The Episode 5.2: The Most Delicious and Healthy Recipes for Vegan Cooking

Fear the Walking Dead follows up the awful season five premiere with an episode of mostly filler. The Hurt That Will Happen doesn't get any closer to finding Al, but did follow up an important clue about who took Rick Grimes. Morgan (Lennie James) and Alicia (Alycia Debnam-Carey) discover the source of the radiation. Victor Strand (Colman Domingo) makes contact with Daniel Salazar (Ruben Blades). John (Garret Dillahunt) and June (Jenna Elfman) go to camp, while a drugged up Luciana (Danay Garcia) holes up at the truck stop.

The Episode 5.2

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The plot slightly thickens, but got us nowhere in finding Al or those kids. In episode one, the guys that took Al were associated with a three ringed symbol. This was on the helicopter that spirited Rick away on The Walking Dead. It looks like all roads will lead to the reactors and the source of the radiation. Luciana fumbling about at the truck stop was pure filler. Why did Salazar entertain Strand if he was never going to help him? Insert more filler. It looks like Fear the Walking Dead is going to stretch the plot noodle thin and load us up on sauce. Tune in next week to AMC as the search for Al continues, and hopefully Morgan gets a new staff.

(a) General. Providers and suppliers furnishing items andservices included in the episode bill for such items and servicesin accordance with existing rules and as if this part were not ineffect.

(b) Reconciliation. CMS uses a series of reconciliationprocesses, which CMS performs as described in paragraphs (d) and(f) of this section, after the end of each performance year 1through 4 to establish final payment amounts to participanthospitals for CJR episodes for a given performance year. Followingthe end of each performance year 1 through 4, CMS determines actualepisode payments for each episode for the performance year (otherthan episodes that have been canceled in accordance with 510.210(b)), and determines the amount of a reconciliation paymentor repayment amount. Within performance year 5, CMS separatelyperforms the reconciliation processes described in paragraphs (d)and (f) of this section for performance year subsets 5.1 and 5.2and following the end of each performance year subset 5.1 and 5.2,CMS separately determines the actual episode payment for eachepisode for the subset of the performance year (other than episodesthat have been canceled in accordance with 510.210(b)) anddetermines the amount of a reconciliation payment or repayment foreach of performance year subsets 5.1 and 5.2.

(A) Separate reconciliation calculations (during both initialand subsequent reconciliations for a performance year) for eachpredecessor participant hospital for episodes where anchorhospitalization admission occurred before the effective date of thereorganization event; and

(B) Reconciliation calculations (during both initial andsubsequent reconciliations for a performance year) for each new orsurviving participant hospital for episodes where the anchorhospitalization admission occurred on or after the effective dateof the reorganization event.

(e) Calculation of the NPRA. By comparing thequality-adjusted target prices described in 510.300 and theparticipant hospital's actual episode spending for each ofperformance years 1 through 4 and each of performance year subsets5.1 and 5.2 and applying the adjustments in paragraph (e)(1)(v) ofthis section, CMS establishes an NPRA for each participant hospitalfor each such performance year or performance year subset.

(i) Determines actual episode payments for each episode includedin the performance year or performance year subset (other thanepisodes that have been canceled in accordance with 510.210(b))using claims data that is available 2 months after the end of theperformance year or performance year subset. Actual episodepayments are capped, as applicable, at the amount determined inaccordance with 510.300(b)(5) for the performance year orperformance year subset at the amount determined in paragraph (k)of this section for episodes affected by extreme and uncontrollablecircumstances, or at the quality adjusted target price determinedfor that episode under 510.300 for an episode with actual episodepayments that include a claim with a COVID-19 diagnosis code andinitiate after the earlier of March 31, 2021 or the last day of theemergency period described in paragraph (k)(4) of this section.

(ii) Multiplies each episode quality-adjusted target price bythe number of episodes included in the performance year orperformance year subset (other than episodes that have beencanceled in accordance with 510.210(b)) to which that episodequality-adjusted target price applies.

(iii) Aggregates the amounts computed in paragraph (e)(1)(ii) ofthis section for all episodes included in the performance year orperformance year subset (other than episodes that have beencanceled in accordance with 510.210(b)).

(ii) Subject to paragraph (f)(1)(iii) of this section, forperformance years 2 through 4 and for each of performance yearsubsets 5.1 and 5.2, results from the subsequent reconciliationcalculation for a prior year's reconciliation as described inparagraph (i) of this section and the post-episode spending and ACOoverlap calculations as described in paragraph (j) of this sectionare added to the current year's NPRA in order to determine thereconciliation payment or repayment amount.

(i) Subsequent reconciliation calculation. (1) Fourteenmonths after the end of each of performance years 1 through 4 andperformance year subset 5.1 and seventeen months after the end ofperformance year subset 5.2, CMS performs an additionalcalculation, using claims data available at that time, to accountfor final claims run-out and any additional episode cancelationsdue to overlap between the CJR model and other CMS models andprograms, or for other reasons as specified in 510.210(b).

(j) Additional adjustments to the reconciliation payment orrepayment amount. (1) In order to account for shared savingspayments, CMS will reduce the reconciliation payment or increasethe repayment amount for the subsequent performance year (forperformance years 1 through 4 and performance year subset 5.1) bythe amount of the participant hospital's discount percentage thatis paid to the ACO in the prior performance year as shared savings.(This amount will be assessed independently for performance yearsubset 5.2 in 2023.) This adjustment is made only when theparticipant hospital is a participant or provider/supplier in theACO and the beneficiary in the CJR episode is assigned to one ofthe following ACO models or programs:

(2) If the average post-episode Medicare Parts A and B paymentsfor a participant hospital in the prior performance year orperformance year subset is greater than 3 standard deviations abovethe regional average post-episode payments for the same performanceyear or performance year subset, then the spending amount exceeding3 standard deviations above the regional average post-episodepayments for the same performance year or performance year subsetis subtracted from the net reconciliation or added to the repaymentamount for the subsequent performance year for years 1 through 4and performance year subset 5.1, and assessed independently forperformance year subset 5.2.

(k) Extreme and uncontrollable circumstances adjustment.(1) The episode spending adjustments specified in paragraph (k)(2)of this section apply for a participant hospital that has a CCNprimary address that meets both of the following:

(2)(i) For a non-fracture episode with a date of admission tothe anchor hospitalization that is on or within 30 days before thedate that the emergency period (as defined in section 1135(g) ofthe Act) begins, actual episode payments are capped at the targetprice determined for that episode under 510.300.

(ii) For a fracture episode with a date of admission to theanchor hospitalization that is on or within 30 days before or afterthe date that the emergency period (as defined in section 1135(g)of the Act) begins, actual episode payments are capped at thetarget price determined for that episode under 510.300.

(i) The episode spending adjustments specified in paragraph(k)(4) of this section apply for a participant hospital that has aCCN primary address that is located in an emergency area during anemergency period, as those terms are defined in section 1135(g) ofthe Act, for which the Secretary issued a waiver or modification ofrequirements under section 1135 of the Act on March 13, 2020.

(4) For a fracture or non-fracture episode with a date ofadmission to the anchor hospitalization that is on or within 30days before the date that the emergency period (as defined insection 1135(g) of the Act) begins or that occurs on or beforeMarch 31, 2021 or the last day of such emergency period, whicheveris earlier, actual episode payments are capped at the qualityadjusted target price determined for that episode under 510.300.

(1) In a letter included with the season 5 DVD release, Kevin Sullivan said that 'Memento Mori' was his favorite episode in the series. The producer explained that the series was now focused on a reflection of the "human condition" and that Hetty's "powerful desire to achieve great things, to be an important and even powerful personality, give way to acceptance that the most meaningful things in her life are family and community."

(2) A flashback scene designed to begin the episode in Heather Conkie's outline (July 4, 1993) includes a young Alec, Roger and Ruth wishing Hetty a happy birthday. (Hetty is 12 years old in the outline, but her age is changed to ten in the Writer's Draft on August 13, 1993. Alec is five years old). This flashback is replaced with a beach scene.

In the story boards for the flash-back sequence of this episode, the older Hetty appears next to her mother and the younger Hetty on the beach. This flashback is depicted in the writer's draft after the doctor gives her ether. Old Hetty's mother apologizes for leaving her with so much responsibility and encourages her to live her life for the things she loves. 2ff7e9595c