Shared Savings definition

Shared Savings means the monetary amount owed to the ACO by CMS in accordance with the applicable Risk Arrangement and Appendix B due to expenditures for Medicare Part A and B items and services furnished to Next Generation Beneficiaries lower than the Performance Year Benchmark.

Shared Savings means the monetary amount owed to an ACO by a Payer as determined by comparing the ACO’s expenditures for Enrollees against the Benchmark for that Payer and accounting for the ACO’s performance against any quality measures.

Shared Savings means a payment mechanism in which the provider and payer share cost savings achieved against a target cost budget based upon agreed upon terms and may include downside risk.

Examples of Shared Savings in a sentence

• This amount is then multiplied times the total number of member months for the year to equal the total annual Shared Savings Payment.

• These Value-Based Programs may include, but are not limited to, Accountable Care Organizations, Global Payment/Total Cost of Care arrangements, Patient Centered Medical Homes and Shared Savings arrangements.

• Depending on the geographic area and the service you receive, you may have access through our Shared Savings Program to non-Network providers who have agreed to discount their charges for Covered Health Services.

• Moreover, even though one of the goals of creating Accountable Care Organizations (ACOs) is to improve care coordination, the Medicare Shared Savings Program does not provide enhanced payments to support care coordination.

• Summary statistics for each of the quality measures across all Shared Savings Program ACOs for purposes of relative comparison.

More Definitions of Shared Savings

Shared Savings means a program in which the sole source of payment for energy conservation measures or ser- vices provided by a company is a predetermined percentage of the energy cost savings of the user resulting from the energy conservation measure or service.

Shared Savings means the monetary amount owed to an ACO by a payer as determined by comparing the ACO’s expenditures for aligned beneficiaries against the ACO Benchmark for that payer.

Shared Savings is more particularly defined by each ACO Program, but generally means the portion of Performance Year spending that was less than the expected spending.

Shared Savings has the meaning set forth in Section 4.7(d).

Shared Savings means the portion of the difference between Actual Expenditures that are less than Expected Expenditures in a Performance Year that ACO is eligible to receive as payment according to the formulas and procedures set forth in the VMSSP Standards.

Shared Savings means the monetary amount owed to the DCE by CMS due to expenditures for Medicare Part A and Part B items and services furnished to DC Beneficiaries during a Performance Year that are lower than the Performance Year Benchmark. The amount of Shared Savings is determined by CMS in accordance with Appendix B and the Risk Sharing Option and DC Capitation Payment Mechanism selected by the DCE.

Shared Savings means fifty percent (50%) of the difference between (i) $17,000,000 less (ii) the Qualified Capital Expenses, but in no event shall such result be less than zero nor more than $500,000.