Examples of ACO participants in a sentence
CMS may terminate the participation agreement with an ACO when an ACO, the ACO participants, ACO providers/suppliers or other indi- viduals or entities performing func- tions or services related to ACO activi- ties fail to comply with any of the re- quirements of the Shared Savings Pro- gram under this part.
Develop an infrastructure for its ACO participants and ACO providers/ suppliers to internally report on qual- ity and cost metrics that enables the ACO to monitor, provide feedback, and evaluate its ACO participants and ACO provider(s)/supplier(s) performance and to use these results to improve care over time.
Under the Shared Savings Pro- gram, ACO participants may work to- gether to manage and coordinate care for Medicare fee-for-service bene- ficiaries through an ACO that meets the criteria specified in this part.
Compliance training for the ACO, the ACO participants, and the ACO pro- viders/suppliers.
A method for employees or con- tractors of the ACO, ACO participants, ACO providers/suppliers, and other in- dividuals or entities performing func- tions or services related to ACO activi- ties to anonymously report suspected problems related to the ACO to the compliance officer.
Conditioning the participation of ACO participants, ACO providers/sup- pliers, other individuals or entities per- forming functions or services related to ACO activities in the ACO on referrals of Federal health care program busi- ness that the ACO, its ACO partici- pants, or ACO providers/suppliers or other individuals or entities per- forming functions or services related to ACO activities know or should know is being (or would be) provided to bene- ficiaries who are not assigned to the ACO.
Identify each service provided by at least two independent ACO participants (i.e., each common service).
CMS shares beneficiary identifi- able data with ACOs on the condition that the ACO, its ACO participants, ACO providers/suppliers, and other in- dividuals or entities performing func- tions or services related to the ACO’s activities observe all relevant statu- tory and regulatory provisions regard- ing the appropriate use of data and the confidentiality and privacy of individ- ually identifiable health information and comply with the terms of the data use agreement described in this sub- part.
We envision a mechanism that is transparent, accountable to the affected beneficiary community, and also accountable and responsive to the ACO participants and the ACO providers/suppliers they represent.
We are requesting comment on this proposal for whether more or less than 75 percent control of the governing body being held by the ACO participants is an appropriate percentage.