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Medicare Shared Savings Program Quality Measure Benchmarks for the 2015 Reporting Year

Issued correction of 2015 benchmarks for ACO-9 and ACO-10 quality measures.
Updated 2015 benchmarks for ACO-14, 15, 16, 19, 20, and 30 due to the existing 90th percentile benchmark being equal to or greater than 95 percent, as finalized in the 2015 Physician Fee Schedule (PFS) Final Rule.
Added 2015 benchmark update for ACO-33 because of 2015 PFS Final Rule removal of the Coronary Artery Disease Composite.
Added notation that the quality improvement reward, as finalized in the 2015 PFS Final Rule, will begin to be applied to ACOs showing quality improvement in the 2015 reporting year.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.