{"abstract":"This final rule addresses changes to the Medicare Shared Savings Program including provisions relating to the payment of Accountable Care Organizations participating in the Medicare Shared Savings Program. Under the Medicare Shared Savings Program, providers of services and suppliers that participate in an Accountable Care Organizations continue to receive traditional Medicare fee-for-service payments under Parts A and B, but the Accountable Care Organizations may be eligible to receive a shared savings payment if it meets specified quality and savings requirements.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2015/06/09/2015-14005.html","cfr_references":[{"chapter":null,"citation_url":null,"part":425,"title":42}],"citation":"80 FR 32692","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Dates: With the exception of the amendments to Sec. Sec. 425.312, 425.704, and 425.708, the provisions of this final rule are effective on August 3, 2015. The amendments to Sec. 425.312 and Sec. 425.708 are effective November 1, 2015. The amendments to Sec. 425.704 are effective January 1, 2016.","disposition_notes":null,"docket_ids":["CMS-1461-F"],"dockets":[],"document_number":"2015-14005","effective_on":"2015-08-03","end_page":32845,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2015/06/09/2015-14005.xml","html_url":"https://www.federalregister.gov/documents/2015/06/09/2015-14005/medicare-program-medicare-shared-savings-program-accountable-care-organizations","images":{"ER09JN15.004":{"large":"https://img.federalregister.gov/ER09JN15.004/ER09JN15.004_large.png","medium":"https://img.federalregister.gov/ER09JN15.004/ER09JN15.004_medium.png","original_size":"https://img.federalregister.gov/ER09JN15.004/ER09JN15.004_original_size.png"},"ER09JN15.003":{"large":"https://img.federalregister.gov/ER09JN15.003/ER09JN15.003_large.png","medium":"https://img.federalregister.gov/ER09JN15.003/ER09JN15.003_medium.png","original_size":"https://img.federalregister.gov/ER09JN15.003/ER09JN15.003_original_size.png"},"ER09JN15.002":{"large":"https://img.federalregister.gov/ER09JN15.002/ER09JN15.002_large.png","medium":"https://img.federalregister.gov/ER09JN15.002/ER09JN15.002_medium.png","original_size":"https://img.federalregister.gov/ER09JN15.002/ER09JN15.002_original_size.png"}},"images_metadata":{"ER09JN15.004":{"large":{"identifier":"ER09JN15.004","content_type":"image/png","size":63117,"width":822,"sha":"ecf496abaa9c3764485e62d2d9611a0b","url":"https://img.federalregister.gov/ER09JN15.004/ER09JN15.004_large.png","height":1372},"medium":{"identifier":"ER09JN15.004","content_type":"image/png","size":23453,"width":424,"sha":"2aba7712312b05a845f2148588148b4b","url":"https://img.federalregister.gov/ER09JN15.004/ER09JN15.004_medium.png","height":707},"original_size":{"identifier":"ER09JN15.004","content_type":"image/png","size":70699,"width":3196,"sha":"ba7308007f175c2e0fd47af1d3a79fb6","url":"https://img.federalregister.gov/ER09JN15.004/ER09JN15.004_original_size.png","height":5333}},"ER09JN15.003":{"large":{"identifier":"ER09JN15.003","content_type":"image/png","size":30997,"width":822,"sha":"c63cbe9f87effa9152467f3441d5d4fb","url":"https://img.federalregister.gov/ER09JN15.003/ER09JN15.003_large.png","height":648},"medium":{"identifier":"ER09JN15.003","content_type":"image/png","size":15183,"width":491,"sha":"5249a733ce960a8574d5bcad007f9dbc","url":"https://img.federalregister.gov/ER09JN15.003/ER09JN15.003_medium.png","height":387},"original_size":{"identifier":"ER09JN15.003","content_type":"image/png","size":48063,"width":3716,"sha":"efc205ce6c3c1e5c8872a981d5f82881","url":"https://img.federalregister.gov/ER09JN15.003/ER09JN15.003_original_size.png","height":2929}},"ER09JN15.002":{"large":{"identifier":"ER09JN15.002","content_type":"image/png","size":42926,"width":821,"sha":"3c53b11c4de11c020a1df473f114e8d5","url":"https://img.federalregister.gov/ER09JN15.002/ER09JN15.002_large.png","height":611},"medium":{"identifier":"ER09JN15.002","content_type":"image/png","size":22820,"width":506,"sha":"6f09a3b0e06366fca0c1713f4367cbb4","url":"https://img.federalregister.gov/ER09JN15.002/ER09JN15.002_medium.png","height":377},"original_size":{"identifier":"ER09JN15.002","content_type":"image/png","size":47866,"width":3822,"sha":"e2b69ab6bb06607873a8d29e4f10a4df","url":"https://img.federalregister.gov/ER09JN15.002/ER09JN15.002_original_size.png","height":2845}}},"json_url":"https://www.federalregister.gov/api/v1/documents/2015-14005?publication_date=2015-06-09","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2015-06-09/2015-14005/mods.xml","not_received_for_publication":null,"page_length":154,"page_views":{"count":27004,"last_updated":"2026-07-28 08:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2015-06-09/pdf/2015-14005.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2015-14005.pdf?1433447120","publication_date":"2015-06-09","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2015/06/09/2015-14005.txt","regulation_id_number_info":{"0938-AS06":{"issue":"201410","html_url":"https://www.federalregister.gov/regulations/0938-AS06/medicare-shared-savings-program-accountable-care-organizations-cms-1461-p-","title":"Medicare Shared Savings Program; Accountable Care Organizations (CMS-1461-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201410&RIN=0938-AS06&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AS06"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AS06/medicare-shared-savings-program-accountable-care-organizations-cms-1461-p-","title":"Medicare Shared Savings Program; Accountable Care Organizations (CMS-1461-P)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2014-0155","supporting_documents_count":0,"docket_id":"CMS-2014-0155","regulation_id_number":"0938-AS06","title":"Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations (CMS-1461-P)","checked_regulationsdotgov_at":"2015-06-29T06:00:12Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":32692,"subtype":null,"title":"Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations","toc_doc":"Accountable Care Organizations","toc_subject":"Medicare Program; Medicare Shared Savings Program:","topics":["Administrative practice and procedure","Health facilities","Health professions","Medicare","Reporting and recordkeeping requirements"],"type":"Rule","volume":80}