Examples of ACO Activities in a sentence
The ACO shall not, and shall ensure that its Next Generation Participants, Preferred Providers, and any other individuals or entities performing services related to ACO Activities do not, provide gifts or other remuneration to Next Generation Beneficiaries as inducements for receiving the Coordinated Care Reward or to influence a Next Generation Beneficiary’s decision to qualify for the Coordinated Care Reward.
ACO, Participant and Preferred Provider agree to participate in the Program as provided herein and are committed to performing ACO Activities, as that term is defined in the Agreement.
The ACO shall ensure that it has written arrangements in place with any individuals and entities performing functions and services related to ACO Activities or Marketing Activities, that are necessary to ensure CMS or its designees can carry out evaluation activities.
If CMS rejects the ACO’s Marketing Plan, the ACO shall not, and shall require its Participant Providers, Preferred Providers, and other individuals or entities performing functions or services related to ACO Activities or Marketing Activities, not to, conduct Marketing Activities.
There has been a termination, dispute, or allegation of fraud or similar fault against the ACO, its Participant Providers, Preferred Providers, or other individuals or entities performing functions or services related to ACO Activities or Marketing Activities, in which case the records shall be maintained for an additional six years from the date of any resulting final resolution of the termination, dispute, or allegation of fraud or similar fault.
Unless the ACO participated in the Model during the Implementation Period, the ACO shall not conduct, and shall prohibit its Participant Providers, Preferred Providers, and other individuals or entities performing functions or services related to ACO Activities or Marketing Activities, from conducting Marketing Activities before the Start Date, or such other date specified by CMS.
The arrangement requires the Participant Provider or Preferred Provider to agree to participate in the Model during the Agreement Performance Period, to engage in ACO Activities, to comply with the applicable terms of the Model as set forth in the Agreement, and to comply with all applicable laws and regulations (including, but not limited to, those specified at Section 15.04).
In conducting Marketing Activities, the ACO shall not, and shall require its Participant Providers, Preferred Providers, and other individuals or entities performing functions or services related to ACO Activities or Marketing Activities, not to, conduct communication or Marketing Activities targeted to Beneficiaries enrolled in Medicare Advantage or any other Medicare managed care plan.
This Court has subject matter jurisdiction over this case under 2813 U.S.C. § 1331 because Plaintiff is asserting a claim under the Act.14 7.
Consistent with Section 1802(a) of the Act, neither the ACO nor any Participant Provider, Preferred Provider, or other individuals or entities performing functions or services related to ACO Activities or Marketing Activities, shall commit any act or omission, nor adopt any policy, that inhibits Beneficiaries from exercising their freedom to obtain health services from providers and suppliers who are not Participant Providers or Preferred Providers.