Index for HR3962: Affordable Health Care for America Act

ACCOUNT recommendations described in report under section 1157 and notwithstanding geographic adjustments otherwise applying under section 1848(e) and sectioning 1886(d)(3)(e) of Social Security Act 42 USC 1395w-4(e), 1395ww(d)(3)(e)) ;   Taking into

ACCOUNT workforce mobility between urban and rural areas ;   Recruitment and retention taking into

ALL-condition measure of readmissions as determined appropriate by Secretary ;   Secretary expanding applicable conditions beyond 3 conditions For which measures endorsed as described in subparagraph as of date of enactment of subsection to additional 4 conditions so identified by Medicare Payment Advisory Commission in report to Congress in June 2007 and other conditions and procedures including

AMBULATORY surgical center to hospital after date of enactment of subsection ;   Hospital not converted from

ANGIOGRAPHIES, angiograms and endoscopies furnished ;   Term procedure rooms including rooms in which catheterizations,

ASSESSMENT including assessment of individual's physical and mental condition, cognitive and functional capacities, medication regimen and adherence, social and environmental needs and primary caregiver needs and resources  ;  

ASSESSMENT visit for individual referred for home health services under title XVIII of Social Security Act ;   Home health agency determining appropriate skilled therapist to make initial

DISCHARGE from applicable hospital ;   Support beneficiary under section beginning on date of individual's admission to hospital for inpatient hospital services and ending at latest on last day of 90-day period beginning on date of individual's

CAPITAL contributions making at time ownership or investment interest obtained ;   Investment interest of owner or investor being directly proportional to owner or investor's

ANGIOGRAPHIES, angiograms and endoscopies furnished ;   Term procedure rooms including rooms in which catheterizations,

CIVIL money penalty under subparagraphs and same manner as provisions applying to penalty or proceeding under section 1128a(a) ;   Provisions of section 1128a and other than subsection applying to

ENVIRONMENTAL needs and primary caregiver needs and resources ;   Assessment including assessment of individual's physical and mental condition, cognitive and functional capacities, medication regimen and adherence, social and

COMPENSATION arrangements ;   Entity providing covered items or services For which payment to be made under title providing Secretary with information concerning entity's ownership, investment and

HEALTH Care ;   Sec 1160, implementation and congressional Review of proposal to revise medicare payments to promote high Value

CONSTITUTIONAL right of House to change rules at time ;   Full recognition of

CONTRACT under section 1890(a) of Social Security Act but adopting and applying measures under paragraph without ;   Secretary seeking endorsement of measures by entity with

CONTRACT with Institute of Medicine of National Academy of Science to conduct comprehensive empirical study and providing recommendations as appropriate ;   Secretary of Health and Human Services entering into

DISTRIBUTION associated with transportation costs ;   Demographic characteristics of individuals served and geographic

DISCHARGE of individual from hospital and other services determined appropriate by Secretary ;   Term post acute services meaning services For which payment to be made under Medicare program furnished by skilled nursing facilities, inpatient rehabilitation facilities, long term care hospitals, hospital based outpatient rehabilitation facilities and home health agencies to individual after

DISCRETIONARY treatment decisions being made to be characterized as different from best available medical evidence ;   Evaluation of extent to which variation to be attributed to physician and practitioner discretion in making treatment decisions and degree to which

DISTRIBUTION associated with transportation costs ;   Demographic characteristics of individuals served and geographic

ECONOMIC factors including race, ethnicity, gender, age, income and educational status  ;  

ECONOMIC factors including race, ethnicity, gender, age, income and educational status  ;  

ELIGIBILITY for coverage of home health services under title XVIII of Social Security Act on basis of need for occupational therapy ;   Nothing in subsection to be construed to provide for initial

ENDORSEMENT described in subparagraph but applying measures without ;   Secretary seeking

ENDOSCOPIES furnished ;   Term procedure rooms including rooms in which catheterizations, angiographies, angiograms and

ENVIRONMENTAL needs and primary caregiver needs and resources ;   Assessment including assessment of individual's physical and mental condition, cognitive and functional capacities, medication regimen and adherence, social and

INCOME and educational status ;   Economic factors including race, ethnicity, gender, age,

EXPENDITURES and expansion of pilot program resulting in estimated spending to be less ;   Demonstration program and pilot program reducing program

FINANCING for physician owner or investor in hospital ;   Hospital not directly or indirectly providing loans or

FISCAL year to be available until expended ;   Amounts appropriated under paragraph for

FISCAL year to be available until expended ;   Amounts appropriated under paragraph for

FISCAL year 2010 ;   Funds in Treasury not otherwise appropriated appropriated to Secretary of Health and Human Services for Centers for Medicare and Medicaid Services programming Management Account $5,000,000 for fiscal year beginning with

FISCAL year 2011 and ending with fiscal year 2019 ;   Period beginning with

FISCAL year 2012 and subsequent fiscal year of subsection in manner similar to manner in which section applying with respect to fiscal year to applicable hospital as described in section 1886(p)(2) ;   Adjustment factor described in section 1886(p)(3) applying to payments with respect to critical access hospital with respect to cost reporting period beginning in

FISCAL year 2014 ;   Additional expenditures resulting from implementation of subsection of section 1158 of Affordable Health Care for America Act for period before

FISCAL year 2019 ;   Period beginning with fiscal year 2011 and ending with

GENERAL fund of Treasury not otherwise appropriated $10,000,000 to carry out that section ;   Appropriating from amounts in

GEOGRAPHIC adjustment factors established under sections 1848(e) and 1886(d)(3)(e) of Social Security Act 42 USC 1395w-4(e) ;   Accuracy of

GEOGRAPHIC adjustment factors used in systems ;   Proposals to revise

GEOGRAPHIC areas ;   Rates to be established on national basis or different

GEOGRAPHIC measurement including micro areas within larger areas ;   Evaluation of extent and range of variation using various units of

HEALTH ;   Measurement and reporting on quality and population

HEALTH care outcomes and consensus-based measures of health care quality ;   Evaluation of extent to which variations in spending correlated with patient access to care, insurance status, distribution of health care resources,

HEALTH care programs and not permitting physicians practicing at hospital to discriminate against beneficiaries ;   Not discriminating against beneficiaries of Federal

HEALTH care quality ;   Evaluation of extent to which variations in spending correlated with patient access to care, insurance status, distribution of health care resources, health care outcomes and consensus-based measures of

DISTRIBUTION of health care resources, health care outcomes and consensus-based measures of health care quality ;   Evaluation of extent to which variations in spending correlated with patient access to care, insurance status,

HEALTH care services to low-income patient populations including coordinated and comprehensive care by safety net providers to reduce unnecessary use of items and services furnished in emergency departments ;   Term collaborative care network meaning consortium of health care providers providing comprehensive range of coordinated and integrated

HEALTH market basket percentage increases for years beginning with 2011 ;   Amendments making by subsection applying to home

HEALTH outcomes ;   Basing on evidence of effectiveness in reducing hospital readmissions and improving

HEALTH team members as appropriate ;   Development of evidence-based plan of transitional care for individual developed after consulations with individual and individual's primary caregiver and other

DISCHARGE from applicable hospital or critical access hospital ;   Claim submitted post-acute care provider under title XVIII of Social Security Act indicating that individual readmitted to hospital post-acute care provider or admitted from home and care of home health agency within 30 days of initial

HEALTH, skilled nursing facility and other services ;   Cost-sharing for post acute care bundle to be treated relative to current rules for cost-sharing for inpatient hospital, home

HEALTH agencies in effort to explain variation in Medicare margins for agencies ;   Medicare Payment Advisory Commission conducting study regarding variation in performance of home

ASSESSMENT visit for individual referred for home health services under title XVIII of Social Security Act ;   Home health agency determining appropriate skilled therapist to make initial

HEALTH services for individual ;   Not requiring skilled nursing care as long as skilled service included as part of plan of care for home

HOSPITAL offers to physician not offered on more favorable terms than terms offered to person being not in position to refer patients or otherwise generating business for hospital  ;  

DISCHARGE from applicable hospital or critical access hospital ;   Claim submitted post-acute care provider under title XVIII of Social Security Act indicating that individual readmitted to hospital post-acute care provider or admitted from home and care of home health agency within 30 days of initial

HOSPITAL site of care ;   Secretary providing priority to hospitals serving Medicare beneficiaries at highest risk for readmission or poor transition hospital to post-

HOSPITAL readmission rates ;   Uses of funds affected

HEALTH outcomes ;   Basing on evidence of effectiveness in reducing hospital readmissions and improving

HOSPITAL stay to qualify for services furnished by skilled nursing facilities and coordination of payments and care under Medicare program and Medicaid program ;   Post-acute transfer policy, three-day

HOSPITAL ;   Submitting to Secretary initial report and periodic updating at frequency determined by Secretary containing detailed description of identity of physician owner and physician investor and other owners or investors of

HEALTH Care ;   Sec 1160, implementation and congressional Review of proposal to revise medicare payments to promote high Value

IMPLEMENTATION plan requiring substantial change to payment system  ;