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 .
(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
(i)(I)#
requires participants in such model to use certified EHR technology (as defined in subsection ( o )(4)); and
(i)(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 .
(ii)(I)#
bears financial risk for monetary losses under such alternative payment model that are in excess of a nominal amount; or
(ii)(II)#
is a medical home expanded under section 1315a(c) of this title .