ACO REACH Financial And Quality Results
U.S. Department of Health & Human Services
@usgov.hhs_gov_aco_reach_financial_and_quality_results
U.S. Department of Health & Human Services
@usgov.hhs_gov_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
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
);
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
);
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
);
Anyone who has the link will be able to view this.