H.R. 6274 · 114th Congress
Hospital Outcomes Act of 2016
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Never voted on. It didn't reach a floor vote before the 114th Congress ended, so it expired. A bill has to be introduced again to be considered in a new Congress.
R
PaulsenSponsor2 cosponsors · 1 D, 1 R
2 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.
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 potentially avoidable outcomes in those areas.
What it does: CRS summary · Introduced in House · Sep 28, 2016
Hospital Outcomes Act of 2016
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 potentially avoidable outcomes in those areas. (In general, a "subsection (d) hospital" is an acute care hospital that receives payments under Medicare's inpatient prospective payment system.)
The bill: (1) establishes a methodology for determining a hospital's financial impact attributable to potentially avoidable outcomes performance with regard to complications and readmissions, and (2) requires the Centers for Medicare & Medicaid Services (CMS) to select methodologies for identifying potentially avoidable outcomes in these categories. Subject to both a ceiling and a floor, a hospital's payment adjustment factor for an applicable prospective period shall be based on the ratio of the hospital's financial impact to the aggregate amount of standardized payments made to the hospital with respect to that period.
CMS must ensure budget neutrality with respect to application of the payment adjustment factor across all subsection (d) hospitals.
CMS shall regularly report to hospitals and to the public on each hospital's performance with regard to potentially avoidable outcomes.
Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov
About this bill and sources
Official title: Hospital Outcomes Act of 2016
Latest action (Oct 7, 2016): Referred to the Subcommittee on Health.
Policy area: Health · Origin: House · Introduced: Sep 28, 2016
Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)
No recorded floor vote found.