Table 1 to § 512.370(b)(1) -ETC Model Schedule of PPA Achievment Benchmarks by Measurement Year
MY1 and MY2 | MY3 and MY4 | MY5 and MY6 | MY7 and MY8 | MY9 and MY10 | Points |
90th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year | 1.1 * (90th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.2 * (90th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.3 * (90th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.4 * (90th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 2 |
75th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year | 1.1 * (75th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.2 * (75th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.3 * (75th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.4 * (75th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.5 |
50th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year | 1.1 * (50th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.2 * (50th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.3 * (50th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.4 * (50th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1 |
30th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year | 1.1 * (30th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.2 * (30th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.3 * (30th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.4 * (30th+ Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 0.5 |
[LESS THAN]30th Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year | 1.1 * ([LESS THAN]30th Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.2 * ([LESS THAN]30th Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.3 * ([LESS THAN]30th Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 1.4 * ([LESS THAN]30th Percentile of benchmark rates for Comparison Geographic Areas during the Benchmark Year) | 0 |
Modality Performance Score = 2 * (Higher of the home dialysis achievement or improvement score) + (Higher of the transplant achievement or improvement score)
Modality Performance Score = 2 * (Higher of the home dialysis achievement or (home dialysis improvement score + Health Equity Bonus [DAGGER])) + (Higher of the transplant achievement or (transplant improvement score + Health Equity Bonus[DAGGER]))
[DAGGER] The Health Equity Incentive is applied to the home dialysis improvement score or transplant improvement score only if earned by the ETC Participant.
42 C.F.R. §512.370