PBP definition
Examples of PBP in a sentence
Under the Next Generation ACO Model, an NGACO may participate in alternative payment arrangements, including an infrastructure payment arrangement, population-based payment (PBP), and (starting in Performance Year 2) all-inclusive population-based payment (AIPBP).
If the FFS reduction is less than the PBP payment, the difference will be deducted from the savings payment or added to the loss and be considered Other Monies Owed.
If the FFS reduction is greater than the PBP payment, the difference will be added to the savings payment or added to the loss and be considered Other Monies Owed.
If the amount CMS paid in Monthly PBP is greater than the total amount by which FFS payments were reduced, the ACO shall pay CMS the difference as Other Monies Owed.
The proposed list also identified which individua ls and entities, if any, had agreed to receive a PBP Fee Reduction, and specified the Benefit Enhancements, if any, in which each individua l or entity had agreed to participate.
The ACO may elect to receive Infrastructure Payments or PBP, but not both.
If the amount CMS paid in Monthly PBP is less than the total amount by which FFS payments were reduced, CMS shall pay the ACO the difference as Other Monies Owed.