U.S. Department of Health & Human Services

Performance Year Financial and Quality Results

Name: Performance Year Financial and Quality Results
Creator: U.S. Department of Health & Human Services

Data on Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program, tracked by CMS. Each record includes ACO-specific quality, expenditure, benchmark, and shared savings/loss metrics, along with summarized beneficiary and provider information for each performance year.

Example records

Namelegal entity	Stateaddress	Aco IDregistration	Agree Typeclassification	Participation Six Monthsstatus	Agreement Period Numberquantity	Initial Start Datetemporal	Initial Basic Astatus
Crozer ACO	PA, DE	A4711	Initial	1	1	07/01/2019	0
Network ACO	CA, TN, NV	A4728	Initial	1	1	07/01/2019	0
Community Care of Brooklyn IPA, Inc.	NY	A4723	Initial	1	1	07/01/2019	1

Use cases

Healthcare Vendor Due Diligence for a Health Plan Partner

A managed care organization evaluating a potential ACO partnership checks whether the ACO has maintained consistent program participation, what risk track it operates under, and whether it has generated shared savings or incurred losses over multiple performance years to assess financial stability before entering a value-based contract.

NameAco IDAgree TypeRisk ModelEarnsaveloss

Market Sizing for Healthcare IT Sales Targeting

A health IT vendor building a target account list segments ACOs by state, beneficiary population size, and current risk track to prioritize outreach toward organizations in higher-risk arrangements that are more likely to invest in analytics and care management tools.

NameStateN AbRisk ModelCurrent Enhanced

Fraud and Billing Anomaly Screening for a Medicare Supplemental Insurer

An insurer cross-referencing claims data against ACO program records flags beneficiaries attributed to ACOs that have exited the program mid-agreement or incurred significant losses, which may indicate care coordination failures or billing irregularities worth investigating.

Aco IDNameParticipation Six MonthsGensavelossEarnsaveloss