To provide for a study by MedPAC on Medicare payments and efficiencies in the health care system.

1. Adds SEC. __. MEDPAC STUDY ON MEDICARE PAYMENTS AND EFFICIENCIES IN THE HEALTH CARE SYSTEM at the end of title IV

   Adds a section

   In S. 1 · Reported to Senate

   (ii) adverse events due to unintended prescription drug-to-drug interactions.

   Inserted: SEC. __. MEDPAC STUDY ON MEDICARE PAYMENTS AND EFFICIENCIES IN THE HEALTH CARE SYSTEM.

   Inserted: Not later than 18 months after the date of enactment of this Act, the Medicare Payment Advisory Commission established under section 1805 of the Social Security Act (42 U.S.C. 1395b-6) shall provide Congress with recommendations to recognize and reward, within payment methodologies for physicians and hospitals established under the medicare program under title XVIII of the Social Security Act, efficiencies, and the lower utilization of services created by the practice of medicine in historically efficient and low-cost areas. Measures of efficiency recognized in accordance with the preceding sentence shall include--

   Inserted: (1) shorter hospital stays than the national average;

   Inserted: (2) fewer physician visits than the national average;

   Inserted: (3) fewer laboratory tests than the national average;

   Inserted: (4) a greater utilization of hospice services than the national average; and

   Inserted: (5) the efficacy of disease management and preventive health services.

   Original wording

   At the end of title IV, add the following:

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As printed