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

  • 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.

  • 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.

  • 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.

  • 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.

  • Beneficiaries may be aligned to a Standard ACO, New Entrant ACO, or High Needs Population ACO in two ways: 1.

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

  • 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.

  • Some ACOs may have experience participating in section 1115A models involving shared savings, whereas others may be newly formed to participate as an ACO.• A New Entrant ACO is an organization with limited experience with risk-based FFS Medicare experience.

  • 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.

  • Conversely, New Entrant ACOs must have fewer than 3,000 claims-aligned beneficiaries for all three of these BYs; if a New Entrant ACO has at least 3,000 claims-aligned beneficiaries in at least one BY, they will be given the option to participate as a Standard ACO, provided they meet other eligibility criteria.

Related to New Entrant ACO

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

  • 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.

  • Market Participant Energy Injection means transactions in the Day-ahead Energy Market and Real-time Energy Market, including but not limited to Day-ahead generation schedules, real- time generation output, Increment Offers, internal bilateral transactions and import transactions, as further described in the PJM Manuals.

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

  • 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.

  • 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).

  • Holding Tank Waste means any waste from holding tanks such as vessels, chemical toilets, campers, trailers, septic tanks, and vacuum-pump tank trucks.

  • Base Load Generation Resource means a Generation Capacity Resource that operates at least 90 percent of the hours that it is available to operate, as determined by the Office of the Interconnection in accordance with the PJM Manuals.

  • Continuous parameter monitoring system or "CPMS" means all of the equipment necessary to meet the data acquisition and availability requirements of this chapter, 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, oxygen or carbon dioxide concentrations), and to record average operational parameter value 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.

  • service delivery and budget implementation plan means a detailed plan approved by the mayor of a municipality in terms of section 53(1) (c) (ii) for implementing the municipality’s delivery of municipal services and its annual budget.

  • 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.

  • Entrant has the meaning given in clause 5.3;

  • deforestation means the temporary or permanent human-induced conversion of forested land to non-forested land;

  • Air-purifying respirator means a respirator with an air-purifying filter, cartridge, or canister that removes specific air contaminants by passing ambient air through the air-purifying element.

  • COVID-19 means SARS-CoV-2 or COVID-19, and any evolutions thereof or related or associated epidemics, pandemic or disease outbreaks.

  • Generation Interconnection Feasibility Study means a study conducted by the Transmission Provider (in coordination with the affected Transmission Owner(s)) in accordance with Tariff, Part IV, section 36.

  • Non-Administrator Substance Use Disorder Treatment Facility means a Substance Use Disorder Treatment Facility that does not meet the definition of an Administrator Substance Use Disorder Treatment Facility.

  • Quality Management Plan means the portion of the Project Development Plan providing the information requested in Section 4.3 of Exhibit B to the ITP.

  • Treatment Plant means the onshore plant to be constructed by the Joint Venturers for the liquefaction and treatment of natural gas and condensate as contemplated in the recitals to this Agreement.

  • Transboundary movement means any movement of hazardous wastes or other wastes from an area under the national jurisdiction of one State to or through an area under the national jurisdiction of another State or to or through an area not under the national jurisdiction of any State, provided at least two States are involved in the movement;

  • Treatment site means the anatomical description of the tissue intended to receive a radiation dose, as described in a written directive.