We propose expanding upon current Shared Savings Program regulations to broaden the existing exception to the program's voluntary alignment policy, which would allow the exception to apply to beneficiaries assigned to entities in a CMS Innovation Center model under which claims-based assignment is based solely on (1) claims for primary care and/or other services related to treatment of one or more specific diseases or conditions targeted by the model, or (2) claims for services other than primary care services, and for which there has been a determination by the Secretary that waiver of the requirement in section 1899(c)(2)(B) of the Act is necessary for purposes of testing the model
Effects on Beneficiaries We are proposing to modify certain Medicare Diabetes Prevention Program (MDPP) expanded model policies to: (1) align MDPP terminology and definitions with the proposed 2024 Centers for Disease Control and Prevention (CDC) Diabetes Prevention Recognition Program (DPRP) Standard [811] definitions for in-person with a distance learning component, combination with an online component, and online
Appendix 1: MIPS Quality Measures Note: Except as otherwise noted in this proposed rule, previously finalized measures and specialty measure sets will continue to apply for the CY 2025 performance period/2027 MIPS payment year and future years
This requirement helps eligible clinicians determine which vendors to use prior to registration and provides transparency on the cost of program participation
Additionally, we are proposing to adopt a new cost measure exclusion policy beginning with the CY 2025 performance period/2027 MIPS payment year
