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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 />

6<br />

(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 />

9<br />

paragraph; and<br />

10<br />

‘‘(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 />

23<br />

24<br />

25<br />

‘‘(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 />

VerDate 0ct 09 2002 16:58 Jul 18, 2013 Jkt 000000 PO 00000 Frm 00042 Fmt 6652 Sfmt 6201 C:\DOCUME~1\JRSHAP~1\APPLIC~1\SOFTQUAD\XMETAL\5.5\GEN\C\SGR-EC~1.XML HO

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