draft bill - House of Representatives
draft bill - House of Representatives
draft bill - House of Representatives
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
F:\P\H13\CMS\MEDCR\SGR-EC_16.XML<br />
[Discussion Draft]<br />
1<br />
2<br />
3<br />
4<br />
5<br />
6<br />
7<br />
8<br />
9<br />
10<br />
11<br />
12<br />
13<br />
14<br />
15<br />
16<br />
17<br />
18<br />
19<br />
20<br />
21<br />
22<br />
23<br />
24<br />
25<br />
40<br />
‘‘(I) to reduce spending under<br />
this title without reducing the quality<br />
<strong>of</strong> care; or<br />
‘‘(II) improve the quality <strong>of</strong> patient<br />
care without increasing spending;<br />
‘‘(v) The proposal for such model<br />
demonstrates—<br />
‘‘(I) the potential to successfully<br />
manage the cost <strong>of</strong> furnishing items<br />
and services under this title so as to<br />
not result in expenditures under this<br />
title for individuals participating<br />
under such APM being greater than<br />
expenditures under this title for such<br />
individuals if the APM were not implemented;<br />
‘‘(II) the ability to maintain or<br />
improve the overall patient care; and<br />
‘‘(III) the ability to maintain or<br />
improve the quality <strong>of</strong> care provided<br />
to individuals enrolled under this part<br />
who participate under such mode.<br />
‘‘(vi) The model provides for a payment<br />
arrangement—<br />
f:\VHLC\071813\071813.221.xml (557498|2)<br />
July 18, 2013 (4:58 p.m.)<br />
VerDate 0ct 09 2002 16:58 Jul 18, 2013 Jkt 000000 PO 00000 Frm 00040 Fmt 6652 Sfmt 6201 C:\DOCUME~1\JRSHAP~1\APPLIC~1\SOFTQUAD\XMETAL\5.5\GEN\C\SGR-EC~1.XML HO