Federal category
Value Based Arrangements
Value-based care, outcomes-based payment, shared-savings, and model arrangement provisions.
Cascade
Source collection
Federal
Category group
Payment Program Integrity
Category
Value Based Arrangements
Grouped by instrument
Expand an instrument to inspect matching provisions
Instruments
2
Shown
10
Citation
42 CFR § 425.102
Eligible providers and suppliers.
Group
Payment Program Integrity
Category
Value Based Arrangements
Domain
Governance Quality
Topics
Aco eligibility, Shared savings program
Citation
42 CFR § 425.104
Legal entity.
Group
Payment Program Integrity
Category
Value Based Arrangements
Domain
Governance Quality
Topics
Aco legal structure, Shared savings entity
Citation
42 CFR § 425.106
Shared governance.
Group
Governance Quality Compliance
Category
Quality Governance
Domain
Governance Quality
Topics
Aco governance, Fiduciary duty
Citation
42 CFR § 425.400
General.
Group
Payment Program Integrity
Category
Value Based Arrangements
Domain
Billing Reimbursement
Topics
Medicare shared savings program, Aco beneficiary assignment
Citation
42 CFR § 425.401
Criteria for a beneficiary to be assigned to an ACO.
Group
Payment Program Integrity
Category
Value Based Arrangements
Domain
Billing Reimbursement
Topics
Aco beneficiary assignment, Medicare shared savings program
Citation
42 CFR § 425.600
Selection of risk model.
Group
Payment Program Integrity
Category
Value Based Arrangements
Domain
Billing Reimbursement
Topics
Medicare shared savings program, Accountable care organization risk models
Citation
42 CFR § 425.602
Establishing, adjusting, and updating the benchmark for an ACO's first agreement period beginning on or before January 1, 2018.
Group
Payment Program Integrity
Category
Reimbursement Payment
Domain
Billing Reimbursement
Topics
Aco benchmark calculation, Medicare shared savings program
Citation
42 CFR § 425.603
Resetting, adjusting, and updating the benchmark for a subsequent agreement period beginning on or before January 1, 2019.
Group
Payment Program Integrity
Category
Reimbursement Payment
Domain
Billing Reimbursement
Topics
Aco benchmark methodology, Medicare shared savings program
Citation
42 CFR § 425.655
Calculating the regional risk score growth cap adjustment factor.
Group
Payment Program Integrity
Category
Reimbursement Payment
Domain
Billing Reimbursement
Topics
Medicare shared savings program, Aco risk adjustment