Page:United States Statutes at Large Volume 124.djvu/427

 124 STAT. 401 PUBLIC LAW 111–148—MAR. 23, 2010 clinically appropriate site for the provision of post-acute care to the applicable beneficiary. ‘‘(2) DEVELOPMENT OF QUALITY MEASURES FOR AN EPISODE OF CARE AND FOR POST-ACUTE CARE.— ‘‘(A) IN GENERAL.—The Secretary, in consultation with the Agency for Healthcare Research and Quality and the entity with a contract under section 1890(a) of the Social Security Act, shall develop quality measures for use in the pilot program— ‘‘(i) for episodes of care; and ‘‘(ii) for post-acute care. ‘‘(B) SITE-NEUTRAL POST-ACUTE CARE QUALITY MEAS- URES.—Any quality measures developed under subpara- graph (A)(ii) shall be site-neutral. ‘‘(C) COORDINATION WITH QUALITY MEASURE DEVELOP- MENT AND ENDORSEMENT PROCEDURES.—The Secretary shall ensure that the development of quality measures under subparagraph (A) is done in a manner that is con- sistent with the measures developed and endorsed under section 1890 and 1890A that are applicable to all post- acute care settings. ‘‘(c) DETAILS.— ‘‘(1) DURATION.— ‘‘(A) IN GENERAL.—Subject to subparagraph (B), the pilot program shall be conducted for a period of 5 years. ‘‘(B) EXTENSION.—The Secretary may extend the dura- tion of the pilot program for providers of services and suppliers participating in the pilot program as of the day before the end of the 5-year period described in subpara- graph (A), for a period determined appropriate by the Sec- retary, if the Secretary determines that such extension will result in improving or not reducing the quality of patient care and reducing spending under this title. ‘‘(2) PARTICIPATING PROVIDERS OF SERVICES AND SUP- PLIERS.— ‘‘(A) IN GENERAL.—An entity comprised of providers of services and suppliers, including a hospital, a physician group, a skilled nursing facility, and a home health agency, who are otherwise participating under this title, may submit an application to the Secretary to provide applicable services to applicable individuals under this section. ‘‘(B) REQUIREMENTS.—The Secretary shall develop requirements for entities to participate in the pilot program under this section. Such requirements shall ensure that applicable beneficiaries have an adequate choice of pro- viders of services and suppliers under the pilot program. ‘‘(3) PAYMENT METHODOLOGY.— ‘‘(A) IN GENERAL.— ‘‘(i) ESTABLISHMENT OF PAYMENT METHODS.—The Secretary shall develop payment methods for the pilot program for entities participating in the pilot program. Such payment methods may include bundled payments and bids from entities for episodes of care. The Sec- retary shall make payments to the entity for services covered under this section. ‘‘(ii) NO ADDITIONAL PROGRAM EXPENDITURES.— Payments under this section for applicable items and Determination.