S 2502 · 98th Congress · Health

Medicare Preferred Provider Arrangement Act

Introduced 1984-03-29· Sponsored by Sen. Quayle, Dan [R-IN]· Senate

Bill Progress

Introduced
2
Committee
3
Senate Vote
4
House
5
Enacted
Latest: Committee on Finance requested executive comment from OMB, Treasury Department, Health and Human Services Department.(1984-04-04)

Plain Language Summary

[AI summary unavailable — showing source text] Medicare Preferred Provider Arrangement Act - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to authorize the Secretary of Health and Human Services to enter into a contract with any insurer or other third party payor under which payments shall be made to such insurer or payor on behalf of individuals enrolled under part B who participate in a preferred provider arrangement, established by such insurer or payor, which meets the requirements of this Act. Provides that the amount of the payment to the insurer or other third party payor per capita for each individual enrolled under part B who participates in the preferred provider arrangement (participating part B beneficiaries) shall be the same payment amount as determined for payment to a health maintenance organization for individuals who are enrolled under part B but are entitled to benefits under part A (Hospital Insurance) of title XVIII, and are enrolled with health maintenance organizations or competitive medical plans having risk-sharing contracts. Requires payment to be made in the same manner as under such risk-sharing contracts. Provides that payments under this Act sh…

Summarized by Claude AI · Non-partisan · For informational purposes only