ORDI Demonstration Implementation, Monitoring and Evaluation

Pursuant to the authority of Section 402 of PL90-248 (42 U.S.C. 1395b-1) the secretary, Department of Health and Human Services is authorized to waive requirements in the Title XVIII related to reimbursement and payment. Furthermore, the secretary is authorized to develop and implement demonstrations for the purpose of improving the efficiency and effectiveness by seeking new methods of payment or expanding the use of new procedures. The secretary is required to evaluate whether quality of care and/or satisfaction improve for targeted beneficiaries with threshold conditions that Medicare expenditures for demonstrations and budget neutral demonstrations meet contractual requirements. This requires expert monitoring and oversight throughout the demonstrations. The Centers for Medicare & Medicaid Services (CMS) is responsible for implementing and monitoring demonstration projects undertaken across the United States. In order to implement demonstrations, CMS must have a support contract in place to assist in Medicare program development and monitoring of industry partners who participate in these demonstrations.