Shared Savings (once MSR met or exceeded)
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1st dollar savings at a rate of up to 25% based on quality performance; not to exceed 10% of updated benchmark
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1st dollar savings at a rate of up to 30% based on quality performance, not to exceed 10% of updated benchmark
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1st dollar savings at a rate of up to 40% based on quality performance, not to exceed 10% of updated benchmark
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1st dollar savings at a rate of up to 50% based on quality performance, not to exceed 10% of updated benchmark
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No change. 1st dollar savings at a rate of up to 75% based on quality performance, not to exceed 20% of updated benchmark
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Shared Losses (once MLR met or exceeded)
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N/A
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1st dollar losses at a rate of 30%, not to exceed 2% of ACO participant revenue capped at 1% of updated benchmark
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1st dollar losses at a rate of 30%, not to exceed 4% of ACO participant revenue capped at 2% of updated benchmark
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1st dollar losses at a rate of 30%, not to exceed the percentage of revenue specified in the revenue-based nominal amount standard under the Quality Payment Program (for example,
8% of ACO participant revenue in 2019 – 2020), capped at a percentage of updated benchmark that is 1 percentage point higher than the expenditure-based nominal amount standard (for example, 4% of updated benchmark in 2019 –2020)
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No change. 1st dollar losses at a rate of 1 minus final sharing rate (between 40% - 75%), not to exceed 15% of updated benchmark
1
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Annual election to enter higher risk? (see section II.A.4.b)
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Yes
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Yes
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No; ACO will automatically transition to Level E at the start of the next performance year
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No; maximum
level of risk / reward under the BASIC track
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No; highest level of
risk under Shared Savings Program
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