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Data / Federal rules / 2024-09989

Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model

The Centers for Medicare & Medicaid Services published this proposed rule in the Federal Register on May 17, 2024. Comments closed on July 16, 2024.

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What the agency says

This proposed rule describes a new mandatory Medicare payment model, the Increasing Organ Transplant Access Model (IOTA Model), that would test whether performance-based incentive payments paid to or owed by participating kidney transplant hospitals increase access to kidney transplants for patients with end-stage renal disease (ESRD) while preserving or enhancing the quality of care and reducing Medicare expenditures. This proposed rule also includes standard provisions that would apply to Innovation Center models whose first performance period begins on or after January 1, 2025, and also would apply, in whole or part, to any Innovation Center model whose first performance period begins prior to January 1, 2025 should such model's governing documentation incorporate the provisions by reference in whole or in part. The proposed standard provisions relate to beneficiary protections; cooperation in model evaluation and monitoring; audits and records retention; rights in data and intellectual property; monitoring and compliance; remedial action; model termination by CMS; limitations on review; miscellaneous provisions on bankruptcy and other notifications; and the reconsideration review process.

Key facts

Document number
2024-09989
Type
Proposed rule
Action
Proposed rule
Agency
Health and Human Services Department; Centers for Medicare & Medicaid Services
Published
May 17, 2024
Comments due
July 16, 2024
Dates
To be assured consideration, comments must be received at one of the addresses provided below, by July 16, 2024.
Docket
CMS-5535-P
Regulation ID (RIN)
0938-AU51
Code of Federal Regulations
42 CFR 512
Topics
Administrative practice and procedure; Health facilities; Medicare
Significant
Yes, under Executive Order 12866
Pages
117

The document on federalregister.gov PDF

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Everything from the Centers for Medicare & Medicaid Services · Rules on administrative practice and procedure · Rules on health facilities · Rules on medicare · Published in May 2024

Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.