To amend title XVIII of the Social Security Act to reduce the maximum financial risk permitted for physicians participating in Medicare+Choice plans and encourage payment for quality.

Summary

Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act with regard to limitations on physician incentive plans. Prohibits any Medicare+Choice organization from operating a physician incentive plan in a manner that places a physician or physician group at a financial risk exceeding specified percentages of the maximum payments possible, including those for services furnished directly, as well as certain additional payments based on use and costs of referral services.

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3 official files

• Introduced in House (text)

  Introduced in House · EN · 12 April 1999

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• Introduced in House (PDF)

  Introduced in House · EN · 12 April 1999

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• Introduced in House

  summary · EN · 12 April 1999

  Open at official source

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