New Entrant ACO definition

New Entrant ACO means a REACH ACO that is approved by CMS to participate in the Model as a New Entrant ACO prior to the Start Date or that has subsequently been approved by CMS to participate in the Model as a New Entrant ACO pursuant to Article VIII, unless the ACO has since accepted an offer pursuant to Section 5.03.B to participate in the Model as a Standard ACO. A New Entrant ACO qualifies for the alternative Beneficiary alignment minimums specified in Section 5.03.B and qualifies for the Performance Year Benchmark methodology specified in Section II of Appendix B.
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Examples of New Entrant ACO in a sentence

  • Corporate, Private Client & Transactional Litigation & Global Disputes Finance & Investments mvalaw.comCMS REPLACES GPDC MODEL WITH THE ACO REACH MODEL AND IS ACCEPTING APPLICATIONS Risk Adjustment: Standard and New Entrant ACO types follow the same risk adjustment methodology, which is based on the CMS Hierarchical Condition Categories (“HCC”) prospective model.

  • For example, this means that Standard ACOs or New Entrant ACOs would not be allowed to split and form two separate ACOs –one High Needs Population ACO for their High Needs-eligible beneficiaries and one Standard ACO / New Entrant ACO for their remaining beneficiaries.

  • If the ACO is a Standard ACO or a New Entrant ACO, the ACO may not be owned by an individual or entity that also owns another REACH ACO that is High Needs Population ACO that is participating in the Model and that operates in the same ACO Service Area, as defined in Section 5.04.

  • The Services also may not be used to interfere with computer networking or telecommunications services to any user, host or network, including, but not limited to, denial of service attacks, flooding of a network, overloading a service, improper seizing and abuse of operator privileges and attempts to crash a host.

  • Further, prior to the start of both PY2025 and PY2026, the New Entrant ACO must have more than 3,000 beneficiaries aligned using claims-based alignment.

  • Each Standard ACO, New Entrant ACO, or High Needs Population ACO must contract with one or more Participant Providers.

  • Additionally, of the 5,000 aligned beneficiaries a New Entrant ACO is required to have by PY2025, 3,000 or more must have been aligned via claims to show progress in establishing patient-provider relationships.

  • The historical period for New Entrant ACO and High Needs Population ACO in PY2025 is 2021, 2022, 2023, and the historical baseline period for New Entrant ACO and High Needs Population ACO types in PY2026 is 2022, 2023, 2024.

  • For the New Entrant ACO and High Needs Population ACO types, the benchmarking in PY2021–PY2024 will also be based entirely on regional expenditures, measured via the ACO REACH/KCC Rate Book, whether beneficiaries are aligned through voluntary alignment or claims-based alignment.

  • The CMMI-HCC concurrent risk adjustment model is based on the CMS-HCC prospective model used for Standard and New Entrant ACO types, in MA, the Shared Savings Program, and the NGACO Program, and is therefore similar in design and structure.

Related to New Entrant ACO

  • New entrant means a teacher who is not a present teacher.

  • Stationary beam radiation therapy means radiation therapy without displacement of one or more mechanical axes relative to the patient during irradiation.

  • Automotive hard paste wax means an automotive wax or polish that is:

  • Moving beam radiation therapy means radiation therapy with any planned displacement of radiation field or patient relative to each other, or with any planned change of absorbed dose distribution. It includes arc, skip, conformal, intensity modulation and rotational therapy.

  • National Medical Support Notice or “NMSN” shall mean a notice that contains the following information:

  • Municipal Separate Storm Sewer System Management Program means a management program covering the duration of a state permit for a municipal separate storm sewer system that includes a comprehensive planning process that involves public participation and intergovernmental coordination, to reduce the discharge of pollutants to the maximum extent practicable, to protect water quality, and to satisfy the appropriate water quality requirements of the CWA and regulations, and this article and its attendant regulations, using management practices, control techniques, and system, design, and engineering methods, and such other provisions that are appropriate.

  • LOCKHEED XXXXXX Procurement Representative means a person authorized by LOCKHEED XXXXXX'x cognizant procurement organization to administer and/or execute this Contract.

  • Remediation waste management site means a facility where an owner or operator is or will be treating, storing or disposing of hazardous remediation wastes. A remediation waste management site is not a facility that is subject to corrective action under § 264.101 of this regulation, but is subject to corrective action requirements if the site is located in such a facility.

  • Continuous parameter monitoring system (CPMS means all of the equipment necessary to meet the data acquisition and availability requirements of the Prevention of Significant Deterioration program, to monitor process and control device operational parameters (for example, control device secondary voltages and electric currents) and other information (for example, gas flow rate, O2 or CO2 concentrations), and to record average operational parameter value(s) on a continuous basis.

  • Change Management means the add-on module to the Programs that enables engineers to define network changes through one or more configuration templates. Those network changes can be applied to multiple devices and executed/rolled back automatically. The Change Management module enables engineers to verify the impact of the changes across the network to help ensure a safer change process.

  • Radiation therapy simulation system means a radiographic or fluoroscopic x-ray system intended for localizing the volume to be exposed during radiation therapy and confirming the position and size of the therapeutic irradiation field.

  • External beam radiation therapy means therapeutic irradiation in which the source of radiation is at a distance from the body.

  • Small municipal separate storm sewer system or "small MS4" means all separate storm sewers that are (i) owned or operated by the United States, a state, city, town, borough, county, parish, district, association, or other public body (created by or pursuant to state law) having jurisdiction over disposal of sewage, industrial wastes, stormwater, or other wastes, including special districts under state law such as a sewer district, flood control district or drainage district, or similar entity, or an Indian tribe or an authorized Indian tribal organization, or a designated and approved management agency under § 208 of the CWA that discharges to surface waters and (ii) not defined as "large" or "medium" municipal separate storm sewer systems or designated under 4VAC50-60-380 A 1. This term includes systems similar to separate storm sewer systems in municipalities, such as systems at military bases, large hospital or prison complexes, and highway and other thoroughfares. The term does not include separate storm sewers in very discrete areas, such as individual buildings.

  • Exit Management means the obligations and rights of the Parties to ensure a smooth transition of the Framework from the Contractor to the Authority or any Replacement Contractor as set out in Clause 44 (Exit Management) and Schedule 8 (Exit Management).

  • Stationary internal combustion engine means a spark or compression ignited, reciprocating internal combustion engine which is not a portable emission unit.

  • Continuous parameter monitoring system or "CPMS" means all of the equipment necessary to meet the data acquisition and availability requirements of this article, to monitor process and control device operational parameters (for example, control device secondary voltages and electric currents) and other information (for example, gas flow rate, O2 or CO2 concentrations), and to record average operational parameter value(s) on a continuous basis.

  • Private Cloud System (PCS) A cloud infrastructure provisioned for exclusive use by a single organization comprising multiple consumers (e.g., business units). It may be owned, managed, and operated by the Requester, a third party, or some combination of them, and it may exist on or off premises.

  • Pretreatment coating means a coating which contains no more than 12% solids by weight, and at least 0.5% acid by weight, is used to provide surface etching, and is applied directly to metal surfaces to provide corrosion resistance, adhesion, and ease of stripping.

  • Pest Management Plan and “PMP” means the Recipient’s plan dated March 9, 2010, which: (i) addresses the concerns relating to the Project risks associated with potential increases in the use of pesticides for agricultural production, intensification and diversification and controlling disease vector populations arising from irrigation schemes; (ii) sets forth mitigation and monitoring measures to be taken during Project implementation and operation to eliminate adverse environmental and social impacts, offset them, or reduce them to acceptable levels; (iii) recommends institutional measures to strengthen national capacities to implement the mitigation and monitoring measures; and (iv) as part of the implementation arrangements, identifies national agencies and other partners that could play a vital role in the success of the Project.

  • Staging pile means an accumulation of solid, non- flowing remediation waste (as defined in this section) that is not a containment building and that is used only during remedial operations for temporary storage at a facility. Staging piles must be designated by the Director according to the requirements of § 264.554 of this regulation.

  • Drug therapy management means the review of a drug therapy regimen of a patient by one or more pharmacists for the purpose of evaluating and rendering advice to one or more practitioners regarding adjustment of the regimen.

  • Management Plan means a plan to manage the activities and protect the special value or values in an Antarctic Specially Protected Area or an Antarctic Specially Managed Area.

  • Entrant has the meaning given in clause 5.3;

  • Large municipal separate storm sewer system means all municipal separate storm sewers that are either:

  • Multimodal transport operator means the person on whose behalf the bill of lading/multimodal transport document, or any other document evidencing a contract of multimodal carriage of goods, is issued and who is responsible for the carriage of goods pursuant to the contract of carriage.

  • deforestation means direct human-induced conversion of forested land to non-forested land.