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CMS believes a longer period of claims run-out (at least 12 and 36 months of run-out time in the proposed approach) would ensure that CMS more fully accounts for capturing of revised units

PMID 15217868

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As specified, CMS determines aggregate growth in regional prospective HCC and demographic risk scores by calculating growth in prospective HCC and demographic risk scores between BY3 and the performance year for each Medicare enrollment type, where growth in an ACO's regional risk score by enrollment type is expressed as the ratio of the performance year regional risk score for a Medicare enrollment type to the BY3 regional risk score for that enrollment type

(2) Specialty Composition of a Group We have previously established definitions for a single specialty group and a multispecialty group at 414.1305 (87 FR 70038 through 70040)

This proposal would allow RHCs to provide more outpatient-specialty services within the practitioner's scope of practice to meet the needs of the patient populationfor example, internal medicine, pediatrics, geriatrics, obstetrics and gynecology, dermatology, cardiology, neurology, endocrinology, and ear, nose and throat