(ACO) regulations - American Society of Anesthesiologists

CMS-1345-P 210
hospital-acquired infections and readmissions would be worth more than process measures. This
would avoid overweighting or underweighting measures due to their domain, and account for
clinical importance.
However, we did not think either of these approaches would be consistent with a larger
measurement strategy of driving better health for populations and better care for individuals
overall for the ACO beneficiary population, since we believe population health is better assessed
across domains that encompass a variety of measures that apply to beneficiaries with different
needs.
(4) The Quality Performance Standard Level
We propose to set the quality performance standard of the first year of the Shared
Savings Program at the reporting level. That is, under the one-sided model, we propose that an
ACO would receive 50 percent of shared savings (provided that the ACO realizes sufficient cost
savings under the methodology described in the Shared Savings Determination section of this
proposed rule) based on 100 percent complete and accurate reporting on all quality measures.
Similarly, we propose that under the two-sided risk model, ACOs would receive 60 percent of
shared savings (provided that the ACO realizes sufficient cost savings under the methodology
described in the section II.G. of this proposed rule) based on 100 percent complete and accurate
reporting on all quality measures. We believe setting the quality performance standard for the
first year of the Shared Savings Program at full and accurate reporting allows ACOs to ramp up,
invest in their infrastructure, engage ACO providers/suppliers, and redesign care processes to
capture and provide data back to their ACO providers/suppliers to transform care at the point of
care. It also would provide CMS with the opportunity to learn about the process, establish and
refine benchmarks on ACO reported data, and establish improvement targets using data reporting