Common use of Quality Measure Reporting Clause in Contracts

Quality Measure Reporting. ‌ 1. Except as set forth in Section VIII.C.2, the ACO shall completely, timely, and accurately report quality measures for each Performance Year and shall require its Next Generation Participants to cooperate in quality measure reporting. Complete reporting means that the ACO meets all of the reporting requirements including timely reporting the requested data for all measures. 2. The ACO shall not report quality measures data on behalf of its Next Generation Participants for a Performance Year if the ACO terminates this Agreement pursuant to Section XIX.D.3, and the termination is effective no later than 30 days after February 28 of that Performance Year. 3. CMS shall use the following sources for quality reporting: (a) ACO reporting via the Group Practice Reporting Option (GPRO) Web Interface tool; (b) ACO reporting of results from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) or other patient experience surveys; (c) Medicare claims submitted for items and services furnished to Next Generation Beneficiaries; and (d) Any other relevant data shared between the ACO and CMS pursuant to this Agreement. 4. For each Performance Year, the ACO is responsible for procuring a CMS- approved vendor to conduct the CAHPS or other patient experience surveys. The ACO is responsible for paying for the surveys and for ensuring that the survey results are transmitted to CMS by a date and in a manner established by CMS.

Quality Measure Reporting. ‌ 1. Except as set forth in Section VIII.C.2, the ACO shall completely, timely, and accurately report quality measures for each Performance Year and shall require its Next Generation Participants to cooperate in quality measure reporting. Complete reporting means that the ACO meets all of the reporting requirements including timely reporting the requested data for all measures. 2. The ACO shall not report quality measures data on behalf of its Next Generation Participants for a Performance Year if the ACO terminates this Agreement its agreement pursuant to Section XIX.D.3, and the termination is effective no later than 30 days after February 28 of that Performance Year. 3. CMS shall use the following sources for quality reporting: (a) ACO reporting via the Group Practice Reporting Option (GPRO) Web Interface tool; (b) ACO reporting of results from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) or other patient experience surveys; (c) Medicare claims submitted for items and services furnished to Next Generation Beneficiaries; and (d) Any other relevant data shared between the ACO and CMS pursuant to this Agreement. 4. For each Performance Year, the ACO is responsible for procuring a CMS- approved vendor to conduct the CAHPS or other patient experience surveys. The ACO is responsible for paying for the surveys and for ensuring that the survey results are transmitted to CMS by a date and in a manner established by CMS.