Page:United States Statutes at Large Volume 124.djvu/426

 124 STAT. 400 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(II) the amount of expenditures for post-acute care spending under this title. ‘‘(v) Whether a condition is high-volume and has high post-acute care expenditures under this title. ‘‘(vi) Which conditions the Secretary determines are most amenable to bundling across the spectrum of care given practice patterns under this title. ‘‘(C) APPLICABLE SERVICES.—The term ‘applicable serv- ices’ means the following: ‘‘(i) Acute care inpatient services. ‘‘(ii) Physicians’ services delivered in and outside of an acute care hospital setting. ‘‘(iii) Outpatient hospital services, including emer- gency department services. ‘‘(iv) Post-acute care services, including home health services, skilled nursing services, inpatient rehabilitation services, and inpatient hospital services furnished by a long-term care hospital. ‘‘(v) Other services the Secretary determines appro- priate. ‘‘(D) EPISODE OF CARE.— ‘‘(i) IN GENERAL.—Subject to clause (ii), the term ‘episode of care’ means, with respect to an applicable condition and an applicable beneficiary, the period that includes— ‘‘(I) the 3 days prior to the admission of the applicable beneficiary to a hospital for the applicable condition; ‘‘(II) the length of stay of the applicable bene- ficiary in such hospital; and ‘‘(III) the 30 days following the discharge of the applicable beneficiary from such hospital. ‘‘(ii) ESTABLISHMENT OF PERIOD BY THE SEC- RETARY.—The Secretary, as appropriate, may establish a period (other than the period described in clause (i)) for an episode of care under the pilot program. ‘‘(E) PHYSICIANS’ SERVICES.—The term ‘physicians’ services’ has the meaning given such term in section 1861(q). ‘‘(F) PILOT PROGRAM.—The term ‘pilot program’ means the pilot program under this section. ‘‘(G) PROVIDER OF SERVICES.—The term ‘provider of services’ has the meaning given such term in section 1861(u). ‘‘(H) READMISSION.—The term ‘readmission’ has the meaning given such term in section 1886(q)(5)(E). ‘‘(I) SUPPLIER.—The term ‘supplier’ has the meaning given such term in section 1861(d). ‘‘(3) DEADLINE FOR IMPLEMENTATION.—The Secretary shall establish the pilot program not later than January 1, 2013. ‘‘(b) DEVELOPMENTAL PHASE.— ‘‘(1) DETERMINATION OF PATIENT ASSESSMENT INSTRUMENT.—The Secretary shall determine which patient assessment instrument (such as the Continuity Assessment Record and Evaluation (CARE) tool) shall be used under the pilot program to evaluate the applicable condition of an applicable beneficiary for purposes of determining the most