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US HR900

US HR900
ACO Assignment Improvement Act of 2019


summary

Introduced
01/30/2019
In Committee
01/30/2019
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

116th Congress

Bill Summary

To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists. This bill establishes additional requirements for assigning Medicare fee-for-service beneficiaries to accountable care organizations (ACOs) under the Medicare shared savings program. Under current law, the program enables ACOs to receive payments for savings stemming from care coordination and management. The bill requires the basis for assignment to reflect beneficiaries' utilization of not only primary care services provided by ACO physicians, but also those provided by other ACO practitioners—specifically, physician assistants, nurse practitioners, and clinical nurse specialists.

AI Summary

This bill, the ACO Assignment Improvement Act of 2019, amends the Social Security Act to improve the way Medicare beneficiaries are assigned to accountable care organizations (ACOs) under the Medicare Shared Savings Program. Specifically, the bill requires that the basis for beneficiary assignment not only include primary care services provided by ACO physicians, but also those provided by other ACO practitioners, such as nurse practitioners, physician assistants, and clinical nurse specialists. This change aims to better reflect beneficiaries' utilization of primary care services across different types of providers, enabling improved care coordination and management under the Medicare Shared Savings Program.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (13)

Last Action

Referred to the Subcommittee on Health. (on 01/30/2019)

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