Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)
Overview
The Better Care, Lower Cost Act (S. 1932/H.R. 3890) was introduced on January 15, 2014,
by Senators Ron Wyden (R-OR) and Johnny Isakson (R-GA) and Representatives Erik
Paulsen (R-MN) and Peter Welch (D-VT). S. 1932 has been referred to the Senate Finance
Committee and H.R. 3890 has been referred to the House Ways and Means and Energy
and Commerce Committees.
The goal of the legislation is to improve the care provided to chronically ill Medicare
beneficiaries by eliminating some of the barriers that providers, insurers, economists, and
health policy experts have identified under the current fee-for-service reimbursement
system. The bill also removes some of the restrictions and limitations that currently apply
to federal accountable care organizations (ACOs), such as attribution of patients.
The bill allows providers and payers to team up to create Better Care Programs (BCPs) and
offer their “products” directly to beneficiaries with chronic disease. BCPs have significant
flexibility in marketing and benefit design so beneficiaries have incentives to seek
appropriate and necessary care and become more engaged (and “sticky”) patients. The
legislation states that “quality and cost containment are considered interdependent goals
of the program.”
The bill asserts that the “calculation of long-term cost savings is dependent on qualified
BCPs delivering the full continuum of covered primary, post-acute care, and social
services using capitated financing [emphasis added].” One way to think of BCPs is a
hybrid between Medicare Advantage (MA) plans and ACOs – taking the best features
from both and eliminating provisions that have been found to be problematic, create
barriers, or otherwise are too restrictive.
The bill moves Medicare physician-based care away from the fee-for-service system to a
full-risk model that provides a capitated payment to BCPs, who maintain full
responsibility for the care, cost, and outcomes of the beneficiaries enrolled in their plans.
Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)
The Congressional Research Service Official Bill Summary
http://beta.congress.gov/bill/113th-congress/senatebill/1932?q=%7B%22search%22%3A%5B%22s+1932%22%5D%7D

Amends title XVIII (Medicare) of the Social Security Act (SSA) to direct the Secretary of
Health and Human Services (HHS) to establish an integrated chronic care delivery
program (Better Care Program or BCP) that promotes accountability and better care
management for chronically ill patient populations and coordinates items and services
under Medicare parts A (Hospital Insurance), B (Supplementary Medical Insurance),
and D (Voluntary Prescription Drug Benefit Program), while encouraging investment
in infrastructure and redesigned care processes that result in high quality and efficient
service delivery for the most vulnerable and costly populations.

Requires the program to include specified elements and focus on long-term cost
containment and better overall health of the Medicare population by implementing
through qualified BCPs strategies that prevent, delay, or minimize the progression of
illness or disability associated with chronic conditions.

Amends SSA title XIX (Medicaid) to require a state to pay the Secretary, with certain
adjustments, for full benefit dual eligible individuals (eligible for both Medicare and
Medicaid) enrolled in a qualified BCP. Makes Medicare the primary payor for such
individuals.

Amends SSA title XVIII part C (Medicare+Choice Program) to direct the Secretary to
establish procedures for the transition of special needs individuals to Medicare
Advantage plan qualified BCPs.

Prohibits any Medicare supplemental (Medigap) policy from covering cost-sharing for
items and services (other than certain emergent services) furnished to an enrollee in a
qualified BCP by a service provider or supplier that is not a qualified BCP professional.

Revises requirements for the initial preventive physical examination (Welcome to
Medicare visit) and annual wellness visits for BCP eligible individuals.

Directs the Secretary, acting through the Agency for Healthcare Research and Quality,
to designate and provide core funding for at least three Chronic Care Innovation
Centers.

Establishes new curricula requirements for direct and indirect graduate medical
education payments that address the need for team-based care and chronic care
management, including palliative medicine, chronic care management, leadership and
team-based skills and planning, and leveraging technology as a care tool.
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Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)
Please note: the information in this summary is not presented in the same order as the
provisions in the legislative text.
District Policy Group Detailed Section by Section Summary
Section 1. Short Title and Table of Contents.
Section 2. Findings.
Section 3. Medicare Better Care Program.
Generally What is a BCP and Who Can Enroll?

The bill amends Medicare statute to require the Secretary of Health and Human
Services (HHS) to “establish an integrated chronic care delivery program that promotes
accountability and better care management for chronically ill patient populations and
coordinates items and services under parts A, B, and D, while encouraging investment
in infrastructure and redesigned care processes that result in high quality and efficient
service delivery for the most vulnerable and costly populations.”

The new program is to “focus on long-term cost containment and better overall health
of the Medicare population by implementing through qualified BCPs … strategies that
prevent, delay, or minimize the progression of illness or disability associated with
chronic conditions.”

The program “shall focus on physical, behavioral, and psychological needs of BCP
eligible individuals.”

A BCP can be a “health plan or group of providers of services and suppliers, or a
health plan working with such a group” that is certified by the Secretary of HHS as
meeting criteria (to be developed by HHS) to “recognize the challenges of managing a
chronically ill population.”

The criteria to be developed include: patient satisfaction, patient engagement, quality
measurements specific to chronically ill individuals/populations, effective use of
resources and providers.

A BCP “may manage and coordinate care for BCP eligible individuals through an
integrated care network or Better Care Program.”

A BCP also may participate in other alternative payment models (APMs), such as
ACOs, Medicaid 1115A models (except innovation awards), health care quality
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Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)
demonstrations, and other demonstrations required by federal law. The legislation
also add BCPs to the definition of APMs.
What is a Qualifying BCP Provider?

Any health plan, provider of services, or group of providers of services and suppliers,
“may form a multi-disciplinary team of health professionals to be certified as a BCP …
[they] may also choose to partner with a qualified insurer to become a qualified BCP.”

The HHS Secretary may certify the following as qualified BCPs:
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“Health professionals acting as part of a multidisciplinary team.
Networks of individual practices of health professionals that may include
community health centers, Federally qualified health centers, rural health clinics,
and partnerships or affiliations with hospitals.
Health plans that meet appropriate network adequacy standards, as determined by
the Secretary, and that include providers with experience and interest in managing
a population with chronic conditions.
Independent health professionals partnering with an independent risk manager.
Such other groups of providers of services or suppliers as the Secretary determines
appropriate.”

BCPs must meet the following criteria: (1) have a “demonstrated capacity to manage
the full continuum of care (other than long-term care) for the specialized population of
BCP eligible individuals,” (2) have a “high rate of Medicare customer satisfaction,
when applicable, or partnering with providers of services or suppliers with such a
demonstrated high satisfaction rate.”

BCPs are required to be “accountable for the quality, cost, and overall care of enrolled
BCP eligible individuals and agree to be at financial risk for that enrolled population.”

BCPs maintain responsibility for providing the “full continuum of care” except for
long-term care – this includes: “medical care, skilled nursing and home health services,
behavioral health care, and social services.”

BCPs may not “actively restrict” enrollee access to providers “based on a practitioner’s
license or medical specialty based on cost alone.” The bill does not preempt State
licensure laws and seeks to encourage and allow providers to practice at the top of
their respective licenses.

A BCP “shall primarily consist of a care team tasked with responding to, treating,
and actively supporting the needs of BCP eligible individuals.”
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Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)
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Care teams are required to “develop a care plan for each eligible BCP enrollee and use
it as a tool to execute effective care management and transactions.”

A BCP must “include physicians, nurse practitioners, registered nurses, social workers,
pharmacists, and behavioral health providers who commit to caring for BCP eligible
individuals” and must “include adequate numbers of primary care and other relevant
professionals that can effectively care for the number of BCP eligible individuals
enrolled in the qualified BCP.”

A “qualified BCP professional” is considered a “certified and licensed professional of
medical or behavioral health services that is participating in a qualified BCP.”

BCPs are required to enter into an agreement with HHS to participate in the program
for at least a three-year period.
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BCPs are required to have “in place a structure that includes clinical and
administrative systems, including health information technology, that supports the
integration of services and providers across sites of care.”
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BCPs are permitted to develop collaborative partnerships with (1) a regional or
national Chronic Care Innovation Center, (2) a regional or national Center of
Innovation (COIN) of the Department of Veterans Affairs Health Services Research and
Development Service to identify and implement best practices, (3) regional or national
Telehealth Resource Center of the Health Resources and Services Administration
(HRSA) Office for the Advancement of Telehealth.

BCPs are required to have a structure for clinical and administrative systems, including
health information technology, to support the “integration of services and providers
across sites of care.”

BCPs are required to “demonstrate” they meet “person-centeredness criteria specified
by the Secretary in collaboration with accreditation organizations, including the use of
patient and caregiver assessments and the use of individual patient-centered chronic
care plans for each enrollee.”
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BCPs “shall provide care across settings, including in the home as needed” however,
BCPs are not required to provide enrollees long-term care services.

BCPs are required to “demonstrate financial solvency” as determined by the Secretary.
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BCPs “shall demonstration the ability to partner with providers of social and
behavioral health services within the community.”
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Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)
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BCPs “shall engage in continuing education on chronic care” as determined necessary
by certain federal entities. (See Sec. 6 and Sec. 7 below)
BCPs and Value-Based Insurance Design

BCPs “may elect to provide value-based Medicare coverage” and if they do so, they are
required to provide part A and B items and services with “varied cost-sharing
approved by the Secretary to incentivize the use of high-value, high-quality services
that have been clinically proven to benefit BCP eligible individuals.”

The HHS Secretary shall “establish a process for qualified BCPs to submit value-based
Medicare coverage changes that encourage and incentivize the use of evidence-based
practices that will drive better outcomes while ensuring patient protections and access
are maintained.”
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Varied cost-sharing only applies to “items and services furnished by qualified BCP
professionals of a qualified BCP” that elects to provide value-based Medicare coverage.

In the event a beneficiary receives items or services from a provider that is not a
qualified BCP professional, the cost-sharing will be the same as required under parts A
and B, or an “actuarially equivalent level” as determined by the Secretary.

Prior to enrollment in a BCP, beneficiaries are required to be “notified and counseled”
with respect to “potential changes in out-of-pocket costs” (e.g., copayments) if care is
provided by a non-qualified BCP professional.
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Beneficiary out of pocket expenses under a BCP cannot exceed what they “would
otherwise have been” under the “original Medicare fee-for-service program under
parts A and B for the same services or an actuarially equivalent level of cost-sharing as
determined by the Secretary.”
Prescription Drug Coverage

Health plans certified as BCPs are permitted to provide their enrollees with a drug plan
option “specifically designed to reflect the medication needs of enrollees.” BCPs
offering drug plans are allowed to limit enrollment in the drug plan to the BCP
enrollees.

Generally the same requirements that apply to Medicare Part D plans apply to BCP
drug plans, with a few exceptions. As necessary, the HHS Secretary has authority to
waiver Medicare Part D provisions for BCP drug plans.
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Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)

A BCP “managed by a group of providers of services” is permitted to enter into an
agreement with a Medicare Part D prescription drug plan to “encourage individuals
enrolled in the qualified BCP to enroll in a prescription drug plan … that is better
suited to the needs of chronically ill patients.”
BCP Payments and Savings

Payments to BCPs are fixed/capitated and will be made on a monthly basis in advance
for each eligible individual enrolled in the BCP. Payments are to be made in the “same
manner and from the same sources as payments are made to a Medicare Advantage
organization.”

The “per member per month” (PMPM) amounts for BCP enrollees are to be based on
similar risk and geography as a fee-for-service comparison group. Specifically, the
HHS Secretary is required to utilize Medicare claims data to “identify a group of
beneficiaries who have similar health risk characteristics, and have sought care in the
same county, multi-county, or State” as the population the BCP is responsible for
serving. To the extent possible, the calculation also is to factor in social characteristics
such as income and medical risk.

The capitated amount for each enrollee “for a year shall be 1/12 of the benchmark rate
for the year.” The benchmark rate will be established, on an annual basis, by the
Secretary and will be set for a BCP service area. The rate will be updated each year
based on anticipated change in per capita spending for the comparison group of
beneficiaries, as determined by the Centers for Medicare and Medicaid Services (CMS)
actuary.

The HHS Secretary is required to create a “risk score” to compare the health status of
an [BCP] enrollee to the average health risk group of [Medicare] beneficiaries and
include an “indicator for the number of chronic conditions with which the individual
has been diagnosed.” The risk score must reflect at least two years of diagnosis data.

The HHS Secretary is required to adjust up or down the PMPM payment to BCPs for
each enrollee “depending on how the individual risk profile of the enrollee compares
to average health status of such [comparison] group of beneficiaries.” As such, PMPM
payments for healthier enrollees will be lower, while PMPM payments for those with
“more severe” risk profiles will be greater.

For each of the first three years, the Secretary, using information provided by the BCP,
will determine the annual percentage gains and losses for each BCP:
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Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)
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If the gain or loss is greater than five percent [emphasis added], the BCP “shall
bear 100 percent of the risk or reward of such loss or gain.”
If the gain or loss is between two and five percent [emphasis added], the BCP
“shall bear 80 percent of the risk or reward” and the Secretary “shall bear 20
percent of the risk or reward.”
If the gain or loss is between zero and two percent [emphasis added], the loss
or gain shall be split 50-50 between the BCP and the Secretary.

In the fourth year of the program, BCPs will submit bids to participate in the program
with information regarding the individual BCP’s experience in managing the care for
the enrolled population at the rate of payment provided.

The HHS Secretary is required to create a “quality bonus system” through which
additional payments are made to BCPs that meet certain requirements and standards,
which may include “quality measurement and improvement, delivering patientcentered care, and practicing in integrated health systems, including training in
community-based settings.”
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The standards for the bonus system are to be developed in collaboration with
stakeholders, such as “accrediting bodies, certifying boards, training programs, health
care organizations, health care purchasers, and patient and consumer groups.”

The quality of care being provided to BCP enrollees will be compared to the quality of
care being delivered to beneficiaries not in BCPs or MA.

The first five years of the bonus program will utilize quality measures for a geographic
region that reflect the local standards of care. After the first five years, national
standards will be utilized for the comparison of quality of care.
BCP Reporting Requirements

The HHS Secretary is required to develop “appropriate measures” to evaluate the
quality of care delivered by a BCP to the individuals it serves. The Secretary is
permitted to use existing measures, but is not required to do so. Measures are to
include/address the following:
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Clinical processes and outcomes
Patient (and caregiver) experiences of care
Patient activation and engagement
Utilization of care (e.g., hospitalization)
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Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)
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Care coordination, management, and transitions
Others that align with the National Strategy for Quality Improvement in Health
Care (for reference: http://www.ahrq.gov/workingforquality)
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To be evaluated on the various measures, BCPs are required to submit data to HHS in a
fashion which is not to be “overly burdensome,” as determined by the Secretary. The
required data reporting is to “emphasize ‘patient-centered’ measurement and may
include the functional status of patients, case management and care transitions
across health care settings, including hospital discharge planning and post-hospital
discharge follow-up by qualified BCP professionals.”
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The HHS Secretary is required to “establish quality performance standards to assess
the quality of care furnished” by BCPs and is directed to continue to increase the
standards over time to push for further improvements. The process includes
retirement of measures as well as the creation of new measures.

The HHS Secretary is authorized, if determined appropriate, to “incorporate and align
reporting requirements and incentive payments related” to other quality reporting
systems.
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The Secretary is permitted to employ other criteria than those that would otherwise
apply under the physician quality reporting system to decide whether to provide such
additional, value-based payments to BCPs. If payments are provided under other
quality programs, the payments are not to be factored into the base payments provided
to the BCP.
Where Will the BCPs Be Located and How Many Will Be Created?

The HHS Secretary is to give priority to certifying BCPs “that do not have a
concentration of accountable care organizations under section 1899 and with a high
burden of chronic conditions.”
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First five years of the program – at least half of the new BCPs are required to be “from
counties or regions, as determined by the Secretary, where the prevalence of the most
costly chronic conditions is at or greater than 125 percent of the national average.”

The HHS Secretary, when choosing BCPs, is required to take into consideration
“geography, urban and rural designations, and the population case mix that will be
served.”
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The total number of certified BCPs is capped for first four years at 250. For the fifth
year and after there is no limitation on how many BCPs can be certified.
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Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)

The bill defines BCP eligible individual as (1) someone who is entitled to Medicare
benefits under part A and are enrolled in parts B and D, including individuals who are
“enrolled in a MA plan under part C, an eligible organization under section 1876
[HMOs or competitive medical plans], or a PACE program under section 1894 [a
program of all-inclusive care for the elderly],” and (2) someone who “is medically
complex given the prevalence of chronic disease that actively and persistently affects
their health status, and absent appropriate care interventions, causes them to be at
enhanced risk for hospitalization, limitations on activities of daily living, or other
significant health outcomes.”
Dually Eligible Medicare and Medicaid Beneficiaries

The HHS Secretary must “ensure alignment with other approved waivers of State
plans under title XIX [Medicaid].”

Individuals eligible for both Medicare and Medicaid (“dual eligibles”) cannot be
excluded from enrolling in a BCP.
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Dual eligibles enrolled in BCPs will have the “full scope of their benefits” for both
programs (except long-term care) managed by the BCP.
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The HHS Secretary is permitted to provide payment for the Medicare cost-sharing for
dual eligibles enrolled in BCPs, if such a payment otherwise would be provided under
the State Medicaid plan.
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States are required to pay HHS a monthly amount for full-benefit dual eligible
individual BCP enrollees.
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Beginning January 1, 2017, states are required to include BCP information in the
marketing materials distributed by the State to dual eligible individuals.
BCP Enrollment
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BCP eligible beneficiaries will be notified, on an annual basis, of the available BCPs in
their area for the year ahead.
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Beneficiary enrollment in BCPs will be voluntary during the annual election period and
also can occur, voluntarily, during or following (for a period of time to be decided by
the HHS Secretary): the initial preventive physical (“Welcome to Medicare” visit), and
“any subsequent visit where a chronic condition is identified or a previous condition is
identified as having escalated to the level of a chronic condition.”
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Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)
Health Status Assessment and Patient-Centered Chronic Care Plans

By January 1, 2016, the HHS Secretary is required to publish “minimum guidelines for
qualified BCPs to furnish to enrollees a health information technology-compatible,
standardized and multi-dimensional risk assessment that assesses and quantifies the
medical, psychosocial, and functional status of an enrollee, and includes a mechanism
to determine the level of patient activation and ability to engage in self-care of an
enrollee.” The guidelines are to be updated at least every three years.
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By January 1, 2016, the HHS Secretary is required to publish “minimum guidelines for
qualified BCPs to develop individual patient-centered chronic care plans for enrollees.”
Such plans are to incorporate “the medical, psychosocial, and functional components
identified in the risk assessment … provide a framework that can be easily integrated
into electronic health records, allowing clinicians to make timely accurate, evidencebased decisions at the point of care, and allow for the provider to describe how services
will be provided to the enrollee.”
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To the extent appropriate, the individual patient-centered chronic are plan “shall
include the use of technologies that enhance communication between patients,
providers, and communities of care, such as telehealth, remote patient monitoring,
Smartphone applications, and other such enabling technologies that promote patient
engagement and self care while maintaining patient safety.”
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The HHS Secretary is required to work with the Office of the National Coordinator for
Health Information Technology and the HHS Chief Technology Offices to “develop a
streamlined pathway for the use of mobile applications and communications devices
that effectively enhance the experience of the patient while maintaining patient safety
and cost-effectiveness.” Such efforts are not to duplicate existing efforts.
Other BCP Provisions – Medicare Supplemental Coverage

The HHS Secretary is required to ask the National Association of Insurance
Commissioners (NAIC) to “review and revise standards for benefit packages” related
to Medicare supplemental coverage policies, factoring in changes that will result from
the enactment of the legislation, including updated standards associated with costsharing. If practicable, changes should be made for benefit packages beginning
January 1, 2017.

With the exception of emergent services, for BCP enrollees to receive cost-sharing
coverage through their Medicare supplemental policies, they must receive care, items,
and services from qualified BCP professionals.
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Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)
Section 4. Chronic Special Needs Plans.

The legislation creates MA plan qualified BCPs to care for certain special needs
individuals (e.g., institutionalized beneficiaries, dual eligible, individuals with severe
or disabling chronic conditions as defined by CMS) and such plans are required to
have “flexibility to offer specialized benefit packages” to special needs enrollees
consistent with value-based insurance requirements.
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MA plan qualified BCPs are held to the same standards and requirements as BCPs,
including enrollment periods, network adequacy, patient-centered chronic care plans,
and quality reporting. Generally, Medicare Part C requirements, including those
relating to special needs plans, also apply to MA plan qualified BCPs.
Section 5. Improvements to Welcome to Medicare Visit and Annual Wellness Visits.

For enrollees in BCPs, the legislation adds to the Welcome to Medicare Benefit and the
Annual Wellness Visit a standardized functional and health risk assessment to be
provided by a qualified BCP professional. This change is considered effective and shall
apply to services delivered on or after the date that is one year following the date of
enactment.
Section 6. Chronic Care Innovation Centers.

By October 1, 2016, the HHS Secretary through the Agency for Healthcare Research
and Quality (AHRQ) is required to designate and provide funding for at least three
“Chronic Care Innovation Centers” (CCICs) and to ensure “sufficient geographic
representation” among the chosen entities.

To become a CCIC, an eligible entity must meet six detailed criteria, including
collaborating with “local schools of public health and universities to carry out its
mission,” and “have the ability to convene experts practiced in the needs of chronically
ill patient, including pharmacologists, psychiatrists, cardiologists, pulmonologists,
rheumatologists, nutritionists and dieticians, social workers, and physical therapists.”

CCICs are to partner with the HHS Secretary, the Secretary of Veterans Affairs, the
medical community, medical schools, public health departments through AHRQ, and
the Association of American Medical Colleges to “routinely develop new, forward
thinking, and evidence-based curricula that addresses the tremendous need for teambased care and chronic care management.”
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The curricula to be developed by the CCICs shall include “palliative medicine, chronic
care management, leadership and team-based skills and planning, and leveraging
technology as a care tool.”
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Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)
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The CCICs are to undertake and contribute to ten specific objectives and activities
pertaining to improving quality of care for individuals with chronic disease, including
studying and identifying practices, technologies, socio-demographic factors, selfmanagement and behavioral interventions, and barriers that impact the quality and
efficient delivery of care.

CCICs also are to contribute to the understanding of “how management of care is
affected when patients have multiple chronic conditions in which evidence or
recommended guidelines are lacking, conflict with, or complicate overall care
management.”
Section 7. Curricula Requirements for Direct and Indirect Graduate Medical Education
Payments.

This section amends the Medicare Direct Graduate Medical Education (GME) program
to add new curricula requirements.
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The HHS Secretary is required to “engage with the medical community and medical
schools in developing curricula that:”
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“is new, forward thinking, and evidence-based”
“addresses the need for team-based care and chronic care management”
“includes palliative medicine, chronic care management, leadership and teambased skills and planning, and leveraging technology as a care tool”
“shall include appropriate focus on care practices required for rural and
underserved areas.”

For Medicare cost reporting periods beginning on or after the date that is five years
after the legislation is enacted, “if a hospital has not begun to implement curricula that
meets the requirements … payments otherwise made to a hospital [for DME] may be
reduced by a percentage determined appropriate by the Secretary … successful
development and implementation of such curricula shall be determined by program
accrediting bodies.”

For Medicare discharges occurring on or after the date that is five years after the
legislation is enacted, “if a hospital has not begun to implement curricula that meets
the requirements … payments otherwise made to a hospital [for Indirect Medical
Education] may be reduced by a percentage determined appropriate by the Secretary.”
Resources

Complete information regarding the Better Care, Lower Cost Act, including status of
the legislation and a PDF of the 54 page bill, visit:
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Summary: The Better Care, Lower Cost Act (S. 1932/H.R. 3890)
http://beta.congress.gov/bill/113th-congress/senatebill/1932?q=%7B%22search%22%3A%5B%22s+1932%22%5D%7D
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Home page for Senator Wyden’s work on the legislation:
http://www.wyden.senate.gov/chroniccare

A bill summary provided by Senator Wyden:
http://www.wyden.senate.gov/download/summary-of-better-care-lower-cost-act
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A side-by-side comparison between ACOs and BCPs:
http://www.wyden.senate.gov/download/whats-the-difference-between-acos-andthe-better-care-lower-cost-act
For more information about the Better Care, Lower Cost Act or other pending federal
health legislative and regulatory issues, please contact:
Ilisa Halpern Paul, MPP
President
District Policy Group at Drinker Biddle
202/230-5145
[email protected]
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