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Securing Care for Seniors Act of 2015

1/11/2023, 1:31 PM

Congressional Summary of HR 2579

Securing Care for Seniors Act of 2015

(Sec. 2) This bill amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSAct) to direct the Department of Health and Human Services (HHS) (in effect, the Centers for Medicare & Medicaid Services [CMS]) to revise for 2017, and periodically afterwards, the system for risk adjustments to payments to Medicare+Choice organizations so that an individual's risk score takes into account the number of chronic conditions with which the individual has been diagnosed.

HHS must, including an actuarial opinion of the CMS Chief Actuary, evaluate the impacts of:

  • including two years of data to compare the models used to determine the risk scores for 2013 and 2014,
  • removing the diagnosis codes related to chronic kidney disease in the 2014 risk adjustment model, and
  • including 10% of encounter data in computing payment for 2016 and CMS readiness to incorporate encounter data in risk scores.

HHS shall also analyze the best practices of MedicareAdvantage (MA) plans to slow disease progression related to chronic kidney disease.

HHS shall then, if appropriate, make revisions to the risk adjustment system, based on such an evaluation or analysis, to better reflect and appropriately weight for the population served.

(Sec. 3) Congress declares that the MA star rating system lacks proper accounting for the socioeconomic status of plan enrollees and the extent to which those plans serve individuals also eligible for medical assistance under SSAct title XIX (Medicaid).

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Current Status of Bill HR 2579

Bill HR 2579 is currently in the status of Bill Introduced since May 29, 2015. Bill HR 2579 was introduced during Congress 114 and was introduced to the House on May 29, 2015.  Bill HR 2579's most recent activity was Placed on the Union Calendar, Calendar No. 116. as of June 16, 2015

Bipartisan Support of Bill HR 2579

Total Number of Sponsors
1
Democrat Sponsors
0
Republican Sponsors
1
Unaffiliated Sponsors
0
Total Number of Cosponsors
4
Democrat Cosponsors
3
Republican Cosponsors
1
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 2579

Primary Policy Focus

Health

Potential Impact Areas

- Accounting and auditing
- Digestive and metabolic diseases
- Government studies and investigations
- Health care costs and insurance
- Health information and medical records
- Medicaid
- Medical tests and diagnostic methods
- Medicare

Alternate Title(s) of Bill HR 2579

Securing Care for Seniors Act of 2015
To amend title XVIII of the Social Security Act to improve the risk adjustment under the Medicare Advantage program, and for other purposes.
Securing Care for Seniors Act of 2015
Securing Care for Seniors Act of 2015

Comments

Sponsors and Cosponsors of HR 2579

Diane Black
Diane Black
TennesseeRepublican
Kyrsten Sinema
Kyrsten Sinema
ArizonaIndependent
David Loebsack
David Loebsack
IowaDemocrat
Brett Guthrie
Brett Guthrie
KentuckyRepublican
Earl Blumenauer
Earl Blumenauer
OregonDemocrat

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