Realizing Equity, Access, and Community Health ACOs

The Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model dataset provides overview information on REACH ACOs…

Part of the CMS Data Feeds Dataset › Medicare

Dataplex delivers this CMS feed as the analysis-ready table DWV.REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_ACOS on Snowflake and Databricks — four annual reporting periods (2021–2024) aligned to a single 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.REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_ACOS
Databricks	cms_dwv.realizing_equity_access_and_community_health_acos
Coverage	Jan 2021 – Dec 2024 (4 of 4 annual reporting periods)
Rows	401 (total across all reporting periods)
Cadence	Annual
Update pattern	Time-partitioned — each file adds one reporting year
CMS published	2024-03-06
Loaded	2024-03-06
Columns	70 data + 6 lineage
Identifiers	ZIP codes · ACO ID
File versions	4
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 2024-03-06 — awaiting the next release. New files load automatically when CMS publishes.

Time-partitioned feed — each file version covers one reporting year, so history is additive. Query the full table for all years; filter on the reporting period columns for a single period. Do not filter to the latest file only — that would return just the 2024 reporting year.

Sample queries

Snowflake

-- Each file version covers one reporting period (2021, 2022, 2023, 2024) — history is additive
SELECT *
FROM DWV.REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_ACOS
LIMIT 100;

Databricks

About this feed

The Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model dataset provides overview information on REACH ACOs including their name, number of years in the program, and contact information of key personnel.

DISCLAIMER: This information is current as of the last update. Changes to ACO information occur periodically. Each ACO has the most up-to-date information about their organization. Consider contacting the ACO for the latest information.

— Source: CMS feed metadata

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

Coverage timeline

2021 🟩 · 2022 🟩 · 2023 🟩 · 2024 🟩

4 of 4 annual reporting periods present — no gaps.

Release history

Reporting period	CMS published	Loaded	Latest file
2024-01-01 – 2024-12-31	2024-03-06	2024-03-06	✓
2022-01-01 – 2022-12-31	2024-03-06	2024-03-06
2023-01-01 – 2023-12-31	2023-05-25	2023-08-29
2021-01-01 – 2021-12-31	2023-05-25	2023-08-29

Data dictionary

📋 70 data columns + 6 lineage columns

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

Data columns

Column	Type
__ENTITY_ID	TEXT
PERFORMANCE_YEAR	TEXT
AGREEMENT_START_DATE_COHORT_	TEXT
ENTITY_LEGAL_BUSINESS_NAME	TEXT
ENTITY_TYPE	TEXT
AGREEMENT_OPTION	TEXT
SERVICE_AREAS	TEXT
STREET_ADDRESS	TEXT
APT_SUITE	TEXT
CITY	TEXT
STATE_TERRITORY	TEXT
ZIP_CODE	TEXT
ZIP_CODE_4	TEXT
WEBSITE	TEXT
PHONE	TEXT
ALIGNMENT_FREQUENCY	TEXT
PAYMENT_MECHANISM	TEXT
STOP_LOSS_SELECTED	BOOLEAN
ENHANCED_PCC_	TEXT
CARDIAC_AND_PULMONARY_REHABILITATION	BOOLEAN
CARE_MANAGEMENT_HOME_VISIT	BOOLEAN
CHRONIC_DISEASE_MANAGEMENT_REWARD_BEI_	BOOLEAN
CONCURRENT_CARE_FOR_HOSPICE_BENEFICIARIES	BOOLEAN
COST_SHARING_FOR_PART_B_SERVICES_BEI_	BOOLEAN
DIABETIC_SHOES	BOOLEAN
HOME_HEALTH_HOMEBOUND_WAIVER	BOOLEAN
HOME_INFUSION_THERAPY	BOOLEAN
HOSPICE_CARE_CERTIFICATION	BOOLEAN
MEDICAL_NUTRITION_THERAPY	BOOLEAN
POST_DISCHARGE_HOME_VISIT	BOOLEAN
SKILLED_NURSING_FACILITY_SNF_3_DAY_STAY_WAIVER	BOOLEAN
TELEHEALTH	BOOLEAN
PROVISIONAL_RECONCILIATION	BOOLEAN
ACO_COMPLIANCE_CONTACT_NAME	TEXT
ACO_MEDICAL_DIRECTOR_NAME	TEXT
ACO_EXECUTIVE_NAME_1	TEXT
ACO_EXECUTIVE_PHONE_1	TEXT
ACO_EXECUTIVE_EMAIL_1	TEXT
ACO_EXECUTIVE_NAME_2	TEXT
ACO_EXECUTIVE_PHONE_2	TEXT
ACO_EXECUTIVE_EMAIL_2	TEXT
ACO_EXECUTIVE_NAME_3	TEXT
ACO_EXECUTIVE_PHONE_3	TEXT
ACO_EXECUTIVE_EMAIL_3	TEXT
__ACO_ID	TEXT
ACO_NAME	TEXT
ACO_TYPE	TEXT
MODEL_START_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
TELEHEALTH_WAIVER	BOOLEAN
PDHV_WAIVER	BOOLEAN
SNF_WAIVER	BOOLEAN
CMHV_WAIVER	BOOLEAN
HOMEBOUNDHH_WAIVER	BOOLEAN
HOSPICECC_WAIVER	BOOLEAN
ACO_ADDRESS	TEXT
ACO_PUBLIC_REPORTING_WEBSITE	TEXT
ACO_EXEC_NAME	TEXT
ACO_EXEC_EMAIL	TEXT
ACO_EXEC_PHONE	TEXT
ACO_PUBLIC_CONTACT_NAME	TEXT
ACO_PUBLIC_CONTACT_EMAIL	NUMBER
ACO_PUBLIC_CONTACT_PHONE	TEXT
NURSE_PRACTITIONER_SERVICES	BOOLEAN

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.__ENTITY_ID, d.PERFORMANCE_YEAR, d.AGREEMENT_START_DATE_COHORT_,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_ACOS 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 Realizing Equity, Access, and Community Health ACOs updated?

Annually. CMS last published this feed on 2024-03-06, and Dataplex loaded it to the warehouse the same day. New releases are added automatically when CMS publishes them.

What years does Realizing Equity, Access, and Community Health ACOs cover?

2021 through 2024 — four annual reporting periods with no gaps. Each reporting year arrives as its own file version, and all years remain queryable side by side.

How many records are in Realizing Equity, Access, and Community Health ACOs?

401 rows across all four reporting periods. Because this feed is time-partitioned, the full table total is the meaningful count — no deduplication needed.

How do I get Realizing Equity, Access, and Community Health ACOs 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.REALIZING_EQUITY_ACCESS_AND_COMMUNITY_HEALTH_ACOS directly — no pipeline setup required.

Related feeds

ACO REACH ProvidersACO REACH Eligible BeneficiariesACO Realizing Equity, Access and Community Health Financial and Quality ResultsAccountable Care OrganizationsACO REACH Financial and Quality Results

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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