Section 171.1001 - Disincentives(a) Centers for Medicare & Medicaid Services may apply the following disincentives: (1) An eligible hospital or critical access hospital (CAH) as defined in 42 CFR 495.4 is not a meaningful electronic health record (EHR) user as also defined in 42 CFR 495.4 .(2) A Merit-based Incentive Payment System (MIPS) eligible clinician as defined in 42 CFR 414.1305 , who is also a health care provider as defined in § 171.102 , is not a meaningful EHR user for MIPS as defined in 42 CFR 414.1305 .(3) Accountable care organizations (ACOs) who are health care providers as defined in § 171.102 , ACO participants, and ACO providers/suppliers will be removed from, or denied approval to participate, in the Medicare Shared Savings Program as defined in 42 CFR part 425 for at least 1 year.