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.
Examples of New Entrant ACO in a sentence
If the ACO is a High Needs Population ACO, the ACO may select to participate in the Model as a New Entrant ACO in advance of the ACO’s second Performance Year.
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.