To amend title XVIII of the Social Security Act to create care management demonstration programs for chronic kidney disease under the Medicare program, and for other purposes.
This bill amends title XVIII (Medicare) of the Social Security Act to establish two care-management demonstration programs for chronic kidney disease (CKD) under the Medicare program: (1) the CKD Early Detection and Treatment Demonstration Program, and (2) the Demonstration Program for Advanced CKD. A practitioner's participation in either program shall be optional.
Through each program, the Centers for Medicare & Medicaid Services (CMS) shall provide to an enrollee's participating primary-care practitioner a single, monthly, performance-based payment for covered CKD care-management services furnished to the enrollee. The amount of this payment shall be greater than the amount that the practitioner would otherwise have received under Medicare for furnishing such services to the enrollee. The CMS shall specify applicable performance measures, in accordance with clinical guidelines.
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