As a result, we propose to modify the Shared Savings Program eligibility requirements that will be implemented on January 1, 2025, by removing the reference to the Antitrust Enforcement Policy Statement in 425.202(a)(3), and also in 425.224(a)(3)
Smooth, refreshing experience
As discussed throughout section II.G.2 of this proposed rule, we believe that the proposed elements of APCM services reflect the comprehensive approach to care management involved in care delivery using the advanced primary care model
This protects CMS from distributing payments that the ACOs may not be able to repay and the ACOs from accumulating more debt than they can repay through earned shared savings
(2) The notice provided to a manufacturer if CMS decides to impose a civil money penalty is paragraph (c) of this section
Since MIPS eligible clinicians do not submit data separately for measures in the cost performance category and we score cost measures based solely on Medicare claims data, the proposed reweighting policy does not apply to the cost performance category
