REACH ACO definition

REACH ACO means an entity composed of health care providers operating under a common legal structure that has agreed to participate in the Model and to accept financial accountability for the overall quality and cost of medical care furnished to the Beneficiaries aligned to the entity under the Model.
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Examples of REACH ACO in a sentence

  • MHN REACH ACO will maintain the status of this activity and conduct audits as appropriate to ensure compliance.

  • MHN Enterprise Policies are consistent among Medical Home Network and its affiliates, including but not limited to MoreCare and MHN REACH ACO.

  • During a given Performance Year, the same TIN cannot be associated with both a REACH ACO and a Shared Savings Program ACO.

  • Participation in the IP3 does not commit a REACH ACO to participate in the model performance period beginning in PY2023.

  • This report serves as a valuable reference of a Provider’s period of alignment to the REACH ACO and the effective start and termination dates of each BE and PM applied to that Provider.

  • Beneficiaries can opt out of having CMS share their claims data with a REACH ACO for care coordination and quality improvement purposes at any time by contacting 1-800-MEDICARE and indicating their preference that CMS does not share such with the ACO.

  • If required by the COUNTY for a Project and/or Service, the CONTRACTOR shall provide the COUNTY’s Project Manager (the person managing the specific Project and/or Service from the Facilities & Fleet Management Department) with all requested documentation for all personnel, subcontractors, and representatives of the CONTRACTOR that will be utilized for the Project and/or Service.

  • However, it is important to carefully consider (1) how each provider or supplier that the REACH ACO wishes to add (as a Participant Provider or Preferred Provider) submits claims to Medicare and (2) how such billed claims are used in ACO REACH Model features such as claims-based alignment and claims reductions associated with Capitation and APO (see Section 3.1 for further details).

  • In addition, the Capitation Payment Mechanism chosen by the REACH ACO applies to all Participant Providers, and Participant Providers are eligible to qualify for Qualifying Alternative Payment Model Participant (QP) status under the Quality Payment Program (QPP) if they meet the QPP thresholds.

  • An entity that intends to operate both a REACH ACO and a Shared Savings Program ACO would have to create a unique TIN for each ACO (and would be subject to restrictions onprovider/supplier and beneficiary overlaps as described in the RFA).

Related to REACH ACO

  • Serious bodily injury means bodily injury which involves a substantial risk of death, extreme physical pain, protracted obvious disfigurement or protracted loss or impairment of the function of a bodily member, organ or mental faculty.

  • Normal Maximum Generation means the highest output level of a generating resource under normal operating conditions.

  • Severe property damage means substantial physical damage to property, damage to the treatment facilities which would cause them to become inoperable, or substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a bypass. Severe property damage does not mean economic loss caused by delays in production.

  • Heavy-duty hand cleaner or soap means a product designed to clean or remove difficult dirt and soils such as oil, grease, grime, tar, shellac, putty, printer’s ink, paint, graphite, cement, carbon, asphalt, or adhesives from the hand with or without the use of water. “Heavy-duty Hand Cleaner or Soap” does not include prescription drug products, “Antimicrobial Hand or Body Cleaner or Soap,” “Astringent/Toner,” “Facial Cleaner or Soap,” “General-use Hand or Body Cleaner or Soap,” “Medicated Astringent/Medicated Toner” or “Rubbing Alcohol.”

  • Bodily injury means bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time.

  • Catastrophic illness or injury means one of the following:

  • Area of shallow flooding means a designated AO or AH Zone on a community's Flood Insurance Rate Map (FIRM) with one percent or greater annual chance of flooding to an average depth of one to three feet where a clearly defined channel does not exist, where the path of flooding is unpredictable and indeterminate; and where velocity flow may be evident. Such flooding is characterized by ponding or sheet flow.

  • Minimum Generation Emergency means an Emergency declared by the Office of the Interconnection in which the Office of the Interconnection anticipates requesting one or more generating resources to operate at or below Normal Minimum Generation, in order to manage, alleviate, or end the Emergency.

  • Normal Minimum Generation means the lowest output level of a generating resource under normal operating conditions.

  • Sexual penetration means vaginal intercourse, cunnilingus, fellatio, or anal intercourse between persons or insertion of the hand, finger, or object into the anus or vagina either by the actor or upon the actor's instruction. The depth of insertion shall not be relevant to the question of commission of the crime;

  • Products Liability means:Your legal liability in respect of Personal Injury and/or Property Damage caused by or arising out of any Products or the reliance upon a representation or warranty made at any time with respect to such products; but only where such Personal Injury and/or Property Damage occurs away from premises owned or leased by or rented to You and after physical possession of such products has been relinquished to others.

  • Advertising injury means injury arising out of one or more of the following offenses:

  • Maximum Generation Emergency means an Emergency declared by the Office of the Interconnection to address either a generation or transmission emergency in which the Office of the Interconnection anticipates requesting one or more Generation Capacity Resources, or Non- Retail Behind The Meter Generation resources to operate at its maximum net or gross electrical power output, subject to the equipment stress limits for such Generation Capacity Resource or Non-Retail Behind The Meter resource in order to manage, alleviate, or end the Emergency.

  • Final RTO Unforced Capacity Obligation means the capacity obligation for the PJM Region, determined in accordance with RAA, Schedule 8. Financial Close:

  • Bodily harm means physical pain or injury, illness, or any impairment of physical condition.

  • Restoration Threshold means an amount equal to 5% of the outstanding principal amount of the Loan.

  • Loss or Damage means any loss or damage to the Vehicle, including that caused by theft of the Vehicle or by adverse weather events, that requires repair or replacement including the loss of use of the Vehicle (demurrage), legal expenses, assessment fees, towing and recovery costs, storage, service charges and any appraisal fees of the Vehicle;

  • Property damage means physical injury to, destruction of, or loss of use of tangible property.

  • Maximum horizontal acceleration in lithified earth material means the maximum expected horizontal acceleration depicted on a seismic hazard map, with a 90 percent or greater probability that the acceleration will not be exceeded in 250 years, or the maximum expected horizontal acceleration based on a site-specific seismic risk assessment.

  • Explosives or munitions emergency response specialist means an individual trained in chemical or conventional munitions or explosives handling, transportation, render-safe procedures, or destruction techniques. Explosives or munitions emergency response specialists include Department of Defense (DOD) emergency explosive ordnance disposal (EOD), technical escort unit (TEU), and DOD-certified civilian or contractor personnel; and other Federal, State, or local government, or civilian personnel similarly trained in explosives or munitions emergency responses.

  • Loss of Hand or Foot means complete severance through or above the wrist or ankle joint. (In South Carolina, "Loss of Hand" can also mean the loss of four whole fingers from one hand.)

  • Substantial bodily injury means "bodily injury which involves (A) a temporary but substantial disfigurement; or (B) a temporary but substantial loss or impairment of the function of any bodily member, organ, or mental faculty." See 18 U.S.C. § 113(b)(1).

  • RR or R/R means Railway Receipt"RR or R/R" means Railway Receipt "SBD" or

  • Extreme performance coating means coatings designed for harsh exposure or extreme environmental conditions.

  • Covered Federal Action means any of the following Federal actions: