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They get into it for the same reason 12-year-olds start smoking they think its a cool thing to do, UC Irvine Coach Mike Gillespie said
Absent such a threshold, an ACO with a lower than average regional adjustment or prior savings adjustment (and therefore a larger HEBA scaler) that is providing care for relatively few beneficiaries from underserved communities may receive a sizable HEBA, which would reward the ACO despite it not serving a significant proportion of beneficiaries from underserved communities
If you wish to comment, please submit your comments electronically as specified in the DATES and ADDRESSES sections of this proposed rule and identify the rule (CMS-1807-P), the ICR's CFR citation, and OMB control number
Under the waiver authority at section 1115A(d)(1) of the Act for CMS Innovation Center APMs and at section 1899(f) of the Act for the Medicare Shared Savings Program, the Cost performance category weight is zero percent as described at 414.1367(c)(2) (85 FR 84864) for MIPS eligible clinicians that report via the APP
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