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Code of Federal Regulations (Last Updated: May 6, 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 H - Health Care Infrastructure and Model Programs |
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Part 512 - Episode Payment Model |
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Subpart E - Quality Measures, Beneficiary Protections, and Compliance Enforcement |
§ 512.400 - Quality measures and reporting - general.
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§ 512.400 Quality measures and reporting - general.
(a) Reporting of quality measures. Quality measures are used for public reporting, for determining whether an EPM participant is eligible for reconciliation payments under § 512.305(d)(1)(iii), and for assigning the effective and applicable discount factors for the performance year to an EPM participant as described in § 512.315(b)(5), (c)(5), and (d)(5).
(b) Quality measures. Quality measures differ by EPM.
(c) Public reporting. CMS -
(1) Makes the required quality measurement results for each EPM participant in each performance year publicly available on the CMS Web site in a form and manner as determined by CMS;
(2) Shares each EPM participant's quality metrics with the participant prior to display on the CMS Web site; and
(3) Does not publicly report the voluntary measure data submitted under an EPM in § 512.411(b) or § 512.413(b) but does indicate whether an EPM participant has voluntarily submitted such data.