Subpart G - SHARED SAVINGS AND LOSSES
- Section 425.600 - Selection of risk model
- Section 425.601 - Establishing, adjusting, and updating the benchmark for agreement periods beginning on or after July 1, 2019, and before January 1, 2024
- Section 425.602 - Establishing, adjusting, and updating the benchmark for an ACO's first agreement period beginning on or before January 1, 2018
- Section 425.603 - Resetting, adjusting, and updating the benchmark for a subsequent agreement period beginning on or before January 1, 2019
- Section 425.605 - Calculation of shared savings and losses under the BASIC track
- Section 425.606 - Calculation of shared savings and losses under Track 2
- Section 425.608 - Determining first year performance for ACOs beginning April 1 or July 1, 2012
- Section 425.609 - Determining performance for 6-month performance years during CY 2019
- Section 425.610 - Calculation of shared savings and losses under the ENHANCED track
- Section 425.611 - Adjustments to Shared Savings Program calculations to address the COVID-19 pandemic
- Section 425.612 - Waivers of payment rules or other Medicare requirements
- Section 425.613 - Telehealth services
- Section 425.614-425.629 - Reserved
- Section 425.630 - Option to receive advance investment payments
- Section 425.631-425.649 - Reserved
- Section 425.650 - Benchmarking methodology
- Section 425.652 - Establishing, adjusting, and updating the benchmark for agreement periods beginning on January 1, 2024, and in subsequent years
- Section 425.654 - Calculating county expenditures and regional expenditures
- Section 425.655 - Calculating the regional risk score growth cap adjustment factor
- Section 425.656 - Calculating the regional adjustment to the historical benchmark
- Section 425.658 - Calculating the prior savings adjustment to the historical benchmark
- Section 425.659 - Calculating risk scores used in Shared Savings Program benchmark calculations
- Section 425.660 - Accountable Care Prospective Trend (ACPT)
- Section 425.661 - [Effective 10/15/2024] Reserved
- Section 425.662 - [Effective 10/15/2024] Reserved
- Section 425.663 - [Effective 10/15/2024] Reserved
- Section 425.664 - [Effective 10/15/2024] Reserved
- Section 425.665 - [Effective 10/15/2024] Reserved
- Section 425.666 - [Effective 10/15/2024] Reserved
- Section 425.667 - [Effective 10/15/2024] Reserved
- Section 425.668 - [Effective 10/15/2024] Reserved
- Section 425.669 - [Effective 10/15/2024] Reserved
- Section 425.670 - [Effective 10/15/2024] Adjustments to mitigate the impact of significant, anomalous, and highly suspect billing activity on Shared Savings Program financial calculations involving calendar year 2023
- Section 425.604 - Calculation of savings under the one-sided model