November 27, 2020 - No Comments!

Aco Participant Agreement

(6) The agreement must require the ACO supplier/supplier to: - (7) The agreement must allow the ACO to take corrective action against the ACO participant and require the ACO participant to take corrective action against its ACO suppliers/suppliers, including the imposition of a corrective action plan, refusal to pay incentives and termination of the ACO participation agreement to address non-compliance with the requirements of the savings sharing program and other issues identified by the CMS. 2. Any participant in the ACO who claims rights to services intended to determine the ACO population assigned under paragraph E of this part is exclusively reserved for an ACO of the shared management program. If, in a reference or performance year (including the 3-month eligibility period for such a benchmark or this year of performance), a PARTICIPANT in the ACO applies: who participates in more than one ACO participant, rights for benefits that are used in the transfer in accordance with subsection E of this party and must: 9. The agreement must require the conclusion of a conclusion process after the end or expiry of the contract, which requires the ACO participant to provide all the data necessary to complete the annual assessment of the quality of ACO treatment. (8) The agreement must have a minimum term of one year of service and present the possible consequences of an early termination of the ACO. (a) each ACO participant must commit to the duration of the participation agreement and sign an ACO participation agreement in accordance with the requirements of this party; (iii) Denunciation of the ACO participation agreement. (2) The agreement must be signed on behalf of the ACO and the ACO participant by persons authorized to engage the ACO or ACO participants. c) the presentation of agreements. The ACO must be used for each ACO participant at the time of the first application, the renewal of the participation agreement and when added to its list of ACO participants in accordance with the agreement. 425.118 submit a participation agreement to the ACO. Agreements can be presented according to the form defined by the provisions of Directive 425.204 (c) (6) or by the form and form defined by the CMS.

(a) ACO`s participation agreements. For the 2017 performance year and subsequent performance years, the ACO must have an ACO participation agreement with each ACO participant, which meets the following criteria: (b) agreements with ACO suppliers/suppliers. ACOs have the opportunity to enter into product and service contracts with their ACO suppliers directly with their ACO suppliers and services that are aligned with the ACO. For the 2017 performance year and subsequent years of performance, ACO agreement with an ACO supplier/provider must meet the following criteria for these items and services: (7) The agreement must allow the ACO to take corrective action, including the following action against the ACO provider/provider, to address non-compliance with the requirements of the insurance sharing program and other problems related to the integrity of the program. including the agreements identified by CMS: (3) The agreement expressly requires the ACO participant to accept and ensure that any ACO provider/supplier who settles the accounts through the ACO participant`s TIN participates in the shared insurance program and that the requirements of the shared savings program and all other applicable laws and regulations (including, but not limited, to those set out in the provisions of page 425.208(b) (5) The agreement should describe how the possibility of obtaining common savings or other financial arrangements will encourage ACO participants to comply with the QUALITY assurance and improvement program and evidence-based drug guidelines adopted by the CAA. (1) The only parties to the agreement are the ACO and the ACO participants. 1. With the exception of point b) (2) of this section, ACO participants do not apply exclusively to a shared ACO management program. (i) CMS does not take into account the benefits charged through the ACO participant`s TIN when performing the task

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