay float %9.0g * Ambulance expenditures capann_hha float %9.0g * Home health expenditures capann_dme float %9.0g * Durable medical equipment expenditures adm float %9.0g * Inpatient hospital discharges adm_s_trm float %9.0g * Short term acute care hospital discharges adm_l_trm float %9.0g * LTCH discharges adm_rehab float %9.0g * IRF discharges adm_psych float %9.0g * IPF discharges chf_adm float %9.0g * CHF discharges copd_adm float %9.0g * COPD/Asthma discharges pneu_adm float %9.0g * Bacterial pneumonia discharges readm_rate_1000 float %9.0g * Short term acute care readmissions (all-cause 30 day) prov_rate_1000 float %9.0g * Post-discharge provider visits (30 day) p_snf_adm float %9.0g * Skilled nursing facility discharges p_edv_vis float %9.0g * Outpatient ED visits p_edv_vis_hosp float %9.0g * Inpatient ED visits p_ct_vis float %9.0g * CT events p_mri_vis float %9.0g * MRI events p_em_total float %9.0g * Primary care services p_em_pcp_vis float %9.0g * Primary care services with a PCP p_em_sp_vis float %9.0g * Primary care services with a specialist p_nurse_vis float %9.0g * Primary care services with a NP/PA/CNS p_fqhc_rhc_vis float %9.0g * Primary care services with a FQHC/RHC n_cah byte %8.0g * Number of CAH IIs n_fqhc byte %8.0g * Number of FQHCs n_rhc byte %8.0g * Number of RHCs n_eta byte %8.0g * Number of ETA hospitals n_fac_other int %8.0g * Number of other facility types n_pcp int %8.0g * Number of participating PCPs n_spec int %8.0g * Number of participating specialists n_np int %8.0g * Number of participating nurse practitioners n_pa byte %8.0g * Number of participating physician assistants n_cns byte %8.0g * Number of participating clinical nurse specialists * indicated variables have notes ----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Sorted by: aco_num