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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
Source:CMS MSSP ACO·Checked May 2026Open official source ↗

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.

  • 01List the legal business names participating in each Medicare Shared Savings Program ACO by performance year.
  • 02Track ACO participant composition over time across performance years.
  • 03Build a research dataset of MSSP participation with row-level provenance and snapshot dates.
  • 04Combine 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.

Every field below has a `display_allowed` flag in the §94 provenance schema. Write-locked fields are captured to provenance for audit but never 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, refresh cadence.

Authority

Centers for Medicare & Medicaid Services (CMS)

Tier

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

Refresh cadence

Annual — CMS publishes one Accountable Care Organization Participants file per performance year.

License

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

Official URL

https://data.cms.gov/medicare-shared-savings-program/accountable-care-organizations

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.

Official API / download

https://data.cms.gov/medicare-shared-savings-program/accountable-care-organizations ↗

Fonteum surface

https://fonteum.com/api/v1/mssp-aco/{acoId} →

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, and Fonteum re-pulls annually. Every row carries a source · snapshot-date · methodology-version provenance line.
Related

Where this source already shows up.

Related sources in the graph

  • /sources/cms-pecos →
  • /sources/cms-qpp-mips →
  • /sources/cms-pos →
  • /sources/nppes →
See also
  • /sources → The full source library — every dataset Fonteum cites.
  • /data-provenance → The provider graph — pipeline diagram, source-family clusters, field-level provenance examples, display rules.
  • /methodology → Network-wide sourcing, refresh cadence, and corrections policy.
  • /editorial-policy → Independence, sourcing, conflicts, corrections, retractions.

The substrate, by the numbers

44federal source familiesDistinct CMS, OIG, HRSA, FDA and peer datasets
35dataset pagesCitable, downloadable /data catalog pages
61reproducible studiesEach shipping the SQL behind its figures

Built on the authoritative federal record

The primary sources, named on every page.

These are the federal agencies whose public datasets Fonteum ingests and attributes — the issuing authorities, not customers or partners. Every figure on the site links back to one of them.

  • CMS
  • HHS-OIG
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  • Census
  • BLS
  • BEA

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Reproducible by design

Every figure traces to its federal source.

14-tuple provenance

Every rendered fact ties to a source URL, dataset ID, snapshot date, row key, and SHA-256 — the full chain-of-custody record.

Reproducible SQL

Each study ships the exact query behind its figures, run against the cited federal snapshot. Re-run it yourself.

Daily reconciliation

Published counts are reconciled against the upstream federal datasets on a daily cadence, with drift logged.

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

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