Shared Savings and Losses

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Medicare Shared Savings Program
  7. Shared Savings and Losses

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Section
425.600

Selection of risk model.

Section
425.601

Establishing, adjusting, and updating the benchmark for agreement periods beginning on July 1, 2019, and in subsequent years.

Section
425.602

Establishing, adjusting, and updating the benchmark for an ACO's first agreement period beginning on or before January 1, 2018.

Section
425.603

Resetting, adjusting, and updating the benchmark for a subsequent agreement period beginning on or before January 1, 2019.

Section
425.604

Calculation of savings under the one-sided model.

Section
425.605

Calculation of shared savings and losses under the BASIC track.

Section
425.606

Calculation of shared savings and losses under Track 2.

Section
425.608

Determining first year performance for ACOs beginning April 1 or July 1, 2012.

Section
425.609

Determining performance for 6-month performance years during CY 2019.

Section
425.610

Calculation of shared savings and losses under the ENHANCED track.

Section
425.611

Adjustments to Shared Savings Program calculations to address the COVID-19 pandemic.

Section
425.612

Waivers of payment rules or other Medicare requirements.

Section
425.613

Telehealth services.