Balanced Budget Act of 1997

Notes

• required CMS to adjust capitation to risk of requiring expensive medical care
• gave rise to Medicare Reimbursement Adjustment (MRA)
• provisions to improve health care reported to CMS include
  • Quality Improvement System for Managed Care (QIMSC)
  • Healthcare Employers' Data Information Systme (HEDIS)
  • Medicare Health Outcomes Survey (MHOS)
• CMS summarizes information from QIMSC, HEDIS & MHOS & makes it available at the Medicare Personal Plan Finder to help older Americans make informed choices about Medicare
• authorized Program of All Inclusive Care for the Elderly (PACE)
• revised in Balanced Budget Revision Act of 1999