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2015-06-08
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Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations
Part III
Rules and Regulations
D09002ee1c180563f
D09002ee1c180576c
United States
Department of Health and Human Services
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org
United States Government Agency or Subagency
United States
Centers for Medicare & Medicaid Services
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org
United States Government Agency or Subagency
This final rule addresses changes to the Medicare Shared Savings Program including provisions relating to the payment of Accountable Care Organizations participating in the Medicare Shared Savings Program. Under the Medicare Shared Savings Program, providers of services and suppliers that participate in an Accountable Care Organizations continue to receive traditional Medicare fee-for-service payments under Parts A and B, but the Accountable Care Organizations may be eligible to receive a shared savings payment if it meets specified quality and savings requirements.
80 FR 32692
https://www.govinfo.gov/app/details/FR-2015-06-09/2015-14005
2015-14005
fr09jn15-28
RIN 0938-AS06
4120-01-P
CMS-1461-F
https://www.govinfo.gov/app/details/FR-2015-06-09/2015-14005
https://www.govinfo.gov/content/pkg/FR-2015-06-09/html/2015-14005.htm
https://www.govinfo.gov/content/pkg/FR-2015-06-09/pdf/2015-14005.pdf
Administrative Practice and Procedure
Health Facilities
Health Professions
Medicare
Reporting and Recordkeeping Requirements
154 p.
32692
32845
80 FR 32692
Code of Federal Regulations
Title 42 Part 425
42 CFR Part 425
Regulation Identification Number 0938-AS06
RIN 0938-AS06
Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations; Federal Register Vol. 80, Issue
RULE
2015-14005
III
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
2015-08-03
CMS-1461-F
4120-01-P
2015-14005
Final rule.
This final rule addresses changes to the Medicare Shared Savings Program including provisions relating to the payment of Accountable Care Organizations participating in the Medicare Shared Savings Program. Under the Medicare Shared Savings Program, providers of services and suppliers that participate in an Accountable Care Organizations continue to receive traditional Medicare fee-for-service payments under Parts A and B, but the Accountable Care Organizations may be eligible to receive a shared savings payment if it meets specified quality and savings requirements.
Effective Dates: With the exception of the amendments to Sec. Sec. 425.312, 425.704, and 425.708, the provisions of this final rule are effective on August 3, 2015. The amendments to Sec. 425.312 and Sec. 425.708 are effective November 1, 2015. The amendments to Sec. 425.704 are effective January 1, 2016.
Dr. Terri Postma or Elizabeth
Administrative Practice and Procedure
Health Facilities
Health Professions
Medicare
Reporting and Recordkeeping Requirements
Medicare Program; Medicare Shared Savings Program:
Accountable Care Organizations
,
aco@cms.hhs.gov
http://cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Updating-ACO-Participant-List.html
http://innovation.cms.gov/Files/x/nextgenacorfa.pdf
http://innovation.cms.gov/initiatives/Next-Generation-ACO-Model/
http://innovation.cms.gov/initiatives/Pioneer-ACO-Model/
http://www.cms.gov/DemoProjectsEvalRpts/downloads/PGP_RTC_Sept.pdf
http://www.cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1198992.html
http://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Announcement2016.pdf
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Application.html
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/ACO-Public-Reporting-Guidance.pdf
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/Memo_Additional_Guidance_on_ACO_Participants.pdf
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/Merger-Acquisitions-FAQ.pdf
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/Repayment-Mechanism-Guidance.pdf
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/Shared-Savings-Losses-Assignment-Spec-v2.pdf
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/Tips-ACO-Developing-Participant-Agreements.pdf
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/FAQ.html#ACO_Participant_TIN_Exclusivity_and_Other_Entities
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Financial-and-Assignment-Specifications.html
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Updating-ACO-Participant-List.html
http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8572.pdf
http://www.healthit.gov/sites/default/files/nationwide-interoperability-roadmap-draft-version-1.0.pdf
http://www.hhs.gov/news/press/2015pres/03/20150325b.html
http://www.hhs.gov/news/press/2015pres/05/20150504a.html
http://www.medicare.gov/physiciancompare/aco/search.html
http://www.resdac.org/news/shared-savings-program-aco-research-identifiable-files/2015/01-0
http://www.sba.gov/content/small-business-size-standards
https://www.cms.gov/sharedsavingsprogram/
Medicare.gov
Federal Register
Vol. 80, no. 110
Office of the Federal Register, National Archives and Records Administration
2015-06-09
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Table of Contents:
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https://www.govinfo.gov/app/details/FR-2015-06-09
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0042-1219
0364-1406
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https://www.govinfo.gov/app/details/FR-2015-06-09
https://www.govinfo.gov/content/pkg/FR-2015-06-09/pdf/FR-2015-06-09.pdf
https://www.govinfo.gov/content/pkg/FR-2015-06-09/xml/FR-2015-06-09.xml
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