In the CY 2022 PFS final rule we defined a population health measure as a quality measure that indicates the quality of a population or cohort's overall health and well-being, such as, access to care, clinical outcomes, coordination of care and community services, health behaviors, preventive care and screening, health equity, or utilization of health services (86 FR 65408)
To calculate the adjustment described in paragraph (a) of this section, CMS does all of the following: (1) Calculates the weighted average of the ACO's third benchmark year (BY3) national per capita expenditure amounts across the following populations of beneficiaries, where the weights are the ACO's BY3 proportion of assigned beneficiaries for that enrollment type: (i) ESRD
If changes to 410.63(a) are finalized, then we would make corresponding changes to guidance in the Medicare Benefit Policy Manual and Medicare Claims Processing Manual
We believe that establishing a cycle of timing to update supply and equipment cost inputs every 4 years may be one means of advancing shared goals of stability and predictability