{
  "name": "aco-performance-mcp",
  "title": "HealthMesh · Medicare Shared Savings Program ACO Performance MCP",
  "version": "0.1.1",
  "description": "CMS Medicare Shared Savings Program (MSSP) ACO public use files, performance years 2022-2024, read live from data.cms.gov: ACO search by name, service-area state, track (BASIC Level A-E / ENHANCED), risk model and agreement type; an ACO's financial and quality results (benchmark, expenditures, savings rate, generated and earned shared savings or losses, quality score and quality-standard flags, per-capita expenditures and CMS-HCC risk scores by enrollment type, quality measure rates); and rankings by result metrics.",
  "healthmesh_domain": "Quality & Risk",
  "datasets": [
    "QUAL-08"
  ],
  "mcp_endpoint": "https://aco-performance.healthmesh.ai/mcp",
  "transport": "Streamable HTTP (stateless, JSON responses)",
  "authorization": "none",
  "auth_mode": "off",
  "docs": "https://github.com/HendrikK/healthmesh/tree/main/servers/aco-performance-mcp#readme",
  "contact": "hendrik.kleine@gmail.com",
  "data_source": {
    "name": "CMS Medicare Shared Savings Program Performance Year Financial and Quality Results + ACO files (data.cms.gov), PY2022-2024",
    "url": "https://data.cms.gov/medicare-shared-savings-program/performance-year-financial-and-quality-results",
    "license": "U.S. Government work, public domain",
    "refresh": "live (24 h edge cache); upstream annual"
  },
  "tools": [
    {
      "name": "aco_search",
      "title": "Search MSSP ACOs",
      "description": "Searches Medicare Shared Savings Program ACOs for a performance year (2022-2024, live data.cms.gov) by name (contains), service-area state, current track (ENHANCED, BASIC or BASIC Level A-E), risk model and agreement type. Returns ACO id, name, states, agreement type, track, risk model, assignment method, assigned beneficiaries, savings rate and earned savings/losses. 'ENHANCED-track ACOs in Florida' = state FL + current_track ENHANCED."
    },
    {
      "name": "aco_get_results",
      "title": "Get an ACO's MSSP results",
      "description": "Returns one MSSP ACO's financial and quality results for a performance year (2022-2024, live data.cms.gov): assigned beneficiaries, benchmark and expenditures (total and per capita), savings rate, minimum savings rate, generated and earned shared savings/losses, final sharing/loss rate, quality score and quality-standard flags, per-capita expenditures and CMS-HCC risk scores by enrollment type (ESRD, disabled, aged dual, aged non-dual) for benchmark years and the performance year, and quality measure rates. Set all_years=true for the ACO's 2022-2024 headline series."
    },
    {
      "name": "aco_rank",
      "title": "Rank MSSP ACOs",
      "description": "Ranks MSSP ACOs for a performance year (2022-2024, live data.cms.gov) by a result metric: Sav_rate, GenSaveLoss, EarnSaveLoss, QualScore, Per_Capita_Exp_TOTAL_PY, N_AB, ABtotBnchmk or ABtotExp, optionally within a track, risk model or service-area state. 'Top 10 ACOs by savings rate' = metric Sav_rate, limit 10. Includes national counts (ACOs, % with earned savings, total earned savings)."
    },
    {
      "name": "aco_describe_dataset",
      "title": "Describe the MSSP ACO data",
      "description": "Explains the MSSP ACO files behind this server: loaded performance years, fields, track codes, sign conventions and caveats."
    }
  ]
}