We note that an ACO may use prepaid shared savings for staffing, healthcare infrastructure and direct beneficiary services in a manner that complies with the beneficiary incentives provision at 425.304(a), (b), and newly proposed (d) as discussed in section III.G.5.i of this proposed rule, and all other applicable laws and regulations
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As proposed in 428.302(c)(2), for a natural disaster or other unique or unexpected event occurring on or after August 2, 2024, that the manufacturer believes caused a severe supply chain disruption, the manufacturer must submit the rebate reduction request within 60 calendar days from the first day that the natural disaster or other unique or unexpected event occurred or began in order for CMS to consider a rebate reduction
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Due to this change, we propose to adjust the estimated weighted average time required for each QCDR to submit a QCDR measure from 0.75 hours to 0.82 hours [((3 new QCDR measures 2 hr) + (11 existing or borrowed QCDR measures 0.5 hr)) total # of QCDR measures (14)]
