To amend title XVIII of the Social Security Act to expand Medicare benefits to prevent, delay, and minimize the progression of chronic conditions, establish payment incentives for furnishing quality services to people with serious and disabling chronic conditions, and develop national policies on effective chronic condition care, and for other purposes.
Provides for fast-track consideration of prevention benefit legislation.
Directs the Secretary to conduct demonstration projects for the purpose of promoting disease self-management for conditions identified, and appropriately prioritized, by the Secretary for specified at-risk target individuals.
Amends SSA title XVIII to require the Secretary to establish a comprehensive and systematic model for delivering health promotion and disease prevention services, and conduct demonstration projects to develop it.
Provides for coverage of care coordination and assessment services furnished by a care coordinator as a Medicare part B medical service.
Directs the Secretary to provide for appropriate adjustments to specified payment systems to take into account the additional costs incurred in providing items and services under the Medicare program to Medicare beneficiaries who suffer from serious and disabling chronic conditions.
Requires the Secretary to: (1) revise the risk adjustment methodology under SSA title XVIII part C (Medicare+Choice) applicable to payments to Medicare+Choice organizations offering specialized programs for frail elderly and at-risk beneficiaries to take into account variations in costs incurred by such organizations; and (2) establish a demonstration program under which additional payments may be made to such an organization, if certain requirements are met.
Directs the Secretary to: (1) study and report to Congress on chronic condition trends of Medicare beneficiaries and associated service utilization, quality indicators, and cumulative costs; and (2) contract with the Institute of Medicine of the National Academy of Sciences to make a Medicare chronic condition care improvement study and report.
Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S11207-11213)
Introduced in House
Introduced in House
Sponsor introductory remarks on measure. (CR E1943-1944)
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Rules, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Rules, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Rules, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Rules, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
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