If an ACO is not eligible to receive a prior savings adjustment or a HEBA, and the regional adjustment, expressed as a single value, is negative or zero, then the ACO would not receive an adjustment to its benchmark
Proposed CY 2025 Productivity-Adjusted Market Basket Update for FQHCs For CY 2025 (that is, January 1, 2025, through December 31, 2025), we propose to use an estimate of the proposed 2022-based FQHC market basket to update payments to FQHCs based on the best available data
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As requested by interested parties in comments on the initial Medicare Part D Drug Inflation Rebate Guidance, the repository could allow covered entities to submit these data directly to CMS (or a contractor), rather than through claims that dispensers submit to Part D plan sponsors
As in previous calendar years, to facilitate rulemaking for CY 2025, we are continuing to display two versions of the Labor Task Detail public use file: one version with the old listing of clinical labor tasks and one with the same tasks crosswalked to the new listing of clinical labor activity codes
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