Common use of Quality Measures and Quality Score Clause in Contracts

Quality Measures and Quality Score. Appendix K of this Agreement describes quality measures used to assess quality performance. The Performance Year Benchmark will be calculated based on a preliminary quality score of 100%, to be adjusted during financial settlement to reflect the ACO’s actual quality performance. During financial settlement, CMS will apply a downward adjustment to the ACO’s Performance Year Benchmark in an amount of up to 0.5% of the Performance Year expenditure calculated in accordance with Section IV of this Appendix B, depending on the ACO’s actual quality performance. The amount of any downward adjustment will be based on the ACO’s actual quality score for the Performance Year, with a higher quality score resulting in a smaller downward adjustment. If the ACO receives an actual quality score of 100%, the ACO will not receive a downward adjustment to its Performance Year Benchmark during financial settlement.

Quality Measures and Quality Score. Appendix K of this Agreement describes quality measures used to assess quality performance. The prospective Performance Year Benchmark will be calculated based on a preliminary quality score of 100%, to be adjusted during financial settlement to reflect the ACO’s actual quality performance. During financial settlement, CMS will apply a downward adjustment to the ACO’s Performance Year Benchmark in an amount of up to 0.5% of the Performance Year expenditure calculated in accordance with Section IV of this Appendix B, depending on the ACO’s actual quality performance. The amount of any downward adjustment will be based on the ACO’s actual quality score for the Performance Year, with a higher quality score resulting in a smaller downward adjustment. If the ACO receives an actual quality score of 100%, the ACO will not receive a downward adjustment to its Performance Year Benchmark during financial settlementBenchmark.

Quality Measures and Quality Score. Appendix K of this Agreement describes quality measures used to assess quality performance. The Performance Year Benchmark will be calculated based on a preliminary quality score of 100%, to be adjusted during financial settlement to reflect the ACO’s actual quality performance. During financial settlement, CMS will apply a downward adjustment to the ACO’s Performance Year Benchmark in an amount of up to 0.5% of the Performance Year expenditure calculated in accordance with Section IV of this Part 4 of Appendix B, depending on the ACO’s actual quality performance. The amount of any downward adjustment will be based on the ACO’s actual quality score for the Performance Year, with a higher quality score resulting in a smaller downward adjustment. If the ACO receives an actual quality score of 100%, the ACO will not receive a downward adjustment to its Performance Year Benchmark during financial settlement.