Summary: H.R.5070 — 106th Congress (1999-2000)All Information (Except Text)

There is one summary for H.R.5070. Bill summaries are authored by CRS.

Shown Here:
Introduced in House (07/27/2000)

Medicare Fairness in Reimbursement Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act with regard to payments to Medicare+Choice organizations concerning the calculation of annual Medicare+Choice capitation rates.

Directs the Secretary of Health and Human Services to promptly conduct a new survey of levels of wages and wage-related costs for different occupational categories of hospital employees and to use the survey data in computing a certain hospital wage index for discharges occurring on or after October 1, 2001.

Provides that, in applying any wage-related geographic area adjustment to a portion of a payment amount or rate under Medicare, the portion to which the adjustment is applied shall be 75 percent of the portion otherwise computed, and 25 percent of such portion shall not be subject to any such geographic area adjustment. Applies such provision to geographic adjustments made under specified Medicare provisions, including those with regard to home health and clinical laboratory services.

Amends part C (Medicare+Choice) of title XVIII to permanently remove application of the budget neutrality factor under the Medicare+Choice program beginning in 2002.

Allows a Medicare+Choice organization to elect to apply an area-specific percentage of 50 percent and a national percentage of 50 percent for 2002 rather than the rate currently applicable for that year in determining the blended capitation rate used in determining the calculation of annual Medicare+Choice capitation rates.

Amends SSA title XVIII to require the Medicare Payment Advisory Commission to review the extent to which the adjustments made in payment rates on a geographical basis for variations in costs accurately reflect the actual costs of items and services in low reimbursement areas and the impact of such adjustments on the health infrastructure in such areas.