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Obamacare, or the Patient Protection and Affordable Care Act: Title III: Improving the Quality and Efficiency of Health Care

Title III: Improving the Quality and Efficiency of Health Care

To understand more about Title III:  Improving the Quality and Efficiency of Health Care, see the full text of Title III and the Amendments to Title III.

Subtitle A: Transforming the Health Care Delivery System

  • Part I:  Linking Payment to Quality Outcomes Under the Medicare Program
    • Section 3001:  Hospital Value-Based Purchasing Program
    • Section 3002:  Improvements to the Physician Quality Reporting System
    • Section 3003:  Improvements to the Physician Feedback Program
    • Section 3004:  Quality Reporting for Long-Term Care Hospitals, Inpatient Rehabilitation Hospitals, and Hospice Programs
    • Section 3005:  Quality Reporting for PPS-Exempt Cancer Hospitals
    • Section 3006:  Plans for a Value-based Purchase Program for Skilled Nursing Facilities and Home Health Agencies
    • Section 3007:  Value-based Payment Modifier Under the Physician Fee Schedule
    • Section 3008:  Payment Adjustment for Conditions Acquired in Hospitals
  • Part II:  National Strategy to Improve Health Care Quality
    • Section 3011:  National Strategy
    • Section 3012:  Interagency Working Group on Health Care Quality
    • Section 3013:  Quality Measure Development
    • Section 3014:  Quality Measurement
    • Section 3015:  Data Collection; Public Reporting
  • Part III:  Encouraging Development of New Patient Care Models
    • Section 3021:  Establishment of Center for Medicare and Medicaid Innovation within CMS
    • Section 3022:  Medicare Shared Savings Program
    • Section 3023:  National Pilot Program on Payment Bundling
    • Section 3024:  Independence at Home Demonstration Program
    • Section 3025:  Hospital Readmissions Reduction Program
    • Section 3026:  Community-based Care Transitions Program
    • Section 3027:  Extension of Gainsharing Demonstration

Subtitle B: Improving Medicare for Patients and Providers

  • Part I:  Ensuring Beneficiary Access to Physican Care and Other Services
    • Section 3101:  Increase in the Physician Payment Update
    • Section 3102:  Extension of the Work Geographic Index Floor and Revisions to the Practice Expense Geographic Adjustment Under the Medicare Physician Fee Schedule
    • Section 3103:  Extension of Exceptions Process for Medicare Therapy Caps
    • Section 3104:  Extension of Payment for Technical Component of Certain Physician Pathology Services
    • Section 3105:  Extension of Ambulance Add-ons
    • Section 3106:  Extension of Certain Payment Rules for Long-Term Care Hospital Services and of Moratorium on the Establishment of Certain Hospitals and Facilities
    • Section 3107:  Extension of Physcian Fee Schedule Mental Health Add-on
    • Section 3108:  Permitting Physician Assistants to Order Post-Hospital Extended Care Services
    • Section 3109:  Exemption of Certain Pharmacies from Accreditation Requirements
    • Section 3110:  Part B Special Enrollment Period for Disabled Tricare Beneficiaries
    • Section 3111:  Payment for Bone Density Tests
    • Section 3112:  Revision to the Medicare Improvement Fund
    • Section 3113:  Treatment of Certain Complex Diagnostic Laboratory Tests
    • Section 3114:  Improved Access for Certified Nurse-Midwife Services
  • Part II:  Rural Protections
    • Section 3121:  Extension of Outpatient Hold Harmless Provision
    • Section 3122:  Extension of Medicare Reasonable Costs Payments for Certain Clinical Diagnostic Laboratory Tests Furnished to Hospital Patients in Certain Rural Areas
    • Section 3123:  Extension of the Rural Community Hospital Demonstration Program
    • Section 3124:  Extension of the Medicare-Dependent Hospital (MDH) Program
    • Section 3125:  Temporary Improvements to the Medicare Inpatient Hospital Payment Adjustment for Low-Volume Hospitals
    • Section 3126:  Improvements to the Demonstration Project on Community Health Integration Models in Certain Rural Counties
    • Section 3127:  MEDPAC Study on Adequacy of Medicare Payments for Health Care Providers Serving in Rural Areas
    • Section 3128:  Technical Correction Related to Critical Access Hospital Services
    • Section 3129:  Extension of and Revisions to Medicare Rural Hospital Flexibility Program
  • Part III:  Improving Payment Accuracy
    • Section 3131:  Payment Adjustments for Home Health Care
    • Section 3132:  Hospice Reform
    • Section 3133:  Improvement to Medicare Disproportionate Share Hospital (DSH) Payments
    • Section 3134:  Misvalued Codes Under the Physician Fee Schedule
    • Section 3135:  Modification of Equipment Utiliization Factor for Advanced Imaging Services
    • Section 3136:  Revision of Payment for Power-driven Wheelchairs
    • Section 3137:  Hospital Wage Index Improvement
    • Section 3138:  Treatment of Certain Cancer Hospitals
    • Section 3139:  Payment for Biosimilar Biological Products
    • Section 3140:  Medicare Hospice Concurrent Care Demonstration Program
    • Section 3141:  Application of Budget Neutrality on a National Basis in the Calculation of the Medicare Hospital Wage Index Floor
    • Section 3142:  HHS Study on Urban Medicare-Dependent Hospitals
    • Section 3143:  Protecting Home Health Benefits

Subtitle C: Provisions Relating to Part C

  • Section 3201:  Medicare Advantage Payment
  • Section 3202:  Benefit Protection and Simplification
  • Section 3203:  Application of Coding Intensity Adjustment During MA Payment Transition
  • Section 3204:  Simplification of Annual Beneficiary Election Periods
  • Section 3205:  Extension for Specialized MA Plans for Special Needs Individuals
  • Section 3206:  Extension of Reasonable Cost Contracts
  • Section 3207:  Technical Correction to MA Private Fee-for-Service Plans
  • Section 3208:  Making Senior Housing Facility Demonstration Permanent
  • Section 3209:  Authority to Deny Plan Bids
  • Section 3210:  Development of New Standards for Certain Medigap Plans

Subtitle D: Medicare Part D Improvements for Prescription Drug Plans and MA-PD Plans

  • Section 3301:  Medicare Coverage Gap Discount Program
  • Section 3302:  Improvement in Determination of Medicare Part D Low-Income Benchmark Premium
  • Section 3303:  Voluntary De Minimis Policy for Subsidy Eligible Individuals Under Prescription Drug Plans and MA-PD Plans
  • Section 3304:  Special Rule for Widows and Widowers Regarding Eligibility for Low-Income Assistance
  • Section 3305:  Improved Information for Subsidy Eligible Individuals Reassigned to Prescription Drug Plans and MA-PD Plans
  • Section 3306:  Funding Outreach and Assistance for Low-Income Programs
  • Section 3307:  Improving Formulary Requirements for Prescription Drug Plans and MA-PD Plans with Respect to Certain Categories or Classes of Drugs
  • Section 3308:  Reducing Part D Premium Subsidy for High-Income Beneficiaries
  • Section 3309:  Elminiation of Cost Sharing for Certain Dual Eligible Individuals
  • Section 3310:  Reducing Wasteful Dispensing of Outpatient Prescription Drugs in Long-Term Care Facilities Under Presciption Drug Plans and MA-PD Plans
  • Section 3311:  Improved Medicare Prescription Drug Plan and MA-PD Plan Complaint System
  • Section 3312:  Uniform Exceptions and Appeals Process for Prescription Drug Plans and MA-PD Plans
  • Section 3313:  Office of the Inspector General Studies and Reports
  • Section 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
  • Section 3315:  Immediate Reduction in Coverage Gap in 2010

Subtitle E: Ensuring Medicare Sustainability

  • Section 3401:  Revision of Certain Market Basket Updates and Incorporation of Productivity Improvements into Market Basket Updates that Do Not Already Incorporate Such Improvements
  • Section 3402:  Temporary Adjustment to the Calculation of Part B Premiums
  • Section 3403:  Independent Medicare Advisory Board

Subtitle F: Health Care Quality Improvements

  • Section 3501:  Health Care Delivery System Research; Quality Improvement Technical Assistance
  • Section 3502:  Establishing Community Health Teams to Support the Patient-Centered Medical Home
  • Section 3503:  Medication Management Services in Treatment of Chronic Disease
  • Section 3504:  Design and Implementation of Regionalized Systems for Emergency Care
  • Section 3505:  Trauma Care Centers and Service Availability
  • Section 3506:  Program to Facilitate Shared Decisionmaking
  • Section 3507:  Presentation of Prescription Drug Benefit and Risk Information
  • Section 3508:  Demonstration Program to Integrate Quality Improvement and Patient Safety Training into Clinical Education of Health Professionals
  • Section 350:  Improving Women's Health
  • Section 3510:  Patient Navigator Program
  • Section 3511:  Authorization of Appropriations

Subtitle G: Protecting and Improving Guaranteed Medicare Benefits

  • Section 3601:  Protecting and Improving Guaranteed Medicare Benefits
  • Section 3602:  No Cuts in Guaranteed Benefits

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