ACO Realizing Equity, Access and Community Health Aligned Beneficiaries

The Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) Model Aligned Beneficiary Public Use File (PUF) data details…

Part of the CMS Data Feeds Dataset › Medicare

Dataplex delivers this CMS feed as the analysis-ready table DWV.ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_ALIGNED_BENEFICIARIES on Snowflake and Databricks — coverage from 2021 to 2021 in a single aligned schema, refreshed automatically whenever CMS publishes a new file. Every row carries lineage back to the exact CMS source file that produced it.

Key facts

Snowflake	DWV.ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_ALIGNED_BENEFICIARIES
Databricks	cms_dwv.aco_realizing_equity_access_and_community_health_aligned_beneficiaries
Coverage	Jan 2021 – Dec 2021
Cadence	Annual
CMS published	2023-05-25
Loaded	2023-08-29
Columns	10 data + 6 lineage
Identifiers	State & county FIPS codes · ACO ID
File versions	1
License	CMS public data — U.S. Government work
Platforms	Snowflake Marketplace · Databricks Delta Sharing

Included in the CMS Data Feeds Dataset — start a free trial on Snowflake Marketplace.

Last CMS publication 2023-05-25 — awaiting the next release. New files load automatically when CMS publishes.

Sample queries

Snowflake

SELECT *
FROM DWV.ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_ALIGNED_BENEFICIARIES
LIMIT 100;

Databricks

About this feed

The Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) Model Aligned Beneficiary Public Use File (PUF) data details Medicare Beneficiaries aligned to the ACO REACH Model, formerly Global and Professional Direct Contracting (GPDC) Model, including counties, eligibility months and total aligned beneficiaries. This data is redacted and does not include identifiable information.

— Source: CMS feed metadata

Keywords: Medicare, Original Medicare, Value-Based Care, Coordinated Care, Payment Models, Accountable Care Organizations Theme: Medicare

Coverage timeline

2021 🟩

1 of 1 years covered — no gaps.

Release history

Reporting period	CMS published	Loaded	Latest file
2021-01-01 – 2021-12-31	2023-05-25	2023-08-29	✓

Data dictionary

📋 10 data columns + 6 lineage columns

Column-level definitions are maintained by CMS in the official ACO Realizing Equity, Access and Community Health Aligned Beneficiaries data dictionary.

Data columns

Column	Type
ACO_ID	TEXT
YEAR	NUMBER
STATE_ID	NUMBER
COUNTY_ID	NUMBER
STATE_NAME	TEXT
COUNTY_NAME	TEXT
ELIG_MONTHS_AD	NUMBER
ELIG_MONTHS_ESRD	NUMBER
ELIG_MONTHS_TOTAL	NUMBER
ALGNED_BENEFICIARIES	NUMBER

Lineage columns (present on every feed table)

Column	Type	Description
ROW_ID	TEXT	Unique row ID for this table (PK)
FILE_ID	TEXT	Source file — joins to FEEDS_FILES.ID (FK)
FILE_FEED_ID	TEXT	Parent feed — joins to FEEDS.ID (FK)
FILE_NAME	TEXT	Source file name as published by CMS
ROWNUM	NUMBER	Row number within the source file
CREATED_AT	TIMESTAMP_NTZ	Timestamp when the record was loaded

Row-level lineage

Every row in this table traces to the exact CMS source file that produced it. The FILE_ID column joins to the FEEDS_FILES catalog table, and FILE_FEED_ID joins to the FEEDS master table:

Trace any row back to its source file and reporting period:

SELECT d.ACO_ID, d.YEAR, d.STATE_ID,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_ALIGNED_BENEFICIARIES d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID;

Source & provenance

Published by the Centers for Medicare & Medicaid Services (bureau 009:38).

• Official CMS data dictionary

• ACO Reach Model Methodology

Frequently asked questions

How often is ACO Realizing Equity, Access and Community Health Aligned Beneficiaries updated?

Annually. CMS last published this feed on 2023-05-25, and Dataplex loaded it to the warehouse on 2023-08-29. New releases are added automatically when CMS publishes them.

What years does ACO Realizing Equity, Access and Community Health Aligned Beneficiaries cover?

2021 through 2021.

How many records are in ACO Realizing Equity, Access and Community Health Aligned Beneficiaries?

Count the current snapshot yourself once the share is mounted:

SELECT COUNT(*)
FROM DWV.ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_ALIGNED_BENEFICIARIES d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID
WHERE ff.IS_LATEST = 1;

How do I get ACO Realizing Equity, Access and Community Health Aligned Beneficiaries data?

It's included in the CMS Data Feeds Dataset on the Snowflake Marketplace (free trial available) and via Databricks Delta Sharing. Once mounted, query DWV.ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_ALIGNED_BENEFICIARIES directly — no pipeline setup required.

Related feeds

Advance Investment Payment Spend PlanRealizing Equity, Access, and Community Health ACOsPioneer ACO ModelACO REACH Financial and Quality ResultsACO REACH Eligible Beneficiaries

Get this feed

1. Start a free trial on Snowflake Marketplace or purchase via Databricks

2. Mount the share — the database and DWV schema appear in your account immediately

3. Run the sample query above — no ETL, no pipeline maintenance

Questions about this feed? Contact us at [e-mail].

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