Baselight

ACO REACH Financial And Quality Results

U.S. Department of Health & Human Services

@usgov.hhs_gov_aco_reach_financial_and_quality_results

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About this Dataset

ACO REACH Financial And Quality Results

The Accountable Care Organization (ACO) REACH Financial and Quality Results Public Use File (PUF) details performance for the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC) Model, prior to settlement. This data includes information such as the ACOs risk arrangement, stop loss, capitation, savings rate, and quality results.
Organization: U.S. Department of Health & Human Services
Last updated: 2025-10-07T07:21:09.834604
Tags: accountable-care-organizations, coordinated-care, medicare, original-medicare, payment-models, value-based-care

Tables

ACO REACH Financial And Quality Results : 2021-12-03

@usgov.hhs_gov_aco_reach_financial_and_quality_results.aco_reach_financial_and_quality_results_2021_12_03
  • 110.2 kB
  • 53 rows
  • 111 columns
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CREATE TABLE aco_reach_financial_and_quality_results_2021_12_03 (
  "aco_id" VARCHAR,
  "aco_name" VARCHAR,
  "aco_type" VARCHAR,
  "first_part_year" BIGINT,
  "perf_year" BIGINT,
  "risk_arrangement" VARCHAR,
  "stop_loss_election" VARCHAR,
  "capitation_arrangement" VARCHAR,
  "enhanced_pcc_election" VARCHAR,
  "apo_election" VARCHAR,
  "alignment_plus" VARCHAR,
  "discount" DOUBLE,
  "retention_withhold" DOUBLE,
  "unadj_benchmark" DOUBLE,
  "final_benchmark" DOUBLE,
  "sav_rate" DOUBLE,
  "trended_ad_baseline" DOUBLE,
  "trended_esrd_baseline" DOUBLE,
  "regional_ad_baseline" DOUBLE,
  "regional_esrd_baseline" DOUBLE,
  "hist_ad_baseline_adj" DOUBLE,
  "hist_esrd_baseline_adj" DOUBLE,
  "tot_cost_care_net" DOUBLE,
  "tot_cost_care" DOUBLE,
  "gross_savings" DOUBLE,
  "shared_savings" DOUBLE,
  "shared_savings_seq" DOUBLE,
  "cap_pmt_amt" DOUBLE,
  "epcc_pmt_amt" DOUBLE,
  "clm_pmt_amt" DOUBLE,
  "expnd_dme" DOUBLE,
  "expnd_hha" DOUBLE,
  "expnd_hsp" DOUBLE,
  "expnd_inp_all" DOUBLE,
  "expnd_opd" DOUBLE,
  "expnd_pb" DOUBLE,
  "expnd_snf" DOUBLE,
  "hist_by1_ad_pbpm" DOUBLE,
  "hist_by1_esrd_pbpm" DOUBLE,
  "hist_by2_ad_pbpm" DOUBLE,
  "hist_by2_esrd_pbpm" DOUBLE,
  "hist_by3_ad_pbpm" DOUBLE,
  "hist_by3_esrd_pbpm" DOUBLE,
  "hist_by1_ad_riskscore" DOUBLE,
  "hist_by1_esrd_riskscore" DOUBLE,
  "hist_by2_ad_riskscore" DOUBLE,
  "hist_by2_esrd_riskscore" DOUBLE,
  "hist_by3_ad_riskscore" DOUBLE,
  "hist_by3_esrd_riskscore" DOUBLE,
  "py_ad_blend_mnths" BIGINT,
  "py_esrd_blend_mnths" DOUBLE,
  "py_ad_ratebook_mnths" BIGINT,
  "py_esrd_ratebook_mnths" DOUBLE,
  "py_ad_blend_riskscore" DOUBLE,
  "py_esrd_blend_riskscore" DOUBLE,
  "py_ad_ratebook_riskscore" DOUBLE,
  "py_esrd_ratebook_riskscore" DOUBLE,
  "aligned_beneficiaries" BIGINT,
  "n_ben_age_0_64" BIGINT,
  "n_ben_age_65_74" BIGINT,
  "n_ben_age_75_84" BIGINT,
  "n_ben_age_85plus" BIGINT,
  "n_ben_male" BIGINT,
  "n_ben_female" BIGINT,
  "n_ben_sex_unknown" BIGINT,
  "n_ben_race_white" BIGINT,
  "n_ben_race_black" DOUBLE,
  "n_ben_race_asian" DOUBLE,
  "n_ben_race_hisp" DOUBLE,
  "n_ben_race_native" DOUBLE,
  "n_ben_race_pi" BIGINT,
  "n_ben_race_other" DOUBLE,
  "perc_dual" DOUBLE,
  "perc_lti" DOUBLE,
  "expnd_inp_s_trm" DOUBLE,
  "expnd_inp_l_trm" DOUBLE,
  "expnd_inp_rehab" DOUBLE,
  "expnd_inp_psych" DOUBLE,
  "expnd_ambupay" DOUBLE,
  "adm_s_trm_n" DOUBLE,
  "adm_l_trm_n" DOUBLE,
  "adm_rehab_n" DOUBLE,
  "adm_psych_n" DOUBLE,
  "adm_n" BIGINT,
  "p_edv_vis" DOUBLE,
  "p_edv_vis_hosp" DOUBLE,
  "p_ct_vis" DOUBLE,
  "p_mri_vis" DOUBLE,
  "p_em_pcp_vis" DOUBLE,
  "p_em_sp_vis" DOUBLE,
  "p_em_total" DOUBLE,
  "p_nurse_vis" DOUBLE,
  "p_fqhc_rhc_vis" DOUBLE,
  "p_snf_adm" DOUBLE,
  "snf_los" DOUBLE,
  "snf_payperstay" DOUBLE,
  "n_eta" BIGINT,
  "n_cah" DOUBLE,
  "n_fqhc" DOUBLE,
  "n_rhc" DOUBLE
);

ACO REACH Financial And Quality Results : 2022-12-01

@usgov.hhs_gov_aco_reach_financial_and_quality_results.aco_reach_financial_and_quality_results_2022_12_01
  • 158.03 kB
  • 99 rows
  • 122 columns
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CREATE TABLE aco_reach_financial_and_quality_results_2022_12_01 (
  "aco_id" VARCHAR,
  "aco_name" VARCHAR,
  "aco_type" VARCHAR,
  "first_part_year" BIGINT,
  "perf_year" BIGINT,
  "risk_arrangement" VARCHAR,
  "stop_loss_election" VARCHAR,
  "capitation_arrangement" VARCHAR,
  "enhanced_pcc_election" VARCHAR,
  "apo_election" VARCHAR,
  "alignment_plus" VARCHAR,
  "discount" DOUBLE,
  "retention_withhold" DOUBLE,
  "unadj_benchmark" DOUBLE,
  "final_benchmark" DOUBLE,
  "sav_rate" DOUBLE,
  "trended_ad_baseline" DOUBLE,
  "trended_esrd_baseline" DOUBLE,
  "regional_ad_baseline" DOUBLE,
  "regional_esrd_baseline" DOUBLE,
  "hist_ad_baseline_adj" DOUBLE,
  "hist_esrd_baseline_adj" DOUBLE,
  "tot_cost_care_net" DOUBLE,
  "tot_cost_care" DOUBLE,
  "gross_savings" DOUBLE,
  "shared_savings" DOUBLE,
  "shared_savings_seq" DOUBLE,
  "cap_pmt_amt" DOUBLE,
  "epcc_pmt_amt" DOUBLE,
  "clm_pmt_amt" DOUBLE,
  "expnd_dme" DOUBLE,
  "expnd_hha" DOUBLE,
  "expnd_hsp" DOUBLE,
  "expnd_inp_all" DOUBLE,
  "expnd_opd" DOUBLE,
  "expnd_pb" DOUBLE,
  "expnd_snf" DOUBLE,
  "hist_by1_ad_pbpm" DOUBLE,
  "hist_by1_esrd_pbpm" DOUBLE,
  "hist_by2_ad_pbpm" DOUBLE,
  "hist_by2_esrd_pbpm" DOUBLE,
  "hist_by3_ad_pbpm" DOUBLE,
  "hist_by3_esrd_pbpm" DOUBLE,
  "hist_by1_ad_riskscore" DOUBLE,
  "hist_by1_esrd_riskscore" DOUBLE,
  "hist_by2_ad_riskscore" DOUBLE,
  "hist_by2_esrd_riskscore" DOUBLE,
  "hist_by3_ad_riskscore" DOUBLE,
  "hist_by3_esrd_riskscore" DOUBLE,
  "hist_by4_ad_riskscore" DOUBLE,
  "hist_by4_esrd_riskscore" DOUBLE,
  "py_ad_blend_mnths" BIGINT,
  "py_esrd_blend_mnths" DOUBLE,
  "py_ad_ratebook_mnths" BIGINT,
  "py_esrd_ratebook_mnths" DOUBLE,
  "py_ad_blend_riskscore" DOUBLE,
  "py_esrd_blend_riskscore" DOUBLE,
  "py_ad_ratebook_riskscore" DOUBLE,
  "py_esrd_ratebook_riskscore" DOUBLE,
  "n_eta" BIGINT,
  "n_cah" DOUBLE,
  "n_fqhc" DOUBLE,
  "n_rhc" DOUBLE,
  "n_hosp" DOUBLE,
  "n_fac_other" DOUBLE,
  "n_pcp" DOUBLE,
  "n_spec" DOUBLE,
  "n_np" DOUBLE,
  "n_pa" DOUBLE,
  "n_cns" DOUBLE,
  "qual_scr" DOUBLE,
  "acr_scr" DOUBLE,
  "uamcc_scr" DOUBLE,
  "dah_scr" DOUBLE,
  "tfu_scr" DOUBLE,
  "ssm_taci_scr" DOUBLE,
  "ssm_com_scr" DOUBLE,
  "ssm_cc_scr" DOUBLE,
  "ssm_sdm_scr" DOUBLE,
  "ssm_pr_scr" DOUBLE,
  "ssm_chos_scr" DOUBLE,
  "ssm_hpe_scr" DOUBLE,
  "ssm_spr_scr" DOUBLE,
  "bene_cnt" BIGINT,
  "n_ben_age_0_64" BIGINT,
  "n_ben_age_65_74" BIGINT,
  "n_ben_age_75_84" BIGINT,
  "n_ben_age_85plus" BIGINT,
  "n_ben_male" BIGINT,
  "n_ben_female" BIGINT,
  "n_ben_sex_unknown" BIGINT,
  "n_ben_race_white" BIGINT,
  "n_ben_race_black" DOUBLE,
  "n_ben_race_asian" DOUBLE,
  "n_ben_race_hisp" DOUBLE,
  "n_ben_race_native" DOUBLE,
  "n_ben_race_pi" BIGINT,
  "n_ben_race_other" DOUBLE,
  "perc_dual" DOUBLE,
  "perc_lti" DOUBLE
);

ACO REACH Financial And Quality Results : 2023-12-01

@usgov.hhs_gov_aco_reach_financial_and_quality_results.aco_reach_financial_and_quality_results_2023_12_01
  • 193.85 kB
  • 132 rows
  • 131 columns
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CREATE TABLE aco_reach_financial_and_quality_results_2023_12_01 (
  "aco_id" VARCHAR,
  "aco_name" VARCHAR,
  "aco_type" VARCHAR,
  "first_part_year" BIGINT,
  "perf_year" BIGINT,
  "risk_arrangement" VARCHAR,
  "stop_loss_election" VARCHAR,
  "capitation_arrangement" VARCHAR,
  "enhanced_pcc_election" VARCHAR,
  "apo_election" VARCHAR,
  "alignment_plus" VARCHAR,
  "discount" DOUBLE,
  "retention_withhold" DOUBLE,
  "unadj_benchmark" DOUBLE,
  "final_benchmark" DOUBLE,
  "norm_risk_score" DOUBLE,
  "cif_cap_risk" DOUBLE,
  "heba_up_amt" DOUBLE,
  "heba_down_amt" DOUBLE,
  "heba_up_mnths" BIGINT,
  "heba_down_mnths" BIGINT,
  "sav_rate" DOUBLE,
  "trended_ad_baseline" DOUBLE,
  "trended_esrd_baseline" DOUBLE,
  "regional_ad_baseline" DOUBLE,
  "regional_esrd_baseline" DOUBLE,
  "hist_ad_baseline_adj" DOUBLE,
  "hist_esrd_baseline_adj" DOUBLE,
  "tot_cost_care_net" DOUBLE,
  "tot_cost_care" DOUBLE,
  "gross_savings" DOUBLE,
  "shared_savings" DOUBLE,
  "shared_savings_seq" DOUBLE,
  "cap_pmt_amt" DOUBLE,
  "epcc_pmt_amt" DOUBLE,
  "clm_pmt_amt" DOUBLE,
  "expnd_dme" DOUBLE,
  "expnd_hha" DOUBLE,
  "expnd_hsp" DOUBLE,
  "expnd_inp_all" DOUBLE,
  "expnd_opd" DOUBLE,
  "expnd_pb" DOUBLE,
  "expnd_snf" DOUBLE,
  "hist_by1_ad_pbpm" DOUBLE,
  "hist_by1_esrd_pbpm" DOUBLE,
  "hist_by2_ad_pbpm" DOUBLE,
  "hist_by2_esrd_pbpm" DOUBLE,
  "hist_by3_ad_pbpm" DOUBLE,
  "hist_by3_esrd_pbpm" DOUBLE,
  "hist_by1_ad_riskscore" DOUBLE,
  "hist_by1_esrd_riskscore" DOUBLE,
  "hist_by2_ad_riskscore" DOUBLE,
  "hist_by2_esrd_riskscore" DOUBLE,
  "hist_by3_ad_riskscore" DOUBLE,
  "hist_by3_esrd_riskscore" DOUBLE,
  "hist_by4_ad_riskscore" DOUBLE,
  "hist_by4_esrd_riskscore" DOUBLE,
  "py_ad_blend_mnths" DOUBLE,
  "py_esrd_blend_mnths" DOUBLE,
  "py_ad_ratebook_mnths" BIGINT,
  "py_esrd_ratebook_mnths" DOUBLE,
  "py_ad_blend_riskscore" DOUBLE,
  "py_esrd_blend_riskscore" DOUBLE,
  "py_ad_ratebook_riskscore" DOUBLE,
  "py_esrd_ratebook_riskscore" DOUBLE,
  "n_eta" BIGINT,
  "n_cah" DOUBLE,
  "n_fqhc" DOUBLE,
  "n_rhc" DOUBLE,
  "n_hosp" DOUBLE,
  "n_fac_other" DOUBLE,
  "n_pcp" DOUBLE,
  "n_spec" DOUBLE,
  "n_np" DOUBLE,
  "n_pa" DOUBLE,
  "n_cns" DOUBLE,
  "qual_scr" DOUBLE,
  "acr_scr" DOUBLE,
  "uamcc_scr" DOUBLE,
  "dah_scr" DOUBLE,
  "tfu_scr" DOUBLE,
  "ssm_taci_scr" VARCHAR,
  "ssm_com_scr" VARCHAR,
  "ssm_cc_scr" VARCHAR,
  "ssm_sdm_scr" VARCHAR,
  "ssm_pr_scr" VARCHAR,
  "ssm_chos_scr" VARCHAR,
  "ssm_hpe_scr" VARCHAR,
  "ssm_spr_scr" VARCHAR,
  "cisep_flag" VARCHAR,
  "hpp_flag" VARCHAR,
  "hdr_adjust" DOUBLE,
  "bene_cnt" BIGINT,
  "n_ben_age_0_64" BIGINT,
  "n_ben_age_65_74" BIGINT,
  "n_ben_age_75_84" BIGINT,
  "n_ben_age_85plus" BIGINT,
  "n_ben_male" BIGINT,
  "n_ben_female" BIGINT,
  "n_ben_sex_unknown" BIGINT
);

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