Sec. 601. MEDICARE PHYSICIAN PAYMENT UPDATE
719 words·~3 min read·
/statute-compilations/comps-10390/sec-601A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
## SEC. 601 MEDICARE PHYSICIAN PAYMENT UPDATE ###
(a)In General Section 1848(d) of the Social Security Act (42 U.S.C. 1395w-4(d)) is amended by adding at the end the following new paragraph: > > #### “(14) Update for 2013 > > > ##### “(A) In general > > Subject to paragraphs (7)(B), (8)(B), (9)(B), (10)(B), (11)(B), (12)(B), and (13)(B), in lieu of the update to the single conversion factor established in paragraph (1)(C) that would otherwise apply for 2013, the update to the single conversion factor for such year shall be zero percent. > > > ##### “(B) No effect on computation of conversion factor for 2014 and subsequent years > > The conversion factor under this subsection shall be computed under paragraph (1)(A) for 2014 and subsequent years as if subparagraph
(A)had never applied.” > . ###
(b)Advancement of Clinical Data Registries To Improve the Quality of Health Care ####
(1)In general Section 1848(m)(3) of the Social Security Act (42 U.S.C. 1395w-4(m)(3)) is amended— #####
(A)by redesignating subparagraph
(D)as subparagraph (F); and #####
(B)by inserting after subparagraph
(C)the following new subparagraphs: > > ##### “(D) Satisfactory reporting measures through participation in a qualified clinical data registry > > For 2014 and subsequent years, the Secretary shall treat an eligible professional as satisfactorily submitting data on quality measures under subparagraph
(A)if, in lieu of reporting measures under subsection (k)(2)(C), the eligible professional is satisfactorily participating, as determined by the Secretary, in a qualified clinical data registry (as described in subparagraph (E)) for the year. > > > ##### “(E) Qualified clinical data registry > > > ###### “(i) In general > > The Secretary shall establish requirements for an entity to be considered a qualified clinical data registry. Such requirements shall include a requirement that the entity provide the Secretary with such information, at such times, and in such manner, as the Secretary determines necessary to carry out this subsection. > > > ###### “(ii) Considerations > > In establishing the requirements under clause (i), the Secretary shall consider whether an entity— > > > ###### “(I) > > has in place mechanisms for the transparency of data elements and specifications, risk models, and measures; > > > ###### “(II) > > requires the submission of data from participants with respect to multiple payers; > > > ###### “(III) > > provides timely performance reports to participants at the individual participant level; and > > > ###### “(IV) > > supports quality improvement initiatives for participants. > > > ###### “(iii) Measures > > With respect to measures used by a qualified clinical data registry— > > > ###### “(I) > > sections 1890(b)(7) and 1890A(a) shall not apply; and > > > ###### “(II) > > measures endorsed by the entity with a contract with the Secretary under section 1890(a) may be used. > > > ###### “(iv) Consultation > > In carrying out this subparagraph, the Secretary shall consult with interested parties. > > > ###### “(v) Determination > > The Secretary shall establish a process to determine whether or not an entity meets the requirements established under clause (i). Such process may involve one or both of the following: > > > ###### “(I) > > A determination by the Secretary. > > > ###### “(II) > > A designation by the Secretary of one or more independent organizations to make such determination.” > . ####
(2)GAO study and report on incorporating registry data into the medicare program in order to improve quality and efficiency #####
(A)Study The Comptroller General of the United States shall conduct a study on the potential of clinical data registries to improve the quality and efficiency of care in the Medicare program, including through payment system incentives. Such study shall include an analysis of the role of health information technology in facilitating clinical data registries and the use of data from such registries among private health insurers as well as other entities the Comptroller General determines appropriate. #####
(B)Report Not later than November 15, 2013, the Comptroller General of the United States shall submit to Congress a report on the study conducted under subparagraph (A), together with recommendations for such legislation and administrative action as the Comptroller General determines appropriate.
Connectionstraces to 1
Traces to 1 document
Citation graph
cites case law
Sec. 601
MEDICARE PHYSICIAN PAYMENT UPDATE
Cites 1Cited by 0 across 0 sources