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Regulations last checked for updates: Nov 22, 2024
Title 42 - Public Health last revised: Nov 19, 2024
All Titles
Title 42
Chapter IV
Part 425
Subpart G - Subpart G—Shared Savings and Losses
§ 425.600 - Selection of risk model.
§ 425.601 - Establishing, adjusting, and updating the benchmark for agreement periods beginning on or after July 1, 2019, and before January 1, 2024.
§ 425.602 - Establishing, adjusting, and updating the benchmark for an ACO's first agreement period beginning on or before January 1, 2018.
§ 425.603 - Resetting, adjusting, and updating the benchmark for a subsequent agreement period beginning on or before January 1, 2019.
§ 425.604 - Calculation of savings under the one-sided model.
§ 425.605 - Calculation of shared savings and losses under the BASIC track.
§ 425.606 - Calculation of shared savings and losses under Track 2.
§ 425.608 - Determining first year performance for ACOs beginning April 1 or July 1, 2012.
§ 425.609 - Determining performance for 6-month performance years during CY 2019.
§ 425.610 -
§ 425.611 - Adjustments to Shared Savings Program calculations to address the COVID-19 pandemic.
§ 425.612 - Waivers of payment rules or other Medicare requirements.
§ 425.613 - Telehealth services.
§§ 425.614-425.629 - §[Reserved]
§ 425.630 - Option to receive advance investment payments.
§§ 425.631-425.649 - §[Reserved]
§ 425.650 - Benchmarking methodology.
§ 425.652 - Establishing, adjusting, and updating the benchmark for agreement periods beginning on January 1, 2024, and in subsequent years.
§ 425.654 - Calculating county expenditures and regional expenditures.
§ 425.655 - Calculating the regional risk score growth cap adjustment factor.
§ 425.656 - Calculating the regional adjustment to the historical benchmark.
§ 425.658 - Calculating the prior savings adjustment to the historical benchmark.
§ 425.659 - Calculating risk scores used in Shared Savings Program benchmark calculations.
§ 425.660 - Accountable Care Prospective Trend (ACPT).
§ 425.661-425.669 - [Reserved]
§ 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.
authority:
42 U.S.C. 1302
,
1306
,
1395hh
,
and
source:
76 FR 67973, Nov. 2, 2011, unless otherwise noted.
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