Additional definitions
In this subsection:
(A) Covered professional services
(A)Covered professional services#
The term “covered professional services” has the meaning given that term in section 1395w–4(k)(3)(A) of this title .
(B)Eligible professional#
The term “eligible professional” has the meaning given that term in section 1395w–4(k)(3)(B) of this title and includes a group that includes such professionals.
(C)Alternative payment model (APM)#
The term “alternative payment model” means, other than for purposes of subparagraphs (B)(ii)(I)(bb) and (C)(ii)(I)(bb) of paragraph (2), any of the following:
(i) A model under section 1315a of this title (other than a health care innovation award).
(ii) The shared savings program under section 1395jjj of this title .
(iii) A demonstration under section 1395cc–3 of this title .
(iv) A demonstration required by Federal law.
(C)(i)#
A model under section 1315a of this title (other than a health care innovation award).
(C)(ii)#
The shared savings program under section 1395jjj of this title .
(C)(iii)#
A demonstration under section 1395cc–3 of this title .
(D)Eligible alternative payment entity#
The term “eligible alternative payment entity” means, with respect to a year, an entity that—
(i) participates in an alternative payment model that— (I) requires participants in such model to use certified EHR technology (as defined in subsection ( o )(4)); and (II) provides for payment for covered professional services based on quality measures comparable to measures under the performance category described in section 1395w–4(q)(2)(B)(i) of this title ; and
(ii) (I) bears financial risk for monetary losses under such alternative payment model that are in excess of a nominal amount; or (II) is a medical home expanded under section 1315a(c) of this title .
(D)(i)#
participates in an alternative payment model that—
(I) requires participants in such model to use certified EHR technology (as defined in subsection ( o )(4)); and
(II) provides for payment for covered professional services based on quality measures comparable to measures under the performance category described in section 1395w–4(q)(2)(B)(i) of this title ; and
(D)(i)(I)#
requires participants in such model to use certified EHR technology (as defined in subsection ( o )(4)); and