42 CFR Part 425 - Subpart G - Shared Savings and Losses

  1. § 425.600 Selection of risk model.
  2. § 425.601 Establishing, adjusting, and updating the benchmark for agreement periods beginning on or after July 1, 2019, and before January 1, 2024.
  3. § 425.602 Establishing, adjusting, and updating the benchmark for an ACO's first agreement period beginning on or before January 1, 2018.
  4. § 425.603 Resetting, adjusting, and updating the benchmark for a subsequent agreement period beginning on or before January 1, 2019.
  5. § 425.604 Calculation of savings under the one-sided model.
  6. § 425.605 Calculation of shared savings and losses under the BASIC track.
  7. § 425.606 Calculation of shared savings and losses under Track 2.
  8. § 425.608 Determining first year performance for ACOs beginning April 1 or July 1, 2012.
  9. § 425.609 Determining performance for 6-month performance years during CY 2019.
  10. § 425.610 Calculation of shared savings and losses under the ENHANCED track. >
  11. § 425.611 Adjustments to Shared Savings Program calculations to address the COVID-19 pandemic.
  12. § 425.612 Waivers of payment rules or other Medicare requirements.
  13. § 425.613 Telehealth services.
  14. §§ 425.614-425.629 [Reserved]
  15. § 425.630 Option to receive advance investment payments.
  16. §§ 425.631-425.639 [Reserved]
  17. § 425.640 Option to receive prepaid shared savings.
  18. §§ 425.641-425.649 [Reserved]
  19. § 425.650 Benchmarking methodology.
  20. § 425.652 Establishing, adjusting, and updating the benchmark for agreement periods beginning on January 1, 2024, and in subsequent years.
  21. § 425.654 Calculating county expenditures and regional expenditures.
  22. § 425.655 Calculating the regional risk score growth cap adjustment factor.
  23. § 425.656 Calculating the regional adjustment to the historical benchmark.
  24. § 425.658 Calculating the prior savings adjustment to the historical benchmark.
  25. § 425.659 Calculating risk scores used in Shared Savings Program benchmark calculations.
  26. § 425.660 Accountable Care Prospective Trend (ACPT).
  27. § 425.661 [Reserved]
  28. § 425.662 Calculating the health equity adjustment to the historical benchmark.
  29. § 425.663-425.669 [Reserved]
  30. § 425.670 Adjustments to mitigate the impact of significant, anomalous, and highly suspect billing activity on Shared Savings Program financial calculations involving calendar year 2023.
  31. § 425.672 Adjustments 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.
  32. § 425.674 Accounting for the impact of improper payments on Shared Savings Program financial calculations.