TITLE III - IMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE
Subtitle A - Transforming the Health Care Delivery System
PART I - LINKING PAYMENT TO QUALITY OUTCOMES UNDER THE MEDICARE PROGRAM
Sec. 3001. Hospital Value-Based purchasing program
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Sec. 3002. Improvements to the physician quality reporting system
Sec. 3003. Improvements to the physician
Sec. 3004. Quality reporting for long-term care hospitals, inpatient rehabilitation hospitals, and hospice programs
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Sec. 3005. Quality reporting for PPS-exempt cancer hospitals
Sec. 3006. Plans for a Value-Based purchasing program for skilled nursing facilities and home health agencies
Sec. 3007. Value-based payment modifier under the physician fee schedule
Sec. 3008. Payment adjustment for conditions acquired in hospitals
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PART II - NATIONAL STRATEGY TO IMPROVE HEALTH CARE QUALITY
Sec. 3011. National strategy
Sec. 3012. Interagency Working Group on Health Care Quality
Sec. 3013. Quality measure development
Sec. 3014. Quality measurement
Sec. 3015. Data collection; public reporting
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PART III - ENCOURAGING DEVELOPMENT OF NEW PATIENT CARE MODELS
Sec. 3021. Establishment of Center for Medicare and Medicaid Innovation within CMS
Sec. 3022. Medicare shared savings program
Sec. 3023. National pilot program on payment bundling
Sec. 3024. Independence at home demonstration program
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Sec. 3025. Hospital readmissions reduction program
Sec. 3026. Community-Based Care Transitions Program
Sec. 3027. Extension of gainsharing demonstration
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Subtitle B - Improving Medicare for Patients and Providers
PART I - ENSURING BENEFICIARY ACCESS TO PHYSICIAN AND PROVIDERS
Sec. 3101. Increase in the physician payment update
Sec. 3102. Extension of the work geographic index floor and revisions to the practice expense geographic adjustment under the Medicare physician fee schedule
Sec. 3103. Extension of exceptions process for Medicare therapy caps
Sec. 3104. Extension of payment for technical component of certain physician pathology services
Sec. 3105. Extension of ambulance add-ons
Sec. 3106. Extension of certain payment rules for long-term care hospital services and of moratorium on the establishment of certain hospitals and facilities
Sec. 3107. Extension of physician fee schedule mental health add-on
Sec. 3108. Permitting physician assistants to order post-Hospital extended care services
Sec. 3109. Exemption of certain pharmacies from accreditation requirements
Sec. 3110. Part B special enrollment period for disabled TRICARE beneficiaries
Sec. 3111. Payment for bone density tests
Sec. 3112. Revision to the Medicare Improvement Fund
Sec. 3113. Treatment of certain complex diagnostic laboratory tests
Sec. 3114. Improved access for certified nurse-midwife services
Recorded By: Jennifer Thayer
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PART II - RURAL PROTECTIONS
Sec. 3121. Extension of outpatient hold harmless provision
Sec. 3122. Extension of Medicare reasonable costs payments for certain clinical diagnostic laboratory tests furnished to hospital patients in certain rural areas
Sec. 3123. Extension of the Rural Community Hospital Demonstration Program
Sec. 3124. Extension of the Medicare-dependent hospital (MDH) program
Sec. 3125. Temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals
Sec. 3126. Improvements to the demonstration project on community health integration models in certain rural counties
Sec. 3127. MedPAC study on adequacy of Medicare payments for health care providers serving in rural areas
Sec. 3128. Technical correction related to critical access hospital services
Sec. 3129. Extension of an revisions to Medicare rural hospital flexibility program
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PART III - IMPROVING PAYMENT ACCURACY
Sec. 3131. Payment adjustments for home health care
Sec. 3132. Hospice reform
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Sec. 3133. Improvement to medicare disproportionate share hospital (DSH) payments
Sec. 3134. Misvalued codes under the physician fee schedule
Sec. 3135. Modification of equipment utilization factor for advanced imaging services
Sec. 3136. Revision of payment for power-driven wheelchairs
Sec. 3137. Hospital wage index improvement
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Sec. 3138. Treatment of certain cancer hospitals
Sec. 3139. Payment for biosimilar biological products
Sec. 3140. Medicare hospice concurrent care demonstration program
Sec. 3141. Application of budget neutrality on a national basis in the calculation of the Medicare hospital wage index floor
Sec. 3142. HHS study on urban Medicare-dependent hospitals
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Subtitle C - Provisions related to Part C
Sec. 3201. Medicare Advantage payment
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Sec. 3202. Benefit protection and simplification
Sec. 3203. Application of coding intensity adjustment during MA payment transition
Sec. 3204. Simplification of annual beneficiary election periods
Sec. 3205. Extension for specialized MA plans for special needs individuals
Sec. 3206. Extension of reasonable cost contracts
Sec. 3207. Technical correction to MA private fee-for-service plans
Sec. 3208. Making senior housing facility demonstration permanent
Sec. 3209. Authority to deny plan bids
Sec. 3210. Development of new standards for certain Medigap plans
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Subtitle D - Medicare Part D Improvements for Prescription Drug Plans and MA-PD Plans
Sec. 3301. Medicare coverage gap discount program
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Sec. 3302. Improvement in determination of Medicare part D low-income benchmark premium
Sec. 3303. Voluntary de minimus policy for subsidy eligible individuals under prescription drug plans and MA-PD plans
Sec. 3304. Special rule for widows and widowers regarding eligibility for low-income assistance
Sec. 3305. Improved information for subsidy eligible individuals reassigned to prescription drug plans and MA-PD plans
Sec. 3306. Funding outreach and assistance for low-income programs
Sec. 3307. Improving formulary requirements for prescription drug plans and MA-PD plans with respect to certain categories or classes of drugs
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Sec. 3308. Reducing part D premium subsidy for high-income beneficiaries
Sec. 3309. Elimination of cost sharing for certain dual eligible individuals
Sec. 3310. Reducing wasteful dispensing of outpatient prescription drugs in long-term care facilities under prescription drug plans and MA-PD plans
Sec. 3311. Improved Medicare prescription drug plan and MA-PD plan complaint system
Sec. 3312. Uniform exceptions and appeals process for prescription drug plans and MA-PD plans
Sec. 3313. Office of the Inspector General studies and reports
Sec. 3314. Including costs incurred by AIDS drug assistance programs and Indian Health Service in providing prescription drugs toward the annual out-of-pocket threshold under part D
Sec. 3315. Immediate reduction in coverage gap in 2010
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Subtitle E - Ensuring Medicare Sustainability
Sec. 3401. Revision of certain market basket updates and incorporation of productivity improvements into market basket updates that do not already incorporate such improvements
Sec. 3402. Temporary adjustment to the calculation of part B premiums
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Sec. 3403. Independent Medicare Advisory Board
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Subtitle F - Health Care Quality Improvements
Sec. 3501. Health care delivery system research; Quality Improvement technical assistance
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Sec. 3502. Establishing community health teams to support the patient-centered medical home
Sec. 3503. Medication management services in treatment of chronic disease
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Sec. 3504. Design and implementation of regionalized systems for emergency care
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Sec. 3505. Trauma care centers and service availability
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Sec. 3506. Program to facilitate shared decisionmaking
Sec. 3507. Presentation of prescription drug benefit and risk information
Sec. 3508. Demonstration program to integrate quality improvement and patient safety training into clinical education of health professionals
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Sec. 3509. Improving women's health
Sec. 3510. Patient navigator program
Sec. 3511. Authorization of appropriations
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To Title IV----->
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