(ACO) regulations - American Society of Anesthesiologists

CMS-1345-P 38
of this proposed rule, we discuss our proposed methodology for assigning beneficiaries to
an ACO. In section II.E. of this proposed rule, we present our proposals regarding
quality measures and the methodology for measuring ACO performance under this
program. In section II.F. of this proposed rule, we discuss our proposed shared savings
payment methodology, including the establishment of an expenditure benchmark,
performance target, minimum savings percentage, sharing rate, performance cap. In
section II.G. of this proposed rule, we discuss our proposal for introducing risk into the
shared savings program, the two-sided model and differences from the one-sided model.
In section II. H. of this proposed rule, we discuss our proposal for monitoring ACO
performance and we propose grounds and procedures for terminating agreements. In
section II.I. of this proposed rule, we discuss our efforts to coordinate the development of
this proposed rule with other Federal agencies to ensure a coordinated and aligned interand
intra-agency effort in the implementation of the program. In section II.J. of this
proposed rule, we discuss overlap in Medicare programs and how this might affect
Shared Savings Program participants. Finally, in section V. of this proposed rule, we
present our Regulatory Impact Analysis, which sets forth an analysis of the impact of
these proposals on affected entities and beneficiaries.
For purposes of this proposed rule, we propose definitions for the following
terms:
• Accountable care organization (ACO) means a legal entity that is recognized
and authorized under applicable State law, as identified by a Taxpayer Identification
Number (TIN), and comprised of an eligible group (as discussed in section II.B. of this
proposed rule) of ACO participants that work together to manage and coordinate care for