> For the complete documentation index, see [llms.txt](https://docs.dataplex-consulting.com/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.dataplex-consulting.com/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/aco-realizing-equity-access-and-community-health-financial-and-quality-results.md). # ACO Realizing Equity, Access and Community Health Financial and Quality Results Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md) › Medicare Dataplex delivers this CMS feed as the analysis-ready table `DWV.ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_FINANCIAL_AND_QUALITY_RESULTS` 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_FINANCIAL_AND_QUALITY_RESULTS` | | **Databricks** | `cms_dwv.aco_realizing_equity_access_and_community_health_financial_and_quality_results` | | **Coverage** | Jan 2021 – Dec 2021 | | **Cadence** | Annual | | **CMS published** | 2023-07-17 | | **Loaded** | 2023-08-29 | | **Columns** | 58 data + 6 lineage | | **Identifiers** | 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](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset). {% hint style="info" %} **Last CMS publication 2023-07-17** — awaiting the next release. New files load automatically when CMS publishes. {% endhint %} ## Sample queries {% tabs %} {% tab title="Snowflake" %} ```sql SELECT * FROM DWV.ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_FINANCIAL_AND_QUALITY_RESULTS LIMIT 100; ``` {% endtab %} {% tab title="Databricks" %} ```sql SELECT * FROM cms_dwv.aco_realizing_equity_access_and_community_health_financial_and_quality_results LIMIT 100; ``` {% endtab %} {% endtabs %} ## About this feed > The Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) Model 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. > > The expanded quality performance results are expected to be released in the fall. > > — *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 | 2023-07-17 | 2023-08-29 | ✓ | ## Data dictionary
📋 58 data columns + 6 lineage columns Column-level definitions are maintained by CMS in the official [ACO Realizing Equity, Access and Community Health Financial and Quality Results data dictionary](https://data.cms.gov/resources/aco-reach-financial-and-quality-results-data-dictionary). **Data columns** | Column | Type | | ---------------------------- | ------- | | `__ACO_ID` | TEXT | | `ACO_NAME` | TEXT | | `ACO_TYPE` | TEXT | | `FIRST_PART_YEAR` | NUMBER | | `PERF_YEAR` | NUMBER | | `RISK_ARRANGEMENT` | TEXT | | `STOP_LOSS_ELECTION` | BOOLEAN | | `CAPITATION_ARRANGEMENT` | TEXT | | `ENHANCED_PCC_ELECTION` | BOOLEAN | | `APO_ELECTION` | BOOLEAN | | `ALIGNMENT_PLUS` | BOOLEAN | | `DISCOUNT` | NUMBER | | `RETENTION_WITHHOLD` | NUMBER | | `UNADJ_BENCHMARK` | NUMBER | | `FINAL_BENCHMARK` | NUMBER | | `SAV_RATE` | NUMBER | | `TRENDED_AD_BASELINE` | NUMBER | | `TRENDED_ESRD_BASELINE` | NUMBER | | `REGIONAL_AD_BASELINE` | NUMBER | | `REGIONAL_ESRD_BASELINE` | NUMBER | | `HIST_AD_BASELINE_ADJ` | NUMBER | | `HIST_ESRD_BASELINE_ADJ` | NUMBER | | `TOT_COST_CARE_NET` | NUMBER | | `TOT_COST_CARE` | NUMBER | | `GROSS_SAVINGS` | NUMBER | | `SHARED_SAVINGS` | NUMBER | | `SHARED_SAVINGS_SEQ` | NUMBER | | `CAP_PMT_AMT` | NUMBER | | `EPCC_PMT_AMT` | NUMBER | | `CLM_PMT_AMT` | NUMBER | | `EXPND_DME` | NUMBER | | `EXPND_HHA` | NUMBER | | `EXPND_HSP` | NUMBER | | `EXPND_INP_ALL` | NUMBER | | `EXPND_OPD` | NUMBER | | `EXPND_PB` | NUMBER | | `EXPND_SNF` | NUMBER | | `HIST_BY1_AD_PBPM` | NUMBER | | `HIST_BY1_ESRD_PBPM` | NUMBER | | `HIST_BY2_AD_PBPM` | NUMBER | | `HIST_BY2_ESRD_PBPM` | NUMBER | | `HIST_BY3_AD_PBPM` | NUMBER | | `HIST_BY3_ESRD_PBPM` | NUMBER | | `ALIGNED_BENEFICIARIES` | NUMBER | | `HIST_BY1_AD_RISKSCORE` | NUMBER | | `HIST_BY1_ESRD_RISKSCORE` | NUMBER | | `HIST_BY2_AD_RISKSCORE` | NUMBER | | `HIST_BY2_ESRD_RISKSCORE` | NUMBER | | `HIST_BY3_AD_RISKSCORE` | NUMBER | | `HIST_BY3_ESRD_RISKSCORE` | NUMBER | | `PY_AD_BLEND_MNTHS` | NUMBER | | `PY_ESRD_BLEND_MNTHS` | NUMBER | | `PY_AD_RATEBOOK_MNTHS` | NUMBER | | `PY_ESRD_RATEBOOK_MNTHS` | NUMBER | | `PY_AD_BLEND_RISKSCORE` | NUMBER | | `PY_ESRD_BLEND_RISKSCORE` | NUMBER | | `PY_AD_RATEBOOK_RISKSCORE` | NUMBER | | `PY_ESRD_RATEBOOK_RISKSCORE` | 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: ```mermaid erDiagram FEEDS ||--o{ FEEDS_FILES : "ID = FEED_ID" FEEDS ||--o{ ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_FINANCIAL_AND_QUALITY_RESULTS : "ID = FILE_FEED_ID" FEEDS_FILES ||--o{ ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_FINANCIAL_AND_QUALITY_RESULTS : "ID = FILE_ID" FEEDS { text ID PK text TITLE text VIEW_NAME text ACCURAL_PERIODICITY } FEEDS_FILES { text ID PK text FEED_ID FK date TEMPORAL_START date TEMPORAL_END date CMS_FEED_MODIFIED number IS_LATEST } ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_FINANCIAL_AND_QUALITY_RESULTS { text ROW_ID PK text FILE_ID FK text FILE_FEED_ID FK text __ACO_ID text ACO_NAME text ACO_TYPE number FIRST_PART_YEAR number remaining_54_data_columns } ``` Trace any row back to its source file and reporting period: ```sql SELECT d.__ACO_ID, d.ACO_NAME, d.ACO_TYPE, ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED FROM DWV.ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_FINANCIAL_AND_QUALITY_RESULTS 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](https://data.cms.gov/resources/aco-reach-financial-and-quality-results-data-dictionary) * [ACO Reach Model Methodology](https://data.cms.gov/resources/aco-reach-model-methodology) ## Frequently asked questions ### How often is ACO Realizing Equity, Access and Community Health Financial and Quality Results updated? Annually. CMS last published this feed on 2023-07-17, 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 Financial and Quality Results cover? 2021 through 2021. ### How many records are in ACO Realizing Equity, Access and Community Health Financial and Quality Results? Count the current snapshot yourself once the share is mounted: ```sql SELECT COUNT(*) FROM DWV.ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_FINANCIAL_AND_QUALITY_RESULTS 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 Financial and Quality Results data? It's included in the CMS Data Feeds Dataset on the [Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) (free trial available) and via [Databricks Delta Sharing](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00). Once mounted, query `DWV.ACO_REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_FINANCIAL_AND_QUALITY_RESULTS` directly — no pipeline setup required. ## Related feeds {% content-ref url="/pages/Rl99jGwEsDAAHcqHO5Xw" %} [ACO REACH Financial and Quality Results](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/aco-reach-financial-and-quality-results.md) {% endcontent-ref %} {% content-ref url="/pages/5Q9JzvxOcNxRU1hN1sCb" %} [ACO REACH Providers](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/aco-reach-providers.md) {% endcontent-ref %} {% content-ref url="/pages/LdgpCrmhC8k7STtUOc30" %} [ACO REACH Aligned Beneficiaries](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/aco-reach-aligned-beneficiaries.md) {% endcontent-ref %} {% content-ref url="/pages/MaJ2boatgg2dRhMSkWq1" %} [Realizing Equity, Access, and Community Health ACOs](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/realizing-equity-access-and-community-health-acos.md) {% endcontent-ref %} {% content-ref url="/pages/0zSM236Zu2Dq0fRaBCcS" %} [ACO REACH Eligible Beneficiaries](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/aco-reach-eligible-beneficiaries.md) {% endcontent-ref %} ## Get this feed 1. [Start a free trial on Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) or purchase via [Databricks](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00) 2. Mount the share — the database and `DWV` schema appear in your account immediately 3. Run the [sample query](#sample-queries) above — no ETL, no pipeline maintenance Questions about this feed? Contact us at . *** Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset.md) — 280+ feeds · 245B+ records · updated daily. [Back to the full catalog →](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md#aco-realizing-equity-access-and-community-health-financial-and-quality-results) --- # Agent Instructions This documentation is published with GitBook. GitBook is the documentation platform designed so that both humans and AI agents can read, navigate, and reason over technical content effectively. Learn more at gitbook.com. ## Querying This Documentation If you need additional information that is not directly available in this page, you can query the documentation dynamically by asking a question. Perform an HTTP GET request on the current page URL with the `ask` query parameter, and the optional `goal` query parameter: ``` GET https://docs.dataplex-consulting.com/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/aco-realizing-equity-access-and-community-health-financial-and-quality-results.md?ask=&goal= ``` `ask` is the immediate question: it should be specific, self-contained, and written in natural language. `goal` is optional and describes the broader end goal you are ultimately trying to accomplish on behalf of the user. GitBook uses it to tailor the answer towards what is most useful for that goal. The response will contain a direct answer to the question and relevant excerpts and sources from the documentation. Use this mechanism when the answer is not explicitly present in the current page, you need clarification or additional context, or you want to retrieve related documentation sections.