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The 2008 Chronic Conditions PUF is an aggregated file in which each record is a profile or cell defined by the characteristics of Medicare beneficiaries. A profile is defined by all combinations of age category, gender, various chronic conditions, and dual-eligibility status of the beneficiaries. Hence, the number of rows (or records) in the CMS 2008 Chronic Conditions PUF represents the number of unique profiles in the Medicare population. For each profile many claim-related variables are provided in the form of averages. The CMS 2008 Chronic Conditions PUF represents 100% of the Medicare beneficiaries provided in the 100% Beneficiary Summary File for reference year 2008. The 100% Beneficiary Summary File is created annually and contains demographic, entitlement and enrollment data for beneficiaries who were: documented as being alive for some part of the reference year of the Beneficiary Summary File, are entitled to Medicare benefits during the reference year, and enrolled in Medicare Part A and/or Part B for at least one month in the reference year.

[Data Formatted for Mapping] The Innovation Center develops new payment and service delivery models in accordance with the requirements of section 1115A of the Social Security Act. Additionally, Congress has defined – both through the Affordable Care Act and previous legislation – a number of specific demonstrations to be conducted by CMS.

The Medicare Shared Savings Program (Shared Savings Program) facilitates coordination among providers to improve the quality of care for Medicare fee-for-service beneficiaries while reducing the growth in health care costs. Eligible providers, hospitals, and suppliers may apply to participate in the Shared Savings Program by creating or participating in an Accountable Care Organization (ACO). Note: The pink clusters represent the number of ACOs in an area. This area may cover organizations in multiple states. Click on the cluster to view blue dots with fly outs to find actual ACO location. DISCLAIMER: This information is current as of January 2019. Changes to ACO information occurs periodically. Each ACO has the most up-to-date information about their organization. Consider using them as a resource to obtain the latest information about an ACO.

The POS file consists of two data files, one for CLIA labs and one for 18 other provider types. The file names are CLIA and OTHER. If downloading the file, note it is fairly large (125MB in CSV). The POS Extract is created from the QIES (Quality Improvement Evaluation System) database. These data include provider number, name, and address and characterize the participating institutional providers. The data are collected through the Centers for Medicare & Medicaid Services (CMS) Regional Offices. The file contains an individual record for each Medicare-approved provider and is updated quarterly.