Medicare HMO/CMP Quality Improvement Act of 1987

Summary

Medicare HMO/CMP Quality Improvement Act of 1987 - Amends title XVIII (Medicare) of the Social Security Act to subject an individual who has an agreement with a health maintenance organization (HMO) or competitive medical plan (CMP) to furnish services to HMO or CMP enrollees to a civil monetary penalty and suspension from the Medicare program for knowingly charging such enrollees for amounts for which the HMO or CMP is liable. Directs the Secretary of Health and Human Services to cooperate with State officials in monitoring and enforcing compliance with HMO and CMP requirements. Sets forth requirements concerning the fiscal management of, and quality of health care provided by, certain network affiliates through which HMO or CMP services and furnished. Requires a study into the utilization and quality of HMO and CMP services provided to Medicare beneficiaries.

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1 official file

• Introduced in House

  summary · EN · 11 June 1987

  Open at official source

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