Prepaid Shared Savings Spend Plan

The Prepaid Shared Savings (PSS) Spend Plan data provides payment use, spending category, projected and actual spending of prepaid shared savings by…

Part of the CMS Data Feeds Dataset › Medicare

Dataplex delivers this CMS feed as the analysis-ready table DWV.PREPAID_SHARED_SAVINGS_SPEND_PLAN on Snowflake and Databricks: coverage from 2026 to 2026 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.PREPAID_SHARED_SAVINGS_SPEND_PLAN
Databricks	cms_dwv.prepaid_shared_savings_spend_plan
Coverage	Jan 2026 – Dec 2026
Cadence	Annual
CMS published	2026-05-01
Loaded	2026-05-01
Columns	9 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.

Current: CMS last published this feed on 2026-05-01. Coverage runs through 2026-12-31. Next CMS release expected ~May 2027.

Sample queries

Snowflake

SELECT *
FROM DWV.PREPAID_SHARED_SAVINGS_SPEND_PLAN
LIMIT 100;

Databricks

SELECT *
FROM cms_dwv.prepaid_shared_savings_spend_plan
LIMIT 100;

About this feed

The Prepaid Shared Savings (PSS) Spend Plan data provides payment use, spending category, projected and actual spending of prepaid shared savings by Accountable Care Organizations (ACOs).

Source: CMS feed metadata

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

Coverage timeline

2026 🟩

1 of 1 years covered, no gaps.

Release history

Reporting period	CMS published	Loaded	Latest file
2026-01-01 – 2026-12-31	2026-05-01	2026-05-01	✓

Data dictionary

📋 9 data columns + 6 lineage columns

Column-level definitions are maintained by CMS in the official Prepaid Shared Savings Spend Plan data dictionary.

Data columns

Column	Type
ACO_ID	TEXT
ACO_NAME	TEXT
PAYMENT_USE	TEXT
GENERAL_SPEND_CATEGORY	TEXT
GENERAL_SPEND_SUBCATEGORY	TEXT
BENEFICIARY_GROUP	TEXT
COST_SHARING_SUPPORT	TEXT
PROJECTED_SPENDING_2026	TEXT
ACTUAL_SPENDING_2026	TEXT

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:

Snowflake

SELECT d.ACO_ID, d.ACO_NAME, d.PAYMENT_USE,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.PREPAID_SHARED_SAVINGS_SPEND_PLAN d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID;

Databricks

SELECT d.aco_id, d.aco_name, d.payment_use,
       ff.temporal_start, ff.temporal_end, ff.cms_feed_modified
FROM cms_dwv.prepaid_shared_savings_spend_plan d
JOIN cms_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

• Prepaid Shared Savings Spend Plan Methodology

Frequently asked questions

How often is Prepaid Shared Savings Spend Plan updated?

Annually. CMS last published this feed on 2026-05-01, and Dataplex loaded it to the warehouse the same day. New releases are added automatically when CMS publishes them.

What years does Prepaid Shared Savings Spend Plan cover?

2026 through 2026.

How many records are in Prepaid Shared Savings Spend Plan?

Count the current snapshot yourself once the share is mounted:

Snowflake

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

Databricks

SELECT COUNT(*)
FROM cms_dwv.prepaid_shared_savings_spend_plan d
JOIN cms_dwv.feeds_files ff ON d.file_id = ff.id
WHERE ff.is_latest = 1;

How do I get Prepaid Shared Savings Spend Plan 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.PREPAID_SHARED_SAVINGS_SPEND_PLAN directly; no pipeline setup required.

Related feeds

County-level Aggregate Expenditure and Risk Score Data on Assignable BeneficiariesNext Generation Accountable Care Organization Model DataPerformance Year Financial and Quality ResultsAdvance Investment Payment Spend PlanRealizing Equity, Access, and Community Health ACOs

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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