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CMS MSSP ACO

CMS Medicare Shared Savings Program ACO Participants

Centers for Medicare & Medicaid Services (CMS) · Tier-2 · profile-enrichment (renders on matched profiles)

Research-only

The CMS Medicare Shared Savings Program (MSSP) publishes the Accountable Care Organization Participants file, identifying the legal business names participating in each ACO by performance year. As of the 2026-06-14 snapshot, Fonteum holds 15,329 participant records.

What Fonteum uses it for

How this source shows up on Fonteum.

Surfaces ACO id, participant legal business name, and performance year on the dataset page and via the read API. The public CMS file carries no participant TIN or NPI (those are restricted to ResDAC), so entity-graph linkage is name-keyed and deferred — ambiguous matches are held.

What this source does NOT mean

MSSP participation is a value-based-care program enrollment record — it does not indicate provider quality, shared-savings performance, outcomes, or endorsement. The public file lists who participates, not how an ACO performed.

What this dataset answers

Research and data questions this source supports.

  • List the legal business names participating in each Medicare Shared Savings Program ACO by performance year.
  • Track ACO participant composition over time across performance years.
  • Build a research dataset of MSSP participation with row-level provenance and snapshot dates.
  • Combine MSSP participation with PECOS enrollment and QPP MIPS signals for value-based-care analysis.

Dataset size: 15,329 ACO participant records (2026-06-14 snapshot)

Fields used

Per-field display contract.

Fields listed below show their configured `display_allowed` flag from the §94 provenance schema. Fields marked write-locked are captured for audit and are not rendered on profile pages.

Research-only — never on profiles

3 fields
aco_idACO id
participant_lbnParticipant legal business name
performance_yearPerformance year
Limitations

What we can’t infer from this source.

  • The public CMS file carries no participant TIN or NPI (restricted to ResDAC); entity-graph linkage is name-keyed and deferred.
  • Participation is recorded per performance year — a participant may appear across multiple years.
  • MSSP participation is a program-enrollment fact, not a measure of shared-savings performance or quality.
Source metadata

Authority, license, publisher cadence.

Authority

Centers for Medicare & Medicaid Services (CMS)

Tier

Tier-2 · profile-enrichment (renders on matched profiles)

Publisher / configured cadence

Declared or configured cadence: Annual — CMS publishes one Accountable Care Organization Participants file per performance year. Not evidence of the latest loaded source date.

License

U.S. government public-domain data. Free to use with attribution. License ↗

Attribution requirement

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Shared Savings Program · Performance year {YYYY}

ToS & usage notes

What the source allows.

U.S. government public-domain works. CMS publishes the ACO Participants file at data.cms.gov; attribution to CMS / the Medicare Shared Savings Program is the only requirement.

How to access

Official API, bulk download, and Fonteum endpoints.

Frequently asked

Common questions about CMS MSSP ACO.

What is the Medicare Shared Savings Program?
The Medicare Shared Savings Program (MSSP) is CMS's largest accountable care program. Accountable Care Organizations (ACOs) — groups of providers that coordinate care for Medicare beneficiaries — can share in savings they generate against a spending benchmark. CMS publishes the list of participating organizations each performance year.
What does the ACO Participants file contain?
The public CMS Accountable Care Organization Participants file lists each ACO's id and the legal business names of its participants, by performance year. As of the 2026-06-14 snapshot, Fonteum holds 15,329 participant records.
Does the public file include participant NPIs or TINs?
No. The public CMS file carries no participant TIN or NPI — those identifiers are restricted to ResDAC under a data-use agreement. Fonteum's entity-graph linkage is therefore name-keyed and deferred; ambiguous matches are held rather than asserted.
Does MSSP participation indicate ACO performance?
No. The Participants file records who participates in an ACO, not how the ACO performed. Shared-savings results are published separately. MSSP participation is a program-enrollment fact, not a measurement of quality or savings performance.
How fresh is the data?
CMS publishes one ACO Participants file per performance year. Loaded dates must be read from the specific response; publisher cadence is not proof of a completed load, and record-level provenance values can be null.
Related

Related sources in the graph

See also
  • /sources → The generated source-catalog subset — documented datasets Fonteum cites.
  • /data-provenance → The provider graph — pipeline diagram, source-family clusters, field-level provenance examples, display rules.
  • /methodology → Documented sourcing, publisher cadence, observed freshness, and corrections policy.
  • /editorial-policy → Independence, sourcing, conflicts, corrections, retractions.

What’s on file, by the numbers

Platform snapshot · 2026-08-14

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
72fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

Source authority is record-specific

Use the issuer named on the record.

Fonteum spans federal, state, and global public publishers. A source page or returned record identifies its issuer and dataset where that metadata is available. A platform registry count does not assign every page to one authority or establish loaded, fresh, or complete coverage.

Browse source records and their stated limitations →

Reproducible by design

Inspect the evidence each published figure actually supplies.

Source and date

Research pages expose the named public file and observation date where those fields are available. Source-file SHA-256 coverage is separate; facts do not currently link deterministically to signatures.

Available derivation

Studies with a retained release and committed derivation link the SQL or method used. Other studies state the evidence and reproduction limits they actually have.

Daily observations

Dated table row-count observations can detect local drift. They do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

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