Sec. 706. Incentives for value-based health under TRICARE program
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Chapter 55 of title 10, United States Code, is amended by inserting after section 1095g the following new section: The Secretary of Defense may develop and implement value-based incentive programs as part of any contract awarded under this chapter for the provision of health care services to covered beneficiaries to encourage health care providers under the TRICARE program (including physicians, hospitals, and other persons and facilities involved in providing such health care services) to improve the following:
The quality of health care provided to covered beneficiaries under the TRICARE program. The experience of covered beneficiaries in receiving health care under the TRICARE program. The health of covered beneficiaries. In developing value-based incentive programs under subsection (a), the Secretary shall— link payments to health care providers under the TRICARE program to improved performance with respect to quality, cost, and reducing the provision of inappropriate care; consider the characteristics of the population of covered beneficiaries affected by the value-based incentive program; consider how the value-based incentive program would affect the receipt of health care under the TRICARE program by such covered beneficiaries; establish or maintain an assurance that such covered beneficiaries will have timely access to health care during the operation of the value-based incentive program; ensure that such covered beneficiaries do not incur any additional costs by reason of the value-based incentive program; and consider such other factors as the Secretary considers appropriate.
With respect to a value-based incentive program developed and implemented under subsection (a), the Secretary shall ensure that— the size, scope, and duration of the value-based incentive program is reasonable in relation to the purpose of the value-based incentive program; and the value-based incentive program relies on the core quality performance metrics pursuant to section 711 of the National Defense Authorization Act for Fiscal Year 2017. In developing a value-based incentive program under subsection (a), the Secretary may adapt a value-based incentive program conducted by a TRICARE managed care support contractor, the Centers for Medicare & Medicaid Services, or any other governmental or commercial health care program. .
The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 1095g the following new item: 1095h. TRICARE program: value-based health care. . Not later than 60 days before the date on which the Secretary of Defense modifies a contract awarded under chapter 55 of title 10, United States Code, to implement a value-based incentive program under section 1095h of such title, as added by subsection (a), the Secretary shall provide to the Committees on Armed Services of the House of Representatives and the Senate (and any other appropriate congressional committee upon request) a briefing on any implementation plan of the Secretary with respect to such a value-based incentive program.
Not later than one year after the date of the enactment of this Act, and annually thereafter through 2022, the Secretary shall provide to the Committees on Armed Services of the House of Representatives and the Senate (and any other appropriate congressional committee upon request) a briefing on the quality performance metrics and expenditures relating to a value-based incentive program developed and implemented under section 1095h of title 10, United States Code, as added by subsection (a).
In this subsection, the term appropriate congressional committees means— the congressional defense committees; and the Committee on Transportation and Infrastructure of the House of Representatives and the Committee on Commerce, Science, and Transportation of the Senate.