Bill
Bill > HR4579
US HR4579
Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017
summary
Introduced
12/06/2017
12/06/2017
In Committee
12/08/2017
12/08/2017
Crossed Over
Passed
Dead
12/31/2018
12/31/2018
Introduced Session
115th Congress
Bill Summary
Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to: extend the Independence at Home demonstration program; modify provisions regarding access to home dialysis therapy under Medicare and special needs plans under Medicare Advantage (MA); expand testing of the MA Value-Based Insurance Design test model; allow an MA plan to provide additional telehealth benefits to enrollees and, to chronically ill enrollees, certain supplemental health care benefits; modify other provisions regarding the use of telehealth services; allow prospective, voluntary assignment of Medicare fee-for-service beneficiaries to accountable care organizations (ACOs); allow ACOs to operate beneficiary incentive programs; require the Centers for Medicare & Medicaid Services (CMS) to establish a process for Medicare prescription-drug plan sponsors to request certain claims data from the CMS; require the CMS to study and report to Congress on long-term risk factors for chronic conditions among Medicare beneficiaries; and eliminate annual funding available to the Medicare Improvement Fund and the Medicaid Improvement Fund beginning in FY2021. The Government Accountability Office shall conduct studies on: the establishment of a payment code for a visit for longitudinal comprehensive care planning services, the extent to which Medicare prescription drug plans and private payors use programs that synchronize pharmacy dispensing to facilitate comprehensive counseling and promote medication adherence, and the use of prescription drugs to manage the weight of obese patients and the impact of such drug coverage on patient health and health care spending.
AI Summary
This bill, the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017, aims to implement Medicare payment policies to improve management of chronic disease, streamline care coordination, and improve quality outcomes without adding to the deficit. Key provisions of the bill include:
- Extending the Independence at Home demonstration program and expanding access to home dialysis therapy under Medicare.
- Providing continued access to Medicare Advantage special needs plans for vulnerable populations and increasing integration of dual-eligible special needs plans.
- Allowing Medicare Advantage plans to provide additional telehealth benefits and expanding the use of telehealth for accountable care organizations and individuals with stroke.
- Providing flexibility for Medicare beneficiaries to be part of an accountable care organization.
- Eliminating barriers to care coordination under accountable care organizations and allowing them to provide incentive payments to beneficiaries for primary care services.
- Requiring the Secretary of Health and Human Services to establish a process for prescription drug plans to access Medicare Parts A and B claims data and conduct studies on medication synchronization, obesity drugs, and long-term risk factors for chronic conditions.
- Eliminating annual funding for the Medicare Improvement Fund and Medicaid Improvement Fund beginning in fiscal year 2021.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (2)
Last Action
Referred to the Subcommittee on Health. (on 12/08/2017)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/115th-congress/house-bill/4579/all-info |
| BillText | https://www.congress.gov/115/bills/hr4579/BILLS-115hr4579ih.pdf |
| Bill | https://www.congress.gov/115/bills/hr4579/BILLS-115hr4579ih.pdf.pdf |
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