[ROWS] 206
[FIELDS] 10
[MODIFIED] 2025-03-18
[PERIODICITY] Annually [R/P1Y]
[TEMPORAL] 2024-01-01 • 2025-12-31
[DICTIONARY] https://data.cms.gov/resources/advance-investment-payment-spend-plan-data-dictionary
[SITE] https://data.cms.gov/medicare-shared-savings-program/advance-investment-payment-spend-plan
[REFERENCES] https://data.cms.gov/resources/advance-investment-payment-spend-plan-methodology
[RESOURCES] https://data.cms.gov/data-api/v1/dataset-resources/a3d35ba1-3ff4-48dd-91b4-8e1f9e7a19b7
[DOWNLOAD] https://data.cms.gov/sites/default/files/2025-03/1d967a0a-cad3-4321-8f03-1288d493be49/Advance_Investment_Payment_Spend_PUF_March%202025.csv
13 ACO AIP Plan
The Advance Investment Payment Spend Plan data provides payment use, spending category, projected and actual spending of advanced investments payments by Accountable Care Organizations (ACOs).
Metadata
Resources
[CSV] 28.5K 2025 Advance Investment Payment Spend Plan
[PDF] 191.7K 2025 Advance Investment Payment Spend Plan Methodology
[PDF] 97.9K 2025 Advance Investment Payment Spend Plan Data Dictionary
Dictionary
ACO_ID
Unencrypted ACO Identifier. This identifier
can be linked to the encrypted ACO identifier
used for prior performance years (PY)
using the ACO ID Crosswalk available at
https://www.cms.gov/Medicare/Medicare-Fee-for-ServicePayment/sharedsavingsprogram/program-data.
ACO_Name
ACO Doing Business As (DBA) or Legal Business Name
(LBN) if DBA is not available.
Payment_Use
ACO description of use of advance investment
payments.
General_Spend_Category
Payment usage category: increased staffing,
health care infrastructure, or the provision of
accountable care for underserved beneficiaries.
General_Spend_Subcategory
Selected general spend subcategory under a general
spend category payment use falls under.
Total_AIP_Funding_Received_through_December_2024
AIP funding ACO received from CMS through December
2024.
Projected_Spending_2024
Amount ACO estimates will be spent on payment use
during 2024 performance year.
Actual_Spending_2024
Amount ACO actually spent on payment use during
2024 performance year.
Projected_Spending_2025
Amount ACO estimates will be spent on payment use
during 2025 performance year.
Actual_Spending_2025
Amount ACO actually spent on payment use during
2025 performance year.
Data
$funding_2024
# A tibble: 19 × 3
ACO_ID ACO_Name Total_Funding_2024
,
# Projected_Spending_2024 , Actual_Spending_2024 ,
# Projected_Spending_2025 ,
# Projected_Spending_2024 , Actual_Spending_2024
$aip_2025
# A tibble: 150 × 6
ACO_ID ACO_Name Payment_Use General_Spend_Category
,
# Projected_Spending_2025 Overview
cheapr::overview(res$aip_2024)obs: 68
cols: 7
----- Numeric -----
col n_missng p_complt n_unique mean p0 p25
1 Prjctd_Sp_2024 15 0.78 47 234522 3000 50000
2 Actl_Spnd_2024 0 1 68 267608 210 29478
p50 p75 p100 iqr sd hist
1 120000 303587 1345452 253587 289316 ▇▂▁▁▁
2 78221 227048 1735930 197570 444682 ▇▁▁▁▁
----- Categorical -----
col n_missng p_complt n_unique n_levels
1 ACO_ID 0 1 19 NA
2 ACO_Name 0 1 19 NA
3 Payment_Use 0 1 58 155
4 Gnrl_Spnd_Ctgr 0 1 3 4
5 Gnrl_Spnd_Sbct 0 1 17 30
min
1 A5328
2 Adventist HealthCare ACO, LLC
3 ACO Administrative Support
4 Health Care Infrastructure
5 Case management systems
max
1 A5465
2 Wellvana Essential Care LLC
3 Supplemental ACO Staff
4 Provision of Accountable Care for Underserved Beneficiaries
5 Remote access technologies/telehealth
cheapr::overview(res$aip_2025)obs: 150
cols: 6
----- Numeric -----
col n_missng p_complt n_unique mean p0 p25 p50
1 Prjctd_Sp_2025 0 1 95 139724 312 24250 66029
p75 p100 iqr sd hist
1 150000 1343952 125750 206179 ▇▁▁▁▁
----- Categorical -----
col n_missng p_complt n_unique n_levels
1 ACO_ID 0 1 28 NA
2 ACO_Name 0 1 28 NA
3 Payment_Use 0 1 132 155
4 Gnrl_Spnd_Ctgr 0 1 3 4
5 Gnrl_Spnd_Sbct 0 1 24 30
min
1 A5328
2 Adventist HealthCare ACO, LLC
3 ACO Actuarial Services
4 Health Care Infrastructure
5 Behavioral health care coordinators
max
1 A5713
2 VitaSavings Florida LLC
3 eCQM: QRDA I file aggregation and de-duplication
4 Provision of Accountable Care for Underserved Beneficiaries
5 Vouchers for ride-share services
cheapr::overview(res$funding_2024)obs: 19
cols: 3
----- Numeric -----
col n_missng p_complt n_unique mean p0 p25
1 Ttl_Fndng_2024 0 1 19 1353023 396545 1189667
p50 p75 p100 iqr sd hist
1 1393483 1683182 2050000 493516 467983 ▅▂▇▇▇
----- Categorical -----
col n_missng p_complt n_unique n_levels
1 ACO_ID 0 1 19 NA
2 ACO_Name 0 1 19 NA
min max
1 A5328 A5465
2 Adventist HealthCare ACO, LLC Wellvana Essential Care LLC
Distribution
describe_distribution(res$aip_2024, by = "General_Spend_Category")General_Spend_Category
-----------------------------------------------------------
Health Care Infrastructure
Health Care Infrastructure
Increased Staffing
Increased Staffing
Provision of Accountable Care for Underserved Beneficiaries
Provision of Accountable Care for Underserved Beneficiaries
Variable | Mean | SD | IQR
--------------------------------------------------------
Projected_Spending_2024 | 1.53e+05 | 2.72e+05 | 1.84e+05
Actual_Spending_2024 | 81070.64 | 1.20e+05 | 86737.00
Projected_Spending_2024 | 2.91e+05 | 2.90e+05 | 4.43e+05
Actual_Spending_2024 | 4.56e+05 | 5.70e+05 | 7.92e+05
Projected_Spending_2024 | 6.12e+05 | | 0.00
Actual_Spending_2024 | 3.80e+05 | | 0.00
Variable | Range | Skewness
---------------------------------------------------------
Projected_Spending_2024 | [3000.00, 1.35e+06] | 3.97
Actual_Spending_2024 | [210.00, 5.07e+05] | 2.62
Projected_Spending_2024 | [20000.00, 1.28e+06] | 1.64
Actual_Spending_2024 | [6300.00, 1.74e+06] | 1.25
Projected_Spending_2024 | [6.12e+05, 6.12e+05] |
Actual_Spending_2024 | [3.80e+05, 3.80e+05] |
Variable | Kurtosis | n | n_Missing
---------------------------------------------------
Projected_Spending_2024 | 17.60 | 24 | 10
Actual_Spending_2024 | 7.09 | 34 | 0
Projected_Spending_2024 | 3.62 | 28 | 5
Actual_Spending_2024 | -0.08 | 33 | 0
Projected_Spending_2024 | | 1 | 0
Actual_Spending_2024 | | 1 | 0
describe_distribution(res$aip_2025, by = "General_Spend_Category")General_Spend_Category
-----------------------------------------------------------
Health Care Infrastructure
Increased Staffing
Provision of Accountable Care for Underserved Beneficiaries
Variable | Mean | SD | IQR
--------------------------------------------------------
Projected_Spending_2025 | 96625.73 | 1.83e+05 | 1.03e+05
Projected_Spending_2025 | 1.87e+05 | 2.26e+05 | 1.47e+05
Projected_Spending_2025 | 73351.87 | 99035.29 | 70065.60
Variable | Range | Skewness | Kurtosis
-------------------------------------------------------------------
Projected_Spending_2025 | [548.00, 1.34e+06] | 5.26 | 33.44
Projected_Spending_2025 | [7875.00, 1.04e+06] | 1.89 | 3.11
Projected_Spending_2025 | [312.00, 3.25e+05] | 2.48 | 6.77
Variable | n | n_Missing
----------------------------------------
Projected_Spending_2025 | 67 | 0
Projected_Spending_2025 | 74 | 0
Projected_Spending_2025 | 9 | 0
describe_distribution(res$funding_2024)Variable | Mean | SD | IQR
-------------------------------------------------
Total_Funding_2024 | 1.35e+06 | 4.68e+05 | 563778
Variable | Range | Skewness | Kurtosis
---------------------------------------------------------------
Total_Funding_2024 | [3.97e+05, 2.05e+06] | -0.52 | -0.22
Variable | n | n_Missing
-----------------------------------
Total_Funding_2024 | 19 | 0
