Title 42

PART 425 SUBPART G

Subpart G - Shared Savings and Losses

42:3.0.1.1.12.7.11.1SECTION 425.600
   425.600 Selection of risk model.
42:3.0.1.1.12.7.11.2SECTION 425.601
   425.601 Establishing, adjusting, and updating the benchmark for agreement periods beginning on July 1, 2019, and in subsequent years.
42:3.0.1.1.12.7.11.3SECTION 425.602
   425.602 Establishing, adjusting, and updating the benchmark for an ACO's first agreement period beginning on or before January 1, 2018.
42:3.0.1.1.12.7.11.4SECTION 425.603
   425.603 Resetting, adjusting, and updating the benchmark for a subsequent agreement period beginning on or before January 1, 2019.
42:3.0.1.1.12.7.11.5SECTION 425.604
   425.604 Calculation of savings under the one-sided model.
42:3.0.1.1.12.7.11.6SECTION 425.605
   425.605 Calculation of shared savings and losses under the BASIC track.
42:3.0.1.1.12.7.11.7SECTION 425.606
   425.606 Calculation of shared savings and losses under Track 2.
42:3.0.1.1.12.7.11.8SECTION 425.608
   425.608 Determining first year performance for ACOs beginning April 1 or July 1, 2012.
42:3.0.1.1.12.7.11.9SECTION 425.609
   425.609 Determining performance for 6-month performance years during CY 2019.
42:3.0.1.1.12.7.11.10SECTION 425.610
   425.610 Calculation of shared savings and losses under the ENHANCED track.
42:3.0.1.1.12.7.11.11SECTION 425.611
   425.611 Adjustments to Shared Savings Program calculations to address the COVID-19 pandemic.
42:3.0.1.1.12.7.11.12SECTION 425.612
   425.612 Waivers of payment rules or other Medicare requirements.
42:3.0.1.1.12.7.11.13SECTION 425.613
   425.613 Telehealth services.