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Code · BILL · 115th Congress · S. 870 (Engrossed in Senate) — To amend title XVIII of the Social Security Act to implement Medicare payment policies designed to improve management... · Sec. 401

Sec. 401. Providing flexibility for beneficiaries to be part of an accountable care organization

239 words·~1 min read·/bill/115/s/870/es/section-401

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Section 1899(c) of the Social Security Act ( 42 U.S.C. 1395jjj(c) ) is amended— by redesignating paragraphs
(1)and
(2)as subparagraphs
(A)and (B), respectively, and indenting appropriately; by striking and inserting “ ACOs .—The Secretary ACOs .— Subject to paragraph (2), the Secretary ; and by adding at the end the following new paragraph: For each agreement period (effective for agreements entered into or renewed on or after January 1, 2020), in the case where an ACO established under the program is in a Track that provides for the retrospective assignment of Medicare fee-for-service beneficiaries to the ACO, the Secretary shall permit the ACO to choose to have Medicare fee-for-service beneficiaries assigned prospectively, rather than retrospectively, to the ACO for an agreement period. For performance year 2018 and each subsequent performance year, if a system is available for electronic designation, the Secretary shall permit a Medicare fee-for-service beneficiary to voluntarily identify an ACO professional as the primary care provider of the beneficiary for purposes of assigning such beneficiary to an ACO, as determined by the Secretary. The Secretary shall establish a process under which a Medicare fee-for-service beneficiary is— notified of their ability to make an identification described in clause (i); and informed of the process by which they may make and change such identification. A voluntary identification by a Medicare fee-for-service beneficiary under this subparagraph shall supersede any claims-based assignment otherwise determined by the Secretary. .
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Sec. 401
Providing flexibility for beneficiaries to be part of an accountable care organization
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