BENEFICIARY'S chronic conditions and designed to achieve results in subsection ; 7 days per week to carry out plans of care tailoring to individual
Index of Sec 1312. ...BENEFICIARY access to services covered under title and applicable beneficiaries not to be required to relinquish access to benefit under title as condition of receiving services from independence at home medical practice ; Nothing in section to be construed as encouraging physicians or nurse practitioners to limit applicable
Index of Sec 1312. ...BENEFICIARY'S chronic conditions and designed to achieve results in subsection ; 7 days per week to carry out plans of care tailoring to individual
Index of Sec 1312. ...DEMENTIAS designating by Secretary, chronic obstructive pulations disease, ischemic heart disease, stroke, Alzheimer's Disease and neurodegenerative diseases and other diseases and conditions designated by Secretary ; Congestive heart failure, diabetes, other
Index of Sec 1312. ...DEMENTIAS designating by Secretary, chronic obstructive pulations disease, ischemic heart disease, stroke, Alzheimer's Disease and neurodegenerative diseases and other diseases and conditions designated by Secretary ; Congestive heart failure, diabetes, other
Index of Sec 1312. ...DIAGNOSTIC technology ; Uses electronic health information systems, remote monitoring and mobile
Index of Sec 1312. ...HEALTH information technology and individualized plans of care ; Use electronic medical records,
Index of Sec 1312. ...EXPENDITURES and improving health outcomes in provision of items and services under title to applicable beneficiaries ; Secretary conducting demonstration program to test payment incentive and service delivery model utilizing physician and nurse practitioner directed home-based primary care teams designed to reduce
Index of Sec 1312. ...EXPENDITURES for items and services under parts A and B with respect to applicable beneficiaries for independence at home medical practice not exceeding amount ; Secretary limiting incentive payments to qualifying independence at home medical practice under paragraph as necessary to ensure that aggregate
Index of Sec 1312. ...EXPENDITURES and quality of services under title after applicable beneficiary discontinuing receiving services under title through qualifying independence at home medical practice ; Secretary monitoring data on
Index of Sec 1312. ...FISCAL year to be available until expended ; Amounts transferred under subsection for
Index of Sec 1312. ...FUNCTIONAL dependencies requiring assistance of another person ; 2 or more
Index of Sec 1312. ...HEALTH and social services staffing as appropriate having experience providing home-based primary care to applicable beneficiaries, make in-home visits and available 24 hours per day ; Comprising of individual physician or nurse practitioner or group of physicians and nurse practitioners providing care as part of team including physicians, nurses, physician assistants, pharmacists and other
Index of Sec 1312. ...HEALTH care across treatment settings ; Continuous and accessible care to high-need populations at home and coordinat
Index of Sec 1312. ...HEALTH care items or services under demonstration program unless entity guarantees ; Secretary not entering into agreement with entity to provide
Index of Sec 1312. ...HEALTH care services to applicable beneficiaries in home ; Experience in furnishing
Index of Sec 1312. ...HEALTH care services covered under title ; Reducing cost of
Index of Sec 1312. ...HEALTH outcomes in provision of items and services under title to applicable beneficiaries ; Secretary conducting demonstration program to test payment incentive and service delivery model utilizing physician and nurse practitioner directed home-based primary care teams designed to reduce expenditures and improving
Index of Sec 1312. ...HEALTH status if not included in program ; Entity not denying, limiting or conditioning coverage or provision of benefits to which individual otherwise to be entitled on basis of
Index of Sec 1312. ...HEART disease, stroke, Alzheimer's Disease and neurodegenerative diseases and other diseases and conditions designated by Secretary ; Congestive heart failure, diabetes, other dementias designating by Secretary, chronic obstructive pulations disease, ischemic
Index of Sec 1312. ...DEMENTIAS designating by Secretary, chronic obstructive pulations disease, ischemic heart disease, stroke, Alzheimer's Disease and neurodegenerative diseases and other diseases and conditions designated by Secretary ; Congestive heart failure, diabetes, other
Index of Sec 1312. ...EXPENDITURES and improving health outcomes in provision of items and services under title to applicable beneficiaries ; Secretary conducting demonstration program to test payment incentive and service delivery model utilizing physician and nurse practitioner directed home-based primary care teams designed to reduce
Index of Sec 1312. ...HEALTH care across treatment settings ; Continuous and accessible care to high-need populations at home and coordinat
Index of Sec 1312. ...HOME medical practice meaning legal entity ; Term independence at
Index of Sec 1312. ...HOME visits and available 24 hours per day ; Comprising of individual physician or nurse practitioner or group of physicians and nurse practitioners providing care as part of team including physicians, nurses, physician assistants, pharmacists and other health and social services staffing as appropriate having experience providing home-based primary care to applicable beneficiaries, make in-
Index of Sec 1312. ...HOME-based primary care services to high cost chronically ill beneficiaries as determined appropriate by Secretary ; Documenting experience in providing
Index of Sec 1312. ...HOME medical practice from including provider of services or participating practitioner described in section 1842(b) affiliated with practice under arrangement structured so that provider of services or practitioner participating in demonstration program and shares in savings under demonstration program ; Nothing in subsection to be construed as preventing independence at
Index of Sec 1312. ...HOME medical practice participating in demonstration program reporting on quality measures and report to Secretary ; Independence at
Index of Sec 1312. ...HOME medical practices participating in demonstration program ; Secretary developing quality performance standards for independence at
Index of Sec 1312. ...HOME medical practices ; Incentive payment under section to be apportioned among qualifying independence at
Index of Sec 1312. ...EXPENDITURES for items and services under parts A and B with respect to applicable beneficiaries for independence at home medical practice not exceeding amount ; Secretary limiting incentive payments to qualifying independence at home medical practice under paragraph as necessary to ensure that aggregate
Index of Sec 1312. ...HOME medical practice under demonstration program ; Secretary determining appropriate method of ensuring that applicable beneficiaries agreed to enroll in independence at
Index of Sec 1312. ...HOME medical practice ; Nothing in section to be construed as encouraging physicians or nurse practitioners to limit applicable beneficiary access to services covered under title and applicable beneficiaries not to be required to relinquish access to benefit under title as condition of receiving services from independence at
Index of Sec 1312. ...HOME medical practice under demonstration program covering not more than 3-year period ; Agreement with independence at
Index of Sec 1312. ...HOME medical practice under section participating in section 1866d or sectioning 1866e ; Secretary not paying independence at
Index of Sec 1312. ...HOME medical practice under section participating in programs under section 1866d or sectioning 1866e ; Secretary ensuring that no applicable beneficiary enrolled in independence at
Index of Sec 1312. ...HOME ; Experience in furnishing health care services to applicable beneficiaries in
Index of Sec 1312. ...HOME medial practices as practicable and consistent with subsection to test potential of independence at home medical practice model under section in order to achieve results described in subsection across practices serving varying numbers of applicable beneficiaries ; Secretary entering into agreements as independence at
Index of Sec 1312. ...HOME medial practices to participate under demonstration program ; Selecting qualified independence at
Index of Sec 1312. ...HOME medical practice under demonstration program to assess whether practice achieving results described in subsection ; Secretary evaluating independence at
Index of Sec 1312. ...HOME medical practice ; Secretary monitoring data on expenditures and quality of services under title after applicable beneficiary discontinuing receiving services under title through qualifying independence at
Index of Sec 1312. ...HOME medical practice if practice not receiving incentive payments under subsection or consistently failing to meet quality standards ; Secretary terminating agreement with independence at
Index of Sec 1312. ...HOME visits and available 24 hours per day ; Comprising of individual physician or nurse practitioner or group of physicians and nurse practitioners providing care as part of team including physicians, nurses, physician assistants, pharmacists and other health and social services staffing as appropriate having experience providing home-based primary care to applicable beneficiaries, make in-
Index of Sec 1312. ...HOME medical practices ; Incentive payment under section to be apportioned among qualifying independence at
Index of Sec 1312. ...EXPENDITURES for items and services under parts A and B with respect to applicable beneficiaries for independence at home medical practice not exceeding amount ; Secretary limiting incentive payments to qualifying independence at home medical practice under paragraph as necessary to ensure that aggregate
Index of Sec 1312. ...INCENTIVE payments under subsection or consistently failing to meet quality standards ; Secretary terminating agreement with independence at home medical practice if practice not receiving
Index of Sec 1312. ...DIAGNOSTIC technology ; Uses electronic health information systems, remote monitoring and mobile
Index of Sec 1312. ...HEALTH information technology and individualized plans of care ; Use electronic medical records,
Index of Sec 1312. ...PAYMENT to be made as physicians' services and medical training or experience to fulfill physician's role described in subparagraph ; Individual furnishing services For which
Index of Sec 1312. ...HOME medical practice meaning legal entity ; Term independence at
Index of Sec 1312. ...SAVINGS under demonstration program ; Nothing in subsection to be construed as preventing independence at home medical practice from including provider of services or participating practitioner described in section 1842(b) affiliated with practice under arrangement structured so that provider of services or practitioner participating in demonstration program and shares in
Index of Sec 1312. ...HOME medical practice participating in demonstration program reporting on quality measures and report to Secretary ; Independence at
Index of Sec 1312. ...EXPENDITURES for items and services under parts A and B with respect to applicable beneficiaries for independence at home medical practice not exceeding amount ; Secretary limiting incentive payments to qualifying independence at home medical practice under paragraph as necessary to ensure that aggregate
Index of Sec 1312. ...HOME medical practice under demonstration program ; Secretary determining appropriate method of ensuring that applicable beneficiaries agreed to enroll in independence at
Index of Sec 1312. ...BENEFICIARY access to services covered under title and applicable beneficiaries not to be required to relinquish access to benefit under title as condition of receiving services from independence at home medical practice ; Nothing in section to be construed as encouraging physicians or nurse practitioners to limit applicable
Index of Sec 1312. ...HOME medical practice under demonstration program covering not more than 3-year period ; Agreement with independence at
Index of Sec 1312. ...HOME medical practice under section participating in section 1866d or sectioning 1866e ; Secretary not paying independence at
Index of Sec 1312. ...HOME medical practice under section participating in programs under section 1866d or sectioning 1866e ; Secretary ensuring that no applicable beneficiary enrolled in independence at
Index of Sec 1312. ...HOME medical practice under demonstration program to assess whether practice achieving results described in subsection ; Secretary evaluating independence at
Index of Sec 1312. ...EXPENDITURES and quality of services under title after applicable beneficiary discontinuing receiving services under title through qualifying independence at home medical practice ; Secretary monitoring data on
Index of Sec 1312. ...INCENTIVE payments under subsection or consistently failing to meet quality standards ; Secretary terminating agreement with independence at home medical practice if practice not receiving
Index of Sec 1312. ...HOME medical practices participating in demonstration program ; Secretary developing quality performance standards for independence at
Index of Sec 1312. ...HOME medical practices ; Incentive payment under section to be apportioned among qualifying independence at
Index of Sec 1312. ...HOME medial practices as practicable and consistent with subsection to test potential of independence at home medical practice model under section in order to achieve results described in subsection across practices serving varying numbers of applicable beneficiaries ; Secretary entering into agreements as independence at
Index of Sec 1312. ...NEURODEGENERATIVE diseases and other diseases and conditions designated by Secretary ; Congestive heart failure, diabetes, other dementias designating by Secretary, chronic obstructive pulations disease, ischemic heart disease, stroke, Alzheimer's Disease and
Index of Sec 1312. ...PAYMENT to be made as physicians' services and medical training or experience to fulfill physician's role described in subparagraph ; Individual furnishing services For which
Index of Sec 1312. ...PAYMENTS for items and services furnished under title and shared savings under subsection ; Other than
Index of Sec 1312. ...EXPENDITURES and improving health outcomes in provision of items and services under title to applicable beneficiaries ; Secretary conducting demonstration program to test payment incentive and service delivery model utilizing physician and nurse practitioner directed home-based primary care teams designed to reduce
Index of Sec 1312. ...HOME visits and available 24 hours per day ; Comprising of individual physician or nurse practitioner or group of physicians and nurse practitioners providing care as part of team including physicians, nurses, physician assistants, pharmacists and other health and social services staffing as appropriate having experience providing home-based primary care to applicable beneficiaries, make in-
Index of Sec 1312. ...HOME-based primary care services to high cost chronically ill beneficiaries as determined appropriate by Secretary ; Documenting experience in providing
Index of Sec 1312. ...EXPENDITURES and improving health outcomes in provision of items and services under title to applicable beneficiaries ; Secretary conducting demonstration program to test payment incentive and service delivery model utilizing physician and nurse practitioner directed home-based primary care teams designed to reduce
Index of Sec 1312. ...HEART disease, stroke, Alzheimer's Disease and neurodegenerative diseases and other diseases and conditions designated by Secretary ; Congestive heart failure, diabetes, other dementias designating by Secretary, chronic obstructive pulations disease, ischemic
Index of Sec 1312. ...REHABILITATION services ; Past 12 months received acute or subacute
Index of Sec 1312. ...SAVINGS under demonstration program ; Nothing in subsection to be construed as preventing independence at home medical practice from including provider of services or participating practitioner described in section 1842(b) affiliated with practice under arrangement structured so that provider of services or practitioner participating in demonstration program and shares in
Index of Sec 1312. ...SAVINGS under subsection ; Other than payments for items and services furnished under title and shared
Index of Sec 1312. ...HOME visits and available 24 hours per day ; Comprising of individual physician or nurse practitioner or group of physicians and nurse practitioners providing care as part of team including physicians, nurses, physician assistants, pharmacists and other health and social services staffing as appropriate having experience providing home-based primary care to applicable beneficiaries, make in-
Index of Sec 1312. ...TITLE to applicable beneficiaries ; Secretary conducting demonstration program to test payment incentive and service delivery model utilizing physician and nurse practitioner directed home-based primary care teams designed to reduce expenditures and improving health outcomes in provision of items and services under
Index of Sec 1312. ...TITLE ; Reducing cost of health care services covered under
Index of Sec 1312. ...HOME medical practice ; Nothing in section to be construed as encouraging physicians or nurse practitioners to limit applicable beneficiary access to services covered under title and applicable beneficiaries not to be required to relinquish access to benefit under title as condition of receiving services from independence at
Index of Sec 1312. ...HOME medical practice ; Secretary monitoring data on expenditures and quality of services under title after applicable beneficiary discontinuing receiving services under title through qualifying independence at
Index of Sec 1312. ...SAVINGS under subsection ; Other than payments for items and services furnished under title and shared
Index of Sec 1312. ...TITLE and titling XI as Secretary determining necessary in order to implement demonstration program ; Secretary waiving provisions of
Index of Sec 1312. ...TITLE XVIII of Social Security Act amended by inserting after section 1866f as inserted by section 1302 ;
Index of Sec 1312. ...1st Session |
To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.
Mr. Dingell (for himself, Mr. Rangel, Mr. Waxman, Mr. George Miller of California, Mr. Stark, Mr. Pallone, and Mr. Andrews) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, 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
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
Title XVIII of the Social Security Act is amended by inserting after section 1866F, as inserted by section 1302, the following new section:
“Independence at home medical practice demonstration program
“Sec. 1866G. (a) Establishment.—
“(1) IN GENERAL.—The Secretary shall conduct a demonstration program (in this section referred to as the ‘demonstration program’) to test a payment incentive and service delivery model that utilizes physician and nurse practitioner directed home-based primary care teams designed to reduce expenditures and improve health outcomes in the provision of items and services under this title to applicable beneficiaries (as defined in subsection (d)).
“(2) REQUIREMENT.—The demonstration program shall test whether a model described in paragraph (1), which is accountable for providing comprehensive, coordinated, continuous, and accessible care to high-need populations at home and coordinating health care across all treatment settings, results in—
“(A) reducing preventable hospitalizations;
“(B) preventing hospital readmissions;
“(C) reducing emergency room visits;
“(D) improving health outcomes commensurate with the beneficiaries’ stage of chronic illness;
“(E) improving the efficiency of care, such as by reducing duplicative diagnostic and laboratory tests;
“(F) reducing the cost of health care services covered under this title; and
“(G) achieving beneficiary and family caregiver satisfaction.