Federal (United States) · Regulations
Subpart G — Shared Savings and Losses
27 sections
27 sections
- 42 C.F.R. § 425.600Selection of risk model.
- 42 C.F.R. § 425.601Establishing, adjusting, and updating the benchmark for agreement periods beginning on or after July 1, 2019, and before January 1, 2024.
- 42 C.F.R. § 425.602Establishing, adjusting, and updating the benchmark for an ACO's first agreement period beginning on or before January 1, 2018.
- 42 C.F.R. § 425.603Resetting, adjusting, and updating the benchmark for a subsequent agreement period beginning on or before January 1, 2019.
- 42 C.F.R. § 425.604Calculation of savings under the one-sided model.
- 42 C.F.R. § 425.605Calculation of shared savings and losses under the BASIC track.
- 42 C.F.R. § 425.606Calculation of shared savings and losses under Track 2.
- 42 C.F.R. § 425.608Determining first year performance for ACOs beginning April 1 or July 1, 2012.
- 42 C.F.R. § 425.609Determining performance for 6-month performance years during CY 2019.
- 42 C.F.R. § 425.610Calculation of shared savings and losses under the ENHANCED track.
- 42 C.F.R. § 425.611Adjustments to Shared Savings Program calculations to address the COVID-19 pandemic.
- 42 C.F.R. § 425.612Waivers of payment rules or other Medicare requirements.
- 42 C.F.R. § 425.613Telehealth services.
- 42 C.F.R. § 425.630Option to receive advance investment payments.
- 42 C.F.R. § 425.640Option to receive prepaid shared savings.
- 42 C.F.R. § 425.650Benchmarking methodology.
- 42 C.F.R. § 425.652Establishing, adjusting, and updating the benchmark for agreement periods beginning on January 1, 2024, and in subsequent years.
- 42 C.F.R. § 425.654Calculating county expenditures and regional expenditures.
- 42 C.F.R. § 425.655Calculating the regional risk score growth cap adjustment factor.
- 42 C.F.R. § 425.656Calculating the regional adjustment to the historical benchmark.
- 42 C.F.R. § 425.658Calculating the prior savings adjustment to the historical benchmark.
- 42 C.F.R. § 425.659Calculating risk scores used in Shared Savings Program benchmark calculations.
- 42 C.F.R. § 425.660Accountable Care Prospective Trend (ACPT).
- 42 C.F.R. § 425.662Calculating the population adjustment to the historical benchmark.
- 42 C.F.R. § 425.670Adjustments to mitigate the impact of significant, anomalous, and highly suspect billing activity on Shared Savings Program financial calculations involving calendar year 2023.
- 42 C.F.R. § 425.672Adjustments to mitigate the impact of significant, anomalous, and highly suspect billing activity on Shared Savings Program financial calculations involving calendar year 2024 or subsequent calendar years.
- 42 C.F.R. § 425.674Accounting for the impact of improper payments on Shared Savings Program financial calculations.