Summary: H.R.4579 — 115th Congress (2017-2018)All Information (Except Text)

There is one summary for H.R.4579. Bill summaries are authored by CRS.

Shown Here:
Introduced in House (12/06/2017)

Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017

This bill amends title XVIII (Medicare) of the Social Security Act to:

  • extend the Independence at Home demonstration program;
  • modify provisions regarding access to home dialysis therapy under Medicare and special needs plans under Medicare Advantage (MA);
  • expand testing of the MA Value-Based Insurance Design test model;
  • allow an MA plan to provide additional telehealth benefits to enrollees and, to chronically ill enrollees, certain supplemental health care benefits;
  • modify other provisions regarding the use of telehealth services;
  • allow prospective, voluntary assignment of Medicare fee-for-service beneficiaries to accountable care organizations (ACOs);
  • allow ACOs to operate beneficiary incentive programs;
  • require the Centers for Medicare & Medicaid Services (CMS) to establish a process for Medicare prescription-drug plan sponsors to request certain claims data from the CMS;
  • require the CMS to study and report to Congress on long-term risk factors for chronic conditions among Medicare beneficiaries; and
  • eliminate annual funding available to the Medicare Improvement Fund and the Medicaid Improvement Fund beginning in FY2021.

The Government Accountability Office shall conduct studies on:

  • the establishment of a payment code for a visit for longitudinal comprehensive care planning services,
  • the extent to which Medicare prescription drug plans and private payors use programs that synchronize pharmacy dispensing to facilitate comprehensive counseling and promote medication adherence, and
  • the use of prescription drugs to manage the weight of obese patients and the impact of such drug coverage on patient health and health care spending.