The Centers for Medicare and Medicaid Services (CMS) has created a set of files that contain Pioneer Accountable Care Organizations information. There are three separate files in the set:
- Provider-includes one record for each facility or professional participating provider
- Beneficiary-each record represents an individual beneficiary who was associated with a Pioneer ACO
- Settlement-one record for each Pioneer ACO provides information on the post-performance year financial settlement
What does this file include? (variable highlights)
- Provider file
- Pioneer ACO ID
- Tax identification number
- Provider specialty code
- Beneficiary file
- Bene ID
- Pioneer ACO ID
- Aggregated expenditures and claim counts
- Settlement file
- Pioneer ACO ID
- Beneficiary counts
- Performance year expenditures and savings
Special considerations
- Each file needs to be specified separately on a data request.
- Only the Pioneer ACO Beneficiary file can be linked to other CMS data via the Bene ID.
