To direct the Secretary of Health and Human Services to conduct a demonstration project under which payment shall be made under the medicare program for renal disease management services furnished to individuals at risk for end stage renal disease to accurately assess whether those management services can prevent the progression of renal disease to renal failure and thereby delay the onset of dialysis and cause savings for the medicare program.

Summary

Requires the Secretary of Health and Human Services to conduct a three-year demonstration project at two sites under which payments shall be made under the Medicare program for renal disease management services furnished to eligible individuals in order to accurately assess whether those management services can prevent the progression of renal disease to renal failure and thereby delay the onset of dialysis and cause savings for the program. Describes eligible individuals and renal disease management services for purposes of this Act. Sets forth criteria for determining payment for renal disease management services covered, and not covered, under Medicare. Requires the Secretary to enter into a contract with an entity to monitor the project and to assess and make public the extent to which: (1) the implementation of renal disease management services produces increased job retention, preservation of meaningful and taxable income, or improvement in the quality of life; (2) such services affect the patient's functional outcome and or natural history of their kidney disease as compared to a control group; and (3) the implementation of such services has delayed the progression of renal disease and, therefore, the onset of dialysis.

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3 official files

• Introduced in House (text)

  Introduced in House · EN · 27 February 1995

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• Introduced in House (PDF)

  Introduced in House · EN · 27 February 1995

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• Introduced in House

  summary · EN · 27 February 1995

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