Monday, October 15, 2012

Medicare by profit Company has been Closed to Solicitation - Window was open from 2001 to 2010

Federal Register Volume 74, Number 141
Announcement of Closing Date
Closing Date: Proposals must be submitted by July 26, 2010.
SUPPLEMENTARY INFORMATION:I. Background Sections 1894(h)(1) and
1934(h)(1) of the Social Security Act (the Act) state that the
Secretary shall grant waivers to enable up to ten private, for-profit
Programs of All-Inclusive Care for the Elderly (PACE) demonstration
projects to provide medical assistance to PACE
program eligible individuals who are 55 years of age or older, require
the level of care required for coverage of nursing facility services,
and reside in the PACE program service area. The for-profit
demonstration provision requires that, except for the numerical
limitation of ten demonstration waivers, the operation of a PACE
program by a provider shall be the same as those for PACE providers
that are not-for-profit, private organizations. The purpose of this
notice is to resolicit proposals for the private, for-profit
demonstration project for the PACEand announces a closing date for the
solicitation. A previous notice of solicitation to for-profit
organizations (66 FR 42229) was published in the August 10, 2001
Federal Register. The purpose of the August 2001 notice was to
determine whether the risk-based long-term care model employed by the
nonprofit PACE can be replicated successfully by for-profit
organizations. Section 4804(b) of the Balanced Budget Act of 1997
(BBA) (Pub. L. 105-33) requires issuance of a report that includes
findings as to whether-- The number of covered lives enrolled in
for-profit PACE demonstration projects are statistically sufficient to
make the findings described below; The population enrolled in
for-profit PACE demonstration projects is less frail than the
population enrolled with other PACE
providers;
Access to or quality of care for individuals enrolled with
for-profit PACE programs is lower than for those enrolled in other
PACE programs; and For-profit demonstration projects resulted in
increased expenditures under Medicare or Medicaid programs above those
incurred - Closing Date: Proposals must be submitted by July 26, 2010,
after such NO SALE OF MEDICARE BY PRIVATE FOR PROFIT IS AUTHORIZED.

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