Page:United States Statutes at Large Volume 124.djvu/474

 124 STAT. 448 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(II) identify gaps in care; and ‘‘(III) facilitate improved care by using addi- tional resources like nurses, nurse practitioners, and physician assistants. ‘‘(ii) Programs that focus on patient education and self-management of health conditions, including inter- ventions that— ‘‘(I) help manage chronic conditions; ‘‘(II) reduce declines in health status; and ‘‘(III) foster patient and provider collaboration. ‘‘(iii) Transitional care interventions that focus on care provided around a hospital inpatient episode, including programs that target post-discharge patient care in order to reduce unnecessary health complica- tions and readmissions. ‘‘(iv) Patient safety programs, including provisions for hospital-based patient safety programs in contracts that the Medicare Advantage organization offering the MA plan has with hospitals. ‘‘(v) Financial policies that promote systematic coordination of care by primary care physicians across the full spectrum of specialties and sites of care, such as medical homes, capitation arrangements, or pay- for-performance programs. ‘‘(vi) Programs that address, identify, and amelio- rate health care disparities among principal at-risk subpopulations. ‘‘(vii) Medication therapy management programs that are more extensive than is required under section 1860D–4(c) (as determined by the Secretary). ‘‘(viii) Health information technology programs, including clinical decision support and other tools to facilitate data collection and ensure patient-centered, appropriate care. ‘‘(ix) Such other care management and coordination programs as the Secretary determines appropriate. ‘‘(D) CONDUCT OF PROGRAM IN URBAN AND RURAL AREAS.—An MA plan may conduct a program described in subparagraph (C) in a manner appropriate for an urban or rural area, as applicable. ‘‘(E) REPORTING OF DATA.—Each Medicare Advantage organization shall provide to the Secretary the information needed to determine whether they are eligible for a care coordination and management performance bonus at a time and in a manner specified by the Secretary. ‘‘(F) PERIODIC AUDITING.—The Secretary shall provide for the annual auditing of programs described in subpara- graph (C) for which an MA plan receives a care coordination and management performance bonus under this paragraph. The Comptroller General shall monitor auditing activities conducted under this subparagraph. ‘‘(2) QUALITY PERFORMANCE BONUSES.— ‘‘(A) QUALITY BONUS.—For years beginning with 2014, the Secretary shall, in addition to any other payment pro- vided under this part, make monthly payments, with respect to coverage of an individual under this part, to an MA plan that achieves at least a 3 star rating (or Effective date. Payments. Deadline.