Common use of Alignment Minimum Clause in Contracts

Alignment Minimum. A. If the ACO is a Standard ACO, the ACO shall maintain an aligned population of at least 5,000 REACH Beneficiaries each Performance Year. If the ACO is a Standard ACO, the ACO shall maintain at least 3,000 Beneficiaries that would have been aligned to the ACO via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A) for Performance Year 2023 and each subsequent Performance Year. B. If the ACO is a New Entrant ACO, the ACO shall maintain an aligned population of REACH Beneficiaries consistent with the following: 1. [Reserved] 2. For Performance Year 2023, at least 2,000 REACH Beneficiaries; 3. For Performance Year 2024, at least 3,000 REACH Beneficiaries; 4. For Performance Year 2025, at least 4,000 REACH Beneficiaries; and at least 3,000 of these REACH Beneficiaries must be aligned to the ACO via Claims-Based Alignment; and 5. For Performance Year 2026, at least 5,000 REACH Beneficiaries; and at least 3,000 of these REACH Beneficiaries must be aligned to the ACO via Claims-Based Alignment. For Performance Years 2023 and 2024, if more than 3,000 Beneficiaries are aligned to the ACO via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A), CMS will offer the ACO the opportunity to participate in the Model as a Standard ACO starting in the Performance Year in which the 3,000 threshold is exceeded. If the ACO accepts such offer, the ACO will be subject to the alignment minimum described in Section 5.03.A and the Performance Year Benchmark methodology for Standard ACOs described in Section I of Appendix B for each subsequent Performance Year. C. If the ACO is a High Needs Population ACO, the ACO shall maintain an aligned population of REACH Beneficiaries consistent with the following: 1. [Reserved] 2. For Performance Year 2023, at least 500 REACH Beneficiaries; 3. For Performance Year 2024, at least 750 REACH Beneficiaries; 4. For Performance Year 2025, at least 1,000 REACH Beneficiaries; and 5. For Performance Year 2026, at least 1,250 REACH Beneficiaries. For Performance Years 2023 and 2024, if more than 3,000 Beneficiaries are aligned to the ACO via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A) CMS will calculate the Performance Year Benchmark based in part on the Performance Year Benchmark methodology for Beneficiaries aligned via Claims-Based Alignment to Standard ACOs, as described in Section III.D of Appendix B, starting in the Performance Year in which the 3,000 threshold is exceeded. D. If the ACO’s aligned population falls below the applicable minimum when alignment is first performed for a Performance Year, CMS may take remedial action or may terminate the Agreement or Agreement Performance Period pursuant to Article XVII. E. For Performance Year 2024 and each subsequent Performance Year, if the ACO’s aligned population is less than the applicable minimum, but equal to 90 percent or more of the applicable minimum when alignment is first performed for the Performance Year, CMS will waive the applicable minimum for the remainder of the Performance Year. CMS will waive the applicable minimum under this paragraph once during the Model Performance Period.

Alignment Minimum. A. If the ACO is a Standard ACO, the ACO shall maintain an aligned population of at least 5,000 REACH Beneficiaries each Performance Year. If the ACO is a Standard ACO, the ACO shall maintain at least 3,000 Beneficiaries that would have been aligned to the ACO via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A) for Performance Year 2023 2022 and each subsequent Performance Year. B. If the ACO is a New Entrant ACO, the ACO shall maintain an aligned population of REACH Beneficiaries consistent with the following: 1. [Reserved]For Performance Year 2022, at least 1,000 REACH Beneficiaries; 2. For Performance Year 2023, at least 2,000 REACH Beneficiaries; 3. For Performance Year 2024, at least 3,000 REACH Beneficiaries;; and 4. For Performance Year 2025, at least 4,000 REACH Beneficiaries; Years 2025 and at least 3,000 of these REACH Beneficiaries must be aligned to the ACO via Claims-Based Alignment; and 5. For Performance Year 2026, at least 5,000 REACH Beneficiaries; , and at least 3,000 of these REACH Beneficiaries must be aligned to the ACO via Claims-Based Alignment. For Performance Years 2023 and 2022 through 2024, if more than 3,000 Beneficiaries are aligned to the ACO via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A), CMS will offer the ACO the opportunity to participate in the Model as a Standard ACO starting in the Performance Year in which the 3,000 threshold is exceeded. If the ACO accepts such offer, the ACO will be subject to the alignment minimum described in Section 5.03.A and the Performance Year Benchmark methodology for Standard ACOs described in Section I of Appendix B for each subsequent Performance Year. C. If the ACO is a High Needs Population ACO, the ACO shall maintain an aligned population of REACH Beneficiaries consistent with the following: 1. [Reserved]For Performance Year 2022, at least 250 REACH Beneficiaries; 2. For Performance Year 2023, at least 500 REACH Beneficiaries; 3. For Performance Year 2024, at least 750 REACH Beneficiaries; 4. For Performance Year 2025, at least 1,000 1,200 REACH Beneficiaries; and 5. For Performance Year 2026, at least 1,250 1,400 REACH Beneficiaries. For Performance Years 2023 and 2022 through 2024, if more than 3,000 Beneficiaries are aligned to the ACO via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A) CMS will calculate the Performance Year Benchmark based in part on the Performance Year Benchmark methodology for Beneficiaries aligned via Claims-Based Alignment to Standard ACOs, as described in Section III.D of Appendix B, starting in the Performance Year in which the 3,000 threshold is exceeded. D. If the ACO’s aligned population falls below the applicable minimum when alignment is first performed for a Performance Year, CMS may take remedial action or may terminate the Agreement or Agreement Performance Period pursuant to Article XVII. E. For Performance Year 2024 and each subsequent Performance Year, if the ACO’s aligned population is less than the applicable minimum, but equal to 90 percent or more of the applicable minimum when alignment is first performed for the Performance Year, CMS will waive the applicable minimum for the remainder of the Performance Year. CMS will waive the applicable minimum under this paragraph once during the Model Performance Period.

Alignment Minimum. A. If the ACO is a Standard ACO, the ACO shall maintain an aligned population of at least 5,000 REACH Beneficiaries each Performance Year. If the ACO is a Standard ACO, the ACO shall maintain at least 3,000 Beneficiaries that would have been aligned to the ACO via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A) for Performance Year 2023 2022 and each subsequent Performance Year. B. If the ACO is a New Entrant ACO, the ACO shall maintain an aligned population of REACH Beneficiaries consistent with the following: 1. [Reserved]For Performance Year 2022, at least 1,000 REACH Beneficiaries; 2. For Performance Year 2023, at least 2,000 REACH Beneficiaries; 3. For Performance Year 2024, at least 3,000 REACH Beneficiaries; 4. For Performance Year 2025, at least 4,000 REACH Beneficiaries; , and at least 3,000 of these REACH Beneficiaries must be aligned to the ACO via Claims-Based Alignment; and 5. For Performance Year 2026, at least 5,000 REACH Beneficiaries; , and at least 3,000 of these REACH Beneficiaries must be aligned to the ACO via Claims-Based Alignment. For Performance Years 2023 and 2022 through 2024, if more than 3,000 Beneficiaries are aligned to the ACO via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A), CMS will offer the ACO the opportunity to participate in the Model as a Standard ACO starting in the Performance Year in which the 3,000 threshold is exceeded. If the ACO accepts such offer, the ACO will be subject to the alignment minimum described in Section 5.03.A and the Performance Year Benchmark methodology for Standard ACOs described in Section I of Appendix B for each subsequent Performance Year. C. If the ACO is a High Needs Population ACO, the ACO shall maintain an aligned population of REACH Beneficiaries consistent with the following: 1. [Reserved]For Performance Year 2022, at least 250 REACH Beneficiaries; 2. For Performance Year 2023, at least 500 REACH Beneficiaries; 3. For Performance Year 2024, at least 750 REACH Beneficiaries; 4. For Performance Year 2025, at least 1,000 REACH Beneficiaries; and 5. For Performance Year 2026, at least 1,250 REACH Beneficiaries. For Performance Years 2023 and 2022 through 2024, if more than 3,000 Beneficiaries are aligned to the ACO via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A) CMS will calculate the Performance Year Benchmark based in part on the Performance Year Benchmark methodology for Beneficiaries aligned via Claims-Based Alignment to Standard ACOs, as described in Section III.D of Appendix B, starting in the Performance Year in which the 3,000 threshold is exceeded. D. If the ACO’s aligned population falls below the applicable minimum when alignment is first performed for a Performance Year, CMS may take remedial action or may terminate the Agreement or Agreement Performance Period pursuant to Article XVII. E. For Performance Year 2024 and each subsequent Performance Year, if the ACO’s aligned population is less than the applicable minimum, but equal to 90 percent or more of the applicable minimum when alignment is first performed for the Performance Year, CMS will waive the applicable minimum for the remainder of the Performance Year. CMS will waive the applicable minimum under this paragraph once during the Model Performance Period.

Alignment Minimum. A. If the ACO DCE is a Standard ACODCE, the ACO DCE shall maintain an aligned population of at least 5,000 REACH DC Beneficiaries each Performance Year. If the ACO DCE is a Standard ACODCE, the ACO DCE shall maintain at least 3,000 Beneficiaries that would have been aligned to the ACO DCE via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A) for Performance Year 2023 2022 and each subsequent Performance Year. For Performance Year 2021, if the DCE is a Standard DCE and does not maintain at least 3,000 Beneficiaries that would have been aligned to the DCE via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A), the DCE will be subject to the Performance Year Benchmark methodology for New Entrant DCEs described in Appendix B for Performance Year 2021 only. B. If the ACO DCE is a New Entrant ACODCE, the ACO DCE shall maintain an aligned population of REACH DC Beneficiaries consistent with the following: 1. [Reserved]For Performance Years 2021 and 2022, at least 1,000 DC Beneficiaries; 2. For Performance Year 2023, at least 2,000 REACH DC Beneficiaries; 3. For Performance Year 2024, at least 3,000 REACH DC Beneficiaries;; and 4. For Performance Year 2025Years 2025 and 2026, at least 4,000 REACH 5,000 DC Beneficiaries; , and of 5,000 DC Beneficiaries, at least 3,000 of these REACH DC Beneficiaries must be aligned to the ACO via Claims-Based Alignment; and 5. For Performance Year 2026, at least 5,000 REACH Beneficiaries; and at least 3,000 of these REACH Beneficiaries must be aligned to the ACO DCE via Claims-Based Alignment. For Performance Years 2023 and 2021 through 2024, if more than 3,000 Beneficiaries are aligned to the ACO DCE via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A), CMS will offer the ACO DCE the opportunity to participate in the Model as a Standard ACO DCE starting in the Performance Year in which the 3,000 threshold is exceeded. If the ACO DCE accepts such offer, the ACO DCE will be subject to the alignment minimum described in Section 5.03.A and the Performance Year Benchmark methodology for Standard ACOs DCEs described in Section I of Appendix B for each subsequent Performance Year. C. If the ACO DCE is a High Needs Population ACODCE, the ACO DCE shall maintain an aligned population of REACH DC Beneficiaries consistent with the following: 1. [Reserved]For Performance Years 2021 and 2022, at least 250 DC Beneficiaries; 2. For Performance Year 2023, at least 500 REACH DC Beneficiaries; 3. For Performance Year 2024, at least 750 REACH DC Beneficiaries; 4. For Performance Year 2025, at least 1,000 REACH 1,200 DC Beneficiaries; and 5. For Performance Year 2026, at least 1,250 REACH 1,400 DC Beneficiaries. For Performance Years 2023 and 2021 through 2024, if more than 3,000 Beneficiaries are aligned to the ACO DCE via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A) CMS will calculate the Performance Year Benchmark based in part on the Performance Year Benchmark methodology for Beneficiaries aligned via Claims-Based Alignment to Standard ACOsDCEs, as described in Section III.D of Appendix B, starting in the Performance Year in which the 3,000 threshold is exceeded. D. If the ACO’s DCE's aligned population falls below the applicable minimum when alignment is first performed for a Performance Year, CMS may take remedial action or may terminate the Agreement or Agreement Performance Period pursuant to Article XVII. E. For Performance Year 2024 and each subsequent Performance Year, if the ACO’s aligned population is less than the applicable minimum, but equal to 90 percent or more of the applicable minimum when alignment is first performed for the Performance Year, CMS will waive the applicable minimum for the remainder of the Performance Year. CMS will waive the applicable minimum under this paragraph once during the Model Performance Period.

Alignment Minimum. A. If the ACO DCE is a Standard ACODCE, the ACO DCE shall maintain an aligned population of at least 5,000 REACH DC Beneficiaries each Performance Year. If the ACO DCE is a Standard ACODCE, the ACO DCE shall maintain at least 3,000 Beneficiaries that would have been aligned to the ACO DCE via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A) for Performance Year 2023 2022 and each subsequent Performance Year. B. If the ACO DCE is a New Entrant ACODCE, the ACO DCE shall maintain an aligned population of REACH DC Beneficiaries consistent with the following: 1. [Reserved]For Performance Year 2022, at least 1,000 DC Beneficiaries; 2. For Performance Year 2023, at least 2,000 REACH DC Beneficiaries; 3. For Performance Year 2024, at least 3,000 REACH DC Beneficiaries;; and 4. For Performance Year 2025Years 2025 and 2026, at least 4,000 REACH 5,000 DC Beneficiaries; , and at least 3,000 of these REACH DC Beneficiaries must be aligned to the ACO via Claims-Based Alignment; and 5. For Performance Year 2026, at least 5,000 REACH Beneficiaries; and at least 3,000 of these REACH Beneficiaries must be aligned to the ACO DCE via Claims-Based Alignment. For Performance Years 2023 and 2022 through 2024, if more than 3,000 Beneficiaries are aligned to the ACO DCE via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A), CMS will offer the ACO DCE the opportunity to participate in the Model as a Standard ACO DCE starting in the Performance Year in which the 3,000 threshold is exceeded. If the ACO DCE accepts such offer, the ACO DCE will be subject to the alignment minimum described in Section 5.03.A and the Performance Year Benchmark methodology for Standard ACOs DCEs described in Section I of Appendix B for each subsequent Performance Year. C. If the ACO DCE is a High Needs Population ACODCE, the ACO DCE shall maintain an aligned population of REACH DC Beneficiaries consistent with the following: 1. [Reserved]For Performance Year 2022, at least 250 DC Beneficiaries; 2. For Performance Year 2023, at least 500 REACH DC Beneficiaries; 3. For Performance Year 2024, at least 750 REACH DC Beneficiaries; 4. For Performance Year 2025, at least 1,000 REACH 1,200 DC Beneficiaries; and 5. For Performance Year 2026, at least 1,250 REACH 1,400 DC Beneficiaries. For Performance Years 2023 and 2022 through 2024, if more than 3,000 Beneficiaries are aligned to the ACO DCE via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A) CMS will calculate the Performance Year Benchmark based in part on the Performance Year Benchmark methodology for Beneficiaries aligned via Claims-Based Alignment to Standard ACOsDCEs, as described in Section III.D of Appendix B, starting in the Performance Year in which the 3,000 threshold is exceeded. D. If the ACODCE’s aligned population falls below the applicable minimum when alignment is first performed for a Performance Year, CMS may take remedial action or may terminate the Agreement or Agreement Performance Period pursuant to Article XVII. E. For Performance Year 2024 and each subsequent Performance Year, if the ACO’s aligned population is less than the applicable minimum, but equal to 90 percent or more of the applicable minimum when alignment is first performed for the Performance Year, CMS will waive the applicable minimum for the remainder of the Performance Year. CMS will waive the applicable minimum under this paragraph once during the Model Performance Period.

Alignment Minimum. A. If the ACO is a Standard ACO, the ACO shall maintain an aligned population of at least 5,000 REACH Beneficiaries each Performance Year. If the ACO is a Standard ACO, the ACO shall maintain at least 3,000 Beneficiaries that would have been aligned to the ACO via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A) for Performance Year 2023 and each subsequent Performance Year. B. If the ACO is a New Entrant ACO, the ACO shall maintain an aligned population of REACH Beneficiaries consistent with the following: 1. [Reserved] 2. For Performance Year 2023, at least 2,000 REACH Beneficiaries; 3. For Performance Year 2024, at least 3,000 REACH Beneficiaries;; and 4. For Performance Year 2025, at least 4,000 REACH Beneficiaries; Years 2025 and at least 3,000 of these REACH Beneficiaries must be aligned to the ACO via Claims-Based Alignment; and 5. For Performance Year 2026, at least 5,000 REACH Beneficiaries; , and at least 3,000 of these REACH Beneficiaries must be aligned to the ACO via Claims-Based Alignment. For Performance Years 2023 and 2024, if more than 3,000 Beneficiaries are aligned to the ACO via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A), CMS will offer the ACO the opportunity to participate in the Model as a Standard ACO starting in the Performance Year in which the 3,000 threshold is exceeded. If the ACO accepts such offer, the ACO will be subject to the alignment minimum described in Section 5.03.A and the Performance Year Benchmark methodology for Standard ACOs described in Section I of Appendix B for each subsequent Performance Year. C. If the ACO is a High Needs Population ACO, the ACO shall maintain an aligned population of REACH Beneficiaries consistent with the following: 1. [Reserved] 2. For Performance Year 2023, at least 500 REACH Beneficiaries; 3. For Performance Year 2024, at least 750 REACH Beneficiaries; 4. For Performance Year 2025, at least 1,000 1,200 REACH Beneficiaries; and 5. For Performance Year 2026, at least 1,250 1,400 REACH Beneficiaries. For Performance Years 2023 and 2024, if more than 3,000 Beneficiaries are aligned to the ACO via Claims-Based Alignment for Base Year One, Base Year Two, or Base Year Three (as defined in Appendix A) CMS will calculate the Performance Year Benchmark based in part on the Performance Year Benchmark methodology for Beneficiaries aligned via Claims-Based Alignment to Standard ACOs, as described in Section III.D of Appendix B, starting in the Performance Year in which the 3,000 threshold is exceeded. D. If the ACO’s aligned population falls below the applicable minimum when alignment is first performed for a Performance Year, CMS may take remedial action or may terminate the Agreement or Agreement Performance Period pursuant to Article XVII. E. For Performance Year 2024 and each subsequent Performance Year, if the ACO’s aligned population is less than the applicable minimum, but equal to 90 percent or more of the applicable minimum when alignment is first performed for the Performance Year, CMS will waive the applicable minimum for the remainder of the Performance Year. CMS will waive the applicable minimum under this paragraph once during the Model Performance Period.