3.0.0 2562 2023-01-15T04:49:21Z 2023-01-15T04:49:21Z Senate S S 2004-06-23 108 ssfi00 Finance Committee Senate Standing Referred to 2004-06-23T16:48:35Z 2004-06-23 ssfi00 Finance Committee Senate Read twice and referred to the Committee on Finance. (consideration: CR 6/24/2004 S7315-7320) IntroReferral 2004-06-23 Sponsor introductory remarks on measure. (CR 6/24/2004 S7313-7315) IntroReferral B00100 9 Library of Congress 2004-06-23 Introduced in Senate IntroReferral 10000 9 Library of Congress B000243 Sen. Baucus, Max [D-MT] MAX BAUCUS D MT SIEBEN N Health Administrative procedure Awards, medals, prizes Case management Case mix (Medical care) Child health Chronically ill Coinsurance Commemorations Congress Congressional reporting requirements Department of Health and Human Services Economics and Public Finance Families Federal advisory bodies Federal aid to child health services Federal employees Finance and Financial Sector Government Operations and Politics Government paperwork Governmental investigations Health information systems Health insurance Health maintenance organizations Insurance premiums Kidney diseases Law Managed care Medicaid Medical economics Medical fees Medical records Medically uninsured Medicare Patient satisfaction Performance measurement Poor children Quality of care Recruiting of employees Science, Technology, Communications Smart cards Social Welfare Standards Health 00 2004-06-23 Introduced in Senate 2004-09-15T19:42:35Z Medicare Quality Improvement Act of 2004 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSA), as amended by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, to direct the Secretary of Health and Human Services to establish a quality performance incentive payment program to provide annual financial incentive payments, consisting of National Performance Quality Payments and National Quality Improvement Payments, to Medicare Advantage organizations offering Medicare Advantage plans and organizations providing benefits under a reasonable cost reimbursement contract that demonstrate superior quality health care to enrollees. Provides for a reduction in payments to such organizations in order to fund the program.

Directs the Secretary to establish a corresponding renal dialysis performance incentive payment program, also including National Performance Quality Payments and National Quality Improvement Payments.

Requires the Secretary to establish a program for award of bonus payments to Medicare providers that demonstrate innovative practices, structural improvements, or capacity enhancements that improve the quality of health care provided Medicare beneficiaries.

Directs the Secretary to conduct a three-year demonstration program of projects for pediatric dialysis facilities.

Requires the Secretary to establish a Medicare Quality Advisory Board.

Requires a Medicare Payment Advisory Commission (MEDPAC) study and report to Congress on the use of adjuster mechanisms under the Medicare quality performance incentive payment programs.

Directs the Secretary to conduct a three-year demonstration program to measure the quality of health care furnished to individuals under 18 years of age under the SSA title XIX (Medicaid) and title XXI (SCHIP) programs.

Authorizes the Secretary to hire five full-time employees within the Center for Medicaid and State Operations from among health professionals experienced in quality improvement, chronic care management, and care coordination (at least one of them also experienced with pediatric populations).

Requires the Secretary to study and report to Congress on the efforts to coordinate and integrate data from the Medicare and Medicaid programs.

Directs MEDPAC to study and report to Congress on care coordination programs for Medicare and Medicaid dual-eligibles.

Requires the Secretary to establish a five-year program of grants for demonstration projects to develop and use Medical Smart Cards and examine their impact on health care costs, quality of care, and patient safety.

]]> Medicare Quality Improvement Act of 2004 Display Title Medicare Quality Improvement Act of 2004 Official Title as Introduced A bill to amend title XVIII of the Social Security Act provide incentives for the furnishing of quality care under Medicare Advantage plans and by end stage renal disease providers and facilities, and for other purposes. Introduced in Senate IS Short Titles as Introduced Medicare Quality Improvement Act of 2004 Introduced in Senate 2004-06-23T04:00:00Z 2004-06-23 Read twice and referred to the Committee on Finance. (consideration: CR 6/24/2004 S7315-7320) text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.