(ACO) regulations - American Society of Anesthesiologists

CMS-1345-P 392
be consistent with meaningful use requirements under the Medicare EHR Incentive Program (as
described in part 495 of this chapter.
(6) A process in place for communicating clinical knowledge/evidence-based medicine
to beneficiaries in a way that is understandable to them.
(7) A process in place for beneficiary engagement and shared decision-making that takes
into account the beneficiaries' unique needs, preferences, values, and priorities;
(8) Written standards in place for beneficiary access and communication, and a process
in place for beneficiaries to access their medical record.
(9) Internal processes in place for measuring clinical or service performance by
physicians across the practices, and using these results to improve care and service over time.
§425.6 Assignment of Medicare fee-for-service beneficiaries to ACOs.
(a) General rule. (1) Medicare fee-for-service beneficiaries are assigned to an ACO
based on their utilization of primary care services provided under this title by a primary care
physician who is an ACO provider/supplier during the performance year for which shared
savings are to be determined.
(2) Beneficiary assignment to an ACO is for purposes of determining the population of
Medicare fee-for-service beneficiaries for whose care the ACO is accountable, and for
determining whether an ACO has achieved savings under §425.7 of this part, and in no way
diminishes or restricts the rights of beneficiaries assigned to an ACO to exercise free choice in
determining where to receive health care services.
(b) Assignment methodology. CMS employs the following methodology to assign
Medicare beneficiaries to an ACO:
(1) For each ACO, identify all primary care physicians as defined in §425.4 of this part