S.Amdt. 4437

1. Adds SEC. 725. STUDY ON COMPETITION-BASED MODEL OF REIMBURSEMENT OF HEALTH CARE PROVIDERS UNDER TRICARE at the end of subtitle C of title VII

   Adds a section

   In S. 2766 · Placed on Calendar Senate

   (C) Such recommendations for legislative or administrative action as the Secretary considers appropriate for the improvement of the program.

   Inserted: SEC. 725. STUDY ON COMPETITION-BASED MODEL OF REIMBURSEMENT OF HEALTH CARE PROVIDERS UNDER TRICARE.

   Inserted: (a) In General.--The Secretary of Defense shall require the Assistant Secretary of Defense for Health Affairs to conduct a study to assess the feasibility and advisability of utilizing value-based competition between providers of health care services under the TRICARE program.

   Inserted: (b) Purpose.--The purpose of the study is to determine whether or not the reimbursement model under the TRICARE program should be modified to encourage and enhance competition among health care providers under the TRICARE program in order to ensure that the delivery of care by such providers under the TRICARE program is more transparent and outcome-based.

   Inserted: (c) Elements.--The study shall include an assessment of the viability of--

   Inserted: (1) establishing a results-based system that tracks provider outcomes in order to assist covered adult and pediatric beneficiaries and physicians under the TRICARE program in identifying high quality care;

   Inserted: (2) improving price transparency; and

   Inserted: (3) establishing single price models for the delivery of episodes of health care.

   Inserted: (d) TRICARE Program Defined.--In this section, the term "TRICARE program" has the meaning given that term in section 1072(7) of title 10, United States Code,

   Original wording

   At the end of subtitle C of title VII, add the following:

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As printed