Sec. 725. Pilot program on establishment of integrated health care delivery systems
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Beginning not later than one year after the date of the enactment of this Act, the Secretary of Defense, in consultation with the Secretary of Veterans Affairs and the Secretary of Health and Human Services, shall carry out a pilot program to establish integrated health care delivery systems among the military health system, other Federal health systems, and private sector integrated health systems. The Secretary of Defense shall carry out the pilot program for a period of not less than five years.
The Secretary shall establish a multi-disciplinary task force of Federal and private sector health care experts (in this section referred to as the Task Force ) to develop a plan to implement the pilot program. The Task Force shall be composed of senior health care representatives from— the Department of Defense; the Department of Veterans Affairs; the Centers for Medicare & Medicaid Services; high-performance, integrated health systems in the private sector; and health information technology organizations in the private sector.
The Secretary may appoint additional members of the Task Force from the private sector as the Secretary considers appropriate. Not later than 180 days after the date of the enactment of this Act, the Task Force shall submit to the Secretary an implementation plan for the pilot program. The Federal Advisory Committee Act (5 U.S.C. App.) shall not apply to the Task Force. The pilot program shall be developed and carried out as follows: To create high-value integrated health systems that— establish value-based models of reimbursement for health care providers in integrated health care delivery systems to promote medical innovation and create better health value for patients; provide innovative health benefit design solutions to promote effective, efficient, and affordable health care; and tailor case management and care coordination for high-need, high-cost patients.
To empower health care providers with real-time advanced information technology solutions— to coordinate and manage health care services across the continuum of care; and to leverage sophisticated data capture, cloud computing, and data analytical tools to provide predictive modeling capabilities for health care providers. To empower patients with transparent information on health care costs, quality outcomes, and safety within health care provider networks in high-value integrated health systems.
To provide incentives to patients and health care providers to prevent overuse of low-value health care services. Not later than 270 days after the date of the enactment of this Act, the Secretary shall transmit to the Committees on Armed Services of the Senate and the House of Representatives the implementation plan submitted to the Secretary under subsection (c)(3). Not later than four years after the date that the pilot program begins, the Secretary shall submit to the Committees on Armed Services of the Senate and the House of Representatives a report assessing the pilot program.
The report submitted under subparagraph
(A)shall provide the following: An analysis of the impact of the pilot program on building sustainable integrated health care delivery systems among the military health system, other Federal health systems, and private sector integrated health systems. A determination of the extent to which value-based health care reimbursement models create value for patients and the health systems participating in the pilot program. A determination of the extent to which the use of real-time advanced information technology solutions— improves coordination and management of health care services across the continuum of care; and leverages sophisticated data capture, cloud computing, and data analytical tools to provide comprehensive predictive modeling capabilities for health care providers. A determination of the extent to which transparency of health care costs, health care quality outcomes, and patient safety within health care provider networks encourages patients to seek care from health care providers who provide high-quality health outcomes at lower cost. A determination of the extent to which patient and provider incentives prevent overuse of low-value health services. A determination of the extent to which the pilot program should be expanded and implemented on a permanent basis.