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S. 870, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017, as Introduced, with Modifications Based on Discussions with Staff 1 (May 16, 2017)

handle is hein.congrec/cbo3550 and id is 1 raw text is: PRELIMINARY ESTIMATE May 16, 2017 S. 870, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017, as introduced, with modifications based on discussions with staff (Outlays in millions of dollars, by fiscal year) 2018- 2018- 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2022 2027 INCREASES OR DECREASES (-) IN DIRECT SPENDING Title I-Receiving High Quality Care in the Home 101. Extending the Independence at Home demonstration program 0 2 7 7 0 0 102. Expanding access to home dialysis therapy 0 0 0 0 0 0 Title II-Advancing Team-Based Care 201. Providing continued access to Medicare Advantage special needs plans for vulnerable populations (Medicaid) a/ Title III-Expanding Innovation and Technology 301. Adapting benefits to meet the needs of chronically ill Medicare Advantage enrollees (VBID) 302. Expanding supplemental benefits to meet the needs of chronically ill MA enrollees 303. Increasing convenience for MA enrollees through telehealth 304. Providing accountable care organizations the ability to expand the use of telehealth 305. Expanding the use of telehealth for individuals with stroke a/ Title IV-Identifying the Chronically Ill Populatior 401. Providing flexibility for beneficiaries to be part of an accountable care organization Title V-Empowering Individuals and Caregivers in Care Delivery 501. Eliminating barriers to care coordination under accountable care organizations 502. GAO study and report on longitudinal comprehensive care planning services under Medicare Part B b/ Title VI-Other Policies to Improve Care for the Chronically Ill 601. GAO study and report on improving medication synchronization b/ 602. GAO study and report on impact of obesity drugs on patient health and spending b/ Additional Policies a) 1. Eliminate funding in the Medicare Improvement Fund 2. Eliminate funding in the Medicaid Improvement Fund 0 6 13 13 14 14 15 15 16 17 46 123 0 0 40 50 0 0 0 0 0 0 90 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 -10 -10 -10 -10 -10 -10 -10 -10 0 0 5 5 5 5 5 5 10 10 0 0 0 10 15 20 25 30 35 45 0 0 5 5 5 5 5 5 10 10 -30 -80 15 50 25 180 15 50 0 0 -5 -7 -7 -7 -7 -7 -7 -7 -19 -54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 -235 -135 0 0 0 0 0 -370 -370 0 0 0 -5 0 0 0 0 0 0 -5 -5 Total, Changes in Direct Spending Outlays 0 8 55 -167 -113 27 33 38 54 65 Source: Congressional Budget OfficE Notes: Components may not sum to totals because of rounding. Budget Authority = Outlays. All Medicare provisions include interactions with MA payments, the effect on Medicare Part A and B premiums, and TRICARE. ACO = Accountable Care Organization; GAO = Government Accountability Office; MA = Medicare Advantage; TRICARE = the health plan operated by the Department of Defense; VBID = value based insurance design. a/ Estimate reflects modified specifications provided by staff. b/ Section would not affect direct spending but would affect spending subject to future appropriations action. Page 1 of 1 0 0 0 0 0 0 0 0 16 0 16 0 -217 0

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