(ACO) regulations - American Society of Anesthesiologists

CMS-1345-P 171
data collection and reporting.
• Exhibit sensitivity to administrative burden and seek to become less
burdensome over time.
c. Proposed Quality Measures for Use in Establishing Quality Performance Standards
that ACOs Must Meet for Shared Savings
Based upon the principles described, we are proposing 65 measures (see Table 1)
for use in the calculation of the ACO Quality Performance Standard. We propose that
ACOs will submit data on these measures using the process described later in this
proposed rule and meet defined quality performance thresholds. We propose that ACOs
be required to report quality measures and meet applicable performance criteria, as
defined in rulemaking, for all 3 years within the 3-year agreement period to be considered
as having met the quality performance standard. Specifically, for the first year of the
program, we propose for the quality performance standard to be at the level of full and
accurate measures reporting; for subsequent years, we propose the quality performance
standard be based on a measures scale with a minimum attainment level as described in
section II.E.4 of this proposed rule.
ACOs that do not meet the quality performance thresholds for all proposed
measures would not be eligible for shared savings, regardless of how much per capita
costs were reduced. Specifically, as discussed in section II.H. of this proposed rule, in
those instances where an ACO fails to meet the minimum attainment level for 1 or more
domains, we propose to give the ACO a warning and to re-evaluate the following year. If
the ACO continues to underperform on the quality performance standards in the
following year, the agreement will be terminated. We also propose that if an ACO fails