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H.R. 1470 (114th): SGR Repeal and Medicare Provider Payment Modernization Act of 2015

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The summary below was written by the Congressional Research Service, which is a nonpartisan division of the Library of Congress, and was published on Mar 19, 2015.


SGR Repeal and Medicare Provider Payment Modernization Act of 2015

Amends title XVIII (Medicare) of the Social Security Act (SSAct) to: (1) remove sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services, and (2) revise the update in rates for 2015 and subsequent years.

Directs the Secretary of Health and Human Services to establish a Merit-based Incentive Payment (MIP) system under which eligible professionals (including physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists) shall receive annual payment increases or decreases based on their performance.

Requires specified incentive payments to eligible participants in an alternative payment model.

Requires the Secretary to: (1) draft a plan for development of quality measures to assess professionals, including non-patient-facing professionals; and (2) make payments for chronic care management services.

Expands the kinds of uses of Medicare data available to qualified entities. Directs the Secretary to provide Medicare data to qualified clinical data registries to facilitate quality improvement or patient safety.

Declares it a national objective to achieve widespread exchange of health information through interoperable certified electronic health records technology nationwide by December 31, 2018.