Sec. 3. Participation by Medicare Advantage plans

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Section 1859 of the Social Security Act (42 U.S.C. 1395w–28) is amended by adding at the end the following new subsection: Effective for plan years beginning on or after the date of enactment of the Medicare Better Health Rewards Program Act of 2013 , a Medicare Advantage organization may provide to individuals enrolled in an MA plan offered by the organization incentive payments, including cash, cash-equivalent, or other types of incentives, for voluntary participation in a Better Health Rewards Program (in this subsection referred to as the Program ) that rewards individuals for meeting certain health targets established by the Secretary.

In no case shall the monthly bid amount submitted by a Medicare Advantage organization under section 1834(a)(6) (or the monthly premium charged by the organization under section 1854(b)) with respect to an MA plan offered by the organization take into account any incentive payments made to enrollees under the Program. The Program under this subsection shall be conducted in a similar manner to the manner in which the program under section 1849 is conducted, in accordance with standards established by the Secretary.

A Medicare Advantage organization seeking to participate in the Program shall— notify the Secretary of the organization's intent to participate in the Program; and agree to provide to the Secretary— information regarding— which enrollees participate in the Program; the scores of those enrollees with respect to applicable health targets under the Program; and the incentives enrollees receive for meeting such health targets; and any other information specified by the Secretary for purposes of this subsection.

The Secretary may waive such requirements of titles XI and XVIII as may be necessary to carry out the purposes of the Program established under this subsection. .

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42 USC 1395w–28

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Sec. 3

Participation by Medicare Advantage plans

Cite42 USC 1395w–28

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