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Code of Federal Regulations (Last Updated: July 5, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter B - Medicare Program |
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Part 425 - Medicare Shared Savings Program |
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Subpart G - Shared Savings and Losses |
§ 425.600 - Selection of risk model. |
§ 425.601 - Establishing, adjusting, and updating the benchmark for agreement periods beginning on or after July 1, 2019, and before January 1, 2024. |
§ 425.602 - Establishing, adjusting, and updating the benchmark for an ACO's first agreement period beginning on or before January 1, 2018. |
§ 425.603 - Resetting, adjusting, and updating the benchmark for a subsequent agreement period beginning on or before January 1, 2019. |
§ 425.604 - Calculation of savings under the one-sided model. |
§ 425.605 - Calculation of shared savings and losses under the BASIC track. |
§ 425.606 - Calculation of shared savings and losses under Track 2. |
§ 425.608 - Determining first year performance for ACOs beginning April 1 or July 1, 2012. |
§ 425.609 - Determining performance for 6-month performance years during CY 2019. |
§ 425.610 - Calculation of shared savings and losses under the ENHANCED track. |
§ 425.611 - Adjustments to Shared Savings Program calculations to address the COVID–19 pandemic. |
§ 425.612 - Waivers of payment rules or other Medicare requirements. |
§ 425.613 - xxx |
§ 425.630 - Option to receive advance investment payments. |
§ 425.650 - Benchmarking methodology. |
§ 425.652 - Establishing, adjusting, and updating the benchmark for agreement periods beginning on January 1, 2024, and in subsequent years. |
§ 425.654 - Calculating county expenditures and regional expenditures. |
§ 425.655 - Calculating the regional risk score growth cap adjustment factor. |
§ 425.656 - Calculating the regional adjustment to the historical benchmark. |
§ 425.658 - Calculating the prior savings adjustment to the historical benchmark. |
§ 425.659 - Calculating risk scores used in Shared Savings Program benchmark calculations. |
§ 425.660 - Accountable Care Prospective Trend (ACPT). |
§§ 425.631--425.649 - [Reserved] |
§§ 425.614--425.629 - [Reserved] |