N.J. Admin. Code § 10:79A-1.9

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:79A-1.9 - Use of savings by a managed care organization

(a) A managed care organization that participates in the Demonstration Project and expects to earn savings pursuant to a contract with an ACO shall report to the Department and make available to the public how savings earned by the managed care organization will be used.

1. Possible uses for shared savings include:

i. Program administration costs;

ii. Retained earnings;

iii. Increased care coordination activities; and

iv. Increased payments to providers for medical home activities.

N.J. Admin. Code § 10:79A-1.9

Amended by 46 N.J.R. 791(a), effective 5/5/2014.