Healthcare Outcomes Act of 2017

Summary

Healthcare Outcomes Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to replace the existing methodology for calculating Medicare payment adjustments for subsection (d) hospitals based on outcomes in readmissions and complications with a new methodology based on value-based outcomes in those and other areas. (In general, a "subsection (d) hospital" is an acute care hospital that receives payments under Medicare's inpatient prospective payment system.) Specifically, the bill: (1) establishes a methodology for determining a hospital's financial impact attributable to complications, readmissions, return emergency room visits, and post-acute care episode expenditures; and (2) requires the Centers for Medicare & Medicaid Services (CMS) to select methodologies for identifying potentially avoidable outcomes in those categories. Subject to both a ceiling and a floor, among other specified refinements, a hospital's payment adjustment factor for an applicable prospective period shall be based on the ratio of that financial impact to the aggregate amount of standardized payments made to the hospital with respect to that period. The CMS must ensure budget neutrality with respect to application of the payment adjustment factor across all subsection (d) hospitals. The CMS shall regularly report to hospitals and to the public on each hospital's performance with regard to potentially avoidable outcomes.

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Timeline

1. 28 July 2017

   Introduced

   Referred to the House Committee on Ways and Means.

   Source: IntroReferral

2. 28 July 2017

   Introduced

   Introduced in House

   Source: IntroReferral

3. 28 July 2017

   Introduced

   Introduced in House

   Source: IntroReferral

Votes

No vote records are attached yet.

Versions

• Introduced in House · 28 July 2017 · Official file

Documents

3 official files

• Introduced in House (text)

  Introduced in House · EN · 28 July 2017

  ViewDownloadOpen at official source

• Introduced in House (PDF)

  Introduced in House · EN · 28 July 2017

  ViewDownloadOpen at official source

• Introduced in House

  summary · EN · 28 July 2017

  Open at official source

Sponsors

• Erik Paulsen · R · Sponsor
• RON KIND · D · Sponsor
• Kenny Marchant · R · Sponsor
• Lynn Jenkins · R · Cosponsor
• Mia Love · R · Cosponsor
• · hswm00 · Standing

Related records

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