Itused to be challenging to keep track of where we were in the process but the Help me organize feature in Google Sheets has become our secret weapon, allowing us to design step-driven processes with unparalleled flexibility. Now, we have a unified place to build and organize plans, trackers, and timelines, and keep them up to date in real time.
However, some features such as joining a Meet call from your documents are only available on Google Workspace plans, and Gemini for Workspace features like Help me organize are available as an add-on; see plans and pricing for organizations or Google Workspace Individual.
Co-editing means that multiple people can work on the same spreadsheet at the same time, without having to send versions back and forth. Sharing settings allows you to control who can view and edit a spreadsheet, and revision history enables you to revert to earlier versions. Also available in Google Docs and Slides.
Returns a DeveloperMetadataFinder for finding developer metadata within the scope ofthis sheet. Metadata is in the scope of a particular sheet if it is either associated with thesheet itself, or associated with a row, column, or range on that sheet.
Returns the current cell in the active sheet or null if there is no current cell. Thecurrent cell is the cell that has focus in the Google Sheets UI, and is highlighted by a darkborder. There is never more than one current cell. When a user selects one or more cell ranges,one of the cells in the selection is the current cell.
This is an ID for the sheet that is unique to the spreadsheet. The ID is a monotonicallyincreasing integer assigned at sheet creation time that is independent of sheet position. Thisis useful in conjunction with methods such as Range.copyFormatToRange(gridId, column, columnEnd, row, rowEnd) that take a gridId parameter rather than a Sheet instance.
Returns the rectangular grid of values for this range starting at the given coordinates. A -1value given as the row or column position is equivalent to getting the very last row or columnthat has data in the sheet.
Creates an object that can protect the sheet from being edited except by users who havepermission. Until the script actually changes the list of editors for the sheet (by callingProtection.removeEditor(emailAddress), Protection.removeEditor(user), Protection.removeEditors(emailAddresses), Protection.addEditor(emailAddress), Protection.addEditor(user), Protection.addEditors(emailAddresses), or setting a newvalue for Protection.setDomainEdit(editable)), the permissions mirror those of thespreadsheet itself, which effectively means that the sheet remains unprotected. If the sheet isalready protected, this method returns an object representing its existing protection settings.A protected sheet may include unprotected regions.
Sets the height of the given rows in pixels. By default, rows grow to fit cell contents. Whenyou use setRowHeightsForced, rows are forced to the specified height even if thecell contents are taller than the row height.
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These are the nice sheet pans I have ever purchased. So far they are durable, do not buckle under high temps, wash up well. And may I add they are very heavy. I like that but I was shocked that they are so heavy and sturdy.
In addition, building off of a comment solicitation in CY 2024 PFS rulemaking, through a new request for information in this proposed rule, we are seeking comments on financial arrangements that could allow for higher risk and potential reward than are available under the current ENHANCED track within the Shared Savings Program, including the design of and trade-offs between financial model features.
There will be a 60-day public comment period on the CY 2025 PFS proposed rule. CMS encourages all interested members of the public, including ACOs, providers, suppliers, and Medicare beneficiaries, to submit comments so that CMS can consider them as we develop the final rule. The 60-day comment period closes on September 9, 2024. Comments can be submitted at: (in commenting please refer to file code CMS-1807-P).
There will be a 30-day comment period for the Shared Savings Program SAHS billing activity proposed rule (CMS-1799-P). The 30-day comment period closes on July 29, 2024. Comments can be submitted at: (in commenting please refer to file code CMS-1799-P). For a fact sheet on the Shared Savings Program SAHS billing activity proposed rule, please visit: -sheets/proposed-rule-mitigating-impact-significant-anomalous-and-highly-suspect-billing-activity-medicare
At least 50% of prepaid shared savings would be required to be spent on direct beneficiary services not otherwise payable in Traditional Medicare that have a reasonable expectation of improving or maintaining the health or overall function of the beneficiary, such as meals, transportation, dental, vision, hearing, and Part B cost-sharing reductions. Additionally, up to 50% of the prepaid shared savings can be spent on staffing and healthcare infrastructure. Part of our intent with this proposal is to improve beneficiary engagement while allowing ACOs the flexibility to better address patient needs. This proposal also builds on allowing ACOs to address health-related social needs in partnership with community-based providers, starting to tackle the very problems that underlie health disparities. ACOs that receive prepaid shared savings would repay them through earned shared savings, similar to those ACOs receiving advance investment payments. However, ACOs receiving prepaid shared savings would be required to directly repay any outstanding balance to CMS if the ACO is unable to repay that balance through earned shared savings. ACOs would be required to continue to maintain their existing repayment mechanisms that CMS can use to recoup any funding in the event that the ACO does not earn shared savings or cannot otherwise repay the amount owed to CMS. CMS would carefully monitor ACO performance to minimize overpayments to ACOs that do not continue to earn shared savings. If an ACO works with a community-based organization to provide services to beneficiaries through prepaid shared savings, it would satisfy the regulatory requirement that an ACO establish plans to address the needs of its population by partnering with community stakeholders.
ACOs would be able to apply to participate in the prepaid shared savings payment option during the annual application cycle, and we propose the initial application cycle to apply for prepaid shared savings would be for a January 1, 2026 start date.
The APP Plus quality measure set would incrementally grow to comprise of 11 measures, consisting of the six measures in the existing APP quality measure set and five newly proposed measures from the Adult Universal Foundation measure set that would be incrementally incorporated into the APP Plus quality measure set over performance years 2025 through 2028. There would be eight measures in the APP Plus quality measure set for Shared Savings Program ACOs in performance year 2025, nine measures in performance years 2026 and 2027, and 11 measures in performance years 2028 and subsequent performance years. We intend to update the APP Plus quality measure set as new measures are added to or removed from the Adult Universal Foundation measure set in the future. ACOs would be required to report on all measures in the measure set annually.
Table 1 below displays a complete list of the proposed quality measures to be included in the APP Plus quality measure set for Shared Savings Program ACOs. These proposed quality measures will be added to the APP Plus quality measure set incrementally over performance years 2025 through 2028.
To account for the organizational complexities faced by virtual groups and APM Entities, including Shared Savings Program ACOs, when reporting eCQMs, we are proposing to establish a Complex Organization Adjustment beginning in the CY 2025 performance period/2027 MIPS payment year. A Virtual Group and an APM Entity would receive one measure achievement point for each submitted eCQM that meets the data completeness and case minimum requirements. Each reported eCQM may not score more than 10 measure achievement points and the total achievement points (numerator) may not exceed the total available measure achievement points (denominator) for the MIPS Quality performance category. The Complex Organization Adjustment for a Virtual Group or APM Entity may not exceed 10% of the total available measure achievement points in the MIPS Quality performance category. The adjustment would be added for each measure submitted at the individual measure level.
Mitigating the Impact of Significant, Anomalous, and Highly Suspect (SAHS) Billing Activity on Shared Savings Program Financial Calculations in Calendar Year 2024 or Subsequent Calendar Years
We are proposing in the CY 2025 PFS proposed rule to specify how we would mitigate the impact of SAHS billing activity in CY 2024 or subsequent calendar years by excluding payment amounts from expenditure and revenue calculations for the relevant calendar year for which the SAHS billing activity is identified, as well as from historical benchmarks used to reconcile the ACO for a performance year corresponding to the calendar year for which the SAHS billing activity was identified. We would routinely examine billing trends identified by CMS and other relevant information that had been raised through complaints by ACOs or other interested parties to the Department of Health and Human Services Office of Inspector General or to the CMS Center for Program Integrity. We would seek to identify and monitor any codes that would potentially trigger the adjustment policy and make a final determination as to which codes if any, warrant adjustments for the previous calendar year shortly after the start of the following calendar year. In general, we anticipate that billing activity that meets the high bar to be considered an SAHS billing activity will be a rare occurrence. While we anticipate future SAHS billing occurrences of the scope and magnitude observed for intermittent catheter supplies in CY 2023 to be rare, having a permanent policy in place would allow CMS to move quickly to make adjustments to financial calculations, provide ACOs with greater certainty that they will not be held accountable for SAHS billing activity that is out of their control, and strengthen the integrity of the Shared Savings Program through fair and accurate payment.
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