‘‘(I) the measures on which the 
practice has agreed to report to the 
Secretary under subsection (c)(6)(A); 
and 
‘‘(II) the level of satisfaction on 
which the practice has agreed to re-
port to the Secretary under subsection 
(c)(6)(B). 
‘‘(ii) CONSIDERATION
OF
PERFORM-
ANCE ASSESSMENT.—The Secretary shall, 
in conjunction with the appropriate stake-
holders described in subsection (e)(3)(B), 
determine the amount of a payment to an 
individual oncology practice under subpara-
graph (A) for a year. In making a deter-
mination under the preceding sentence, the 
Secretary shall take into account the per-
formance assessment of the practice under 
subsection (e)(4)(A) for the previous year, 
as compared to the performance assess-
ment of other participating oncology prac-
tices under such subsection for such pre-
vious year. 
‘‘(3) ISSUANCE OF GUIDANCE.—Not later than 
the date that is six months after the date of the en-
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actment of this section, the Secretary shall issue 
guidance detailing the methodology that the Sec-
retary will use to implement subparagraphs (C) and 
(D) of paragraph (2). 
‘‘(g) SECRETARY REPORTS TO PARTICIPATING ON-
COLOGY PRACTICES.—The Secretary shall inform each 
participating oncology practice, on a quarterly basis, of— 
‘‘(1) the performance of the practice during the 
prior quarter with respect to the measures on which 
the practice has agreed to report to the Secretary 
under subsection (c)(6)(A); and 
‘‘(2) the amount by which the expenditures that 
would have been expended for the prior quarter 
under this title by a typical oncology practice if the 
demonstration project had not been implemented ex-
ceeds the actual expenditures by the participating 
oncology practice under this title for such quarter. 
‘‘(h) APPLICATIONS FROM ENTITIES TO PROVIDE 
ACCREDITATIONS.—Not later than the date that is six 
months after the date of the enactment of this section, 
the Secretary shall establish a process for the acceptance 
and consideration of applications from entities for pur-
poses of determining which entities may provide accredita-
tion to practices under subsection (c)(4) in addition to the 
entities described in such subsection. 
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‘‘(i) GAO REPORT.—Not later than June 1, 2019, 
the Comptroller General of the United States shall submit 
a report to Congress evaluating the success of the dem-
onstration project that includes an assessment of the im-
pact of the project upon the quality and cost-efficiency of 
oncology services furnished to individuals under this title, 
including an assessment of the satisfaction of such individ-
uals with respect to such services that were furnished 
under such project. Such report shall include rec-
ommendations regarding the possible expansion of the 
demonstration project, as well as any possible reforms that 
are based on the demonstration project that can be made 
to the program under this title with respect to payment 
for cancer care.’’. 
Æ 
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