draft bill - House of Representatives
draft bill - House of Representatives
draft bill - House of Representatives
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F:\P\H13\CMS\MEDCR\SGR-EC_16.XML<br />
[Discussion Draft]<br />
42<br />
1 determines that the model has already been<br />
2 evaluated for a sufficient enough period and<br />
3 through such evaluation the model was shown—<br />
4<br />
‘‘(i) to have satisfied the criteria de-<br />
5<br />
scribed in each <strong>of</strong> clauses (i), (ii), (iii), and<br />
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(vi) <strong>of</strong> subparagraph (B);<br />
7<br />
‘‘(ii) to demonstrate each <strong>of</strong> the abili-<br />
8<br />
ties described in clause (v) <strong>of</strong> such sub-<br />
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paragraph; and<br />
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‘‘(iii)(I) to reduce spending under this<br />
11<br />
title without reducing the quality <strong>of</strong> care;<br />
12<br />
or<br />
13<br />
‘‘(II) improve the quality <strong>of</strong> patient<br />
14<br />
care without increasing spending.<br />
15<br />
16<br />
17<br />
18<br />
19<br />
20<br />
21<br />
22<br />
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‘‘(D) TRANSPARENCY AND DISCLO-<br />
SURES.—<br />
‘‘(i) DISCLOSURES.—Not later than<br />
90 days after receipt <strong>of</strong> a submission <strong>of</strong> a<br />
model under subsection (c) by an entity,<br />
the APM contracting entity shall submit to<br />
the Secretary and such entity and make<br />
publicly available a notification on whether<br />
or not, and if so how, the model meets criteria<br />
for recommending such model under<br />
subparagraph (A), including whether or<br />
f:\VHLC\071813\071813.221.xml (557498|2)<br />
July 18, 2013 (4:58 p.m.)<br />
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