Addressing overlap in value-based care programs

(a) In general (1) CMI Section 1115A(a)(5) of the Social Security Act (42 U.S.C. 1315a(a)(5)) is amended by adding at the end the following new sentence: In establishing such limits, the Secretary shall take into account payment and service delivery models in progress in such geographic areas.. (2) Repeal of Medicare duplication prohibition Section 1899(b) of the Social Security Act (42 U.S.C. 1395jjj(b)) is amended by striking paragraph (4)(A). (b) Report Not later than 60 days after the date of the enactment of this Act, the Secretary of Health and Human Services shall conduct an assessment and submit to Congress a report on alternative payment model overlap under the Medicare program under title XVIII of the Social Security Act. Such report shall include a description of and recommendations relating to— (1) appropriate participation in multiple alternative payment models for health care providers; (2) feasibility of adequate evaluation of alternative payment models if participants are participating in multiple arrangements; and (3) obstacles created by competing incentives with respect to alternative payment models.