Sec. 609. PERFORMANCE IMPROVEMENT
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## SEC. 609 PERFORMANCE IMPROVEMENT ###
(a)Extension of Funding for Contract With Consensus-based Entity Regarding Performance Measurement ####
(1)In general Section 1890(d) of the Social Security Act (42 U.S.C. 1395aaa(d)) is amended by striking “fiscal years 2009 through 2012” and inserting “fiscal years 2009 through 2013”. ####
(2)Revision to duties Section 1890(b) of the Social Security Act (42 U.S.C. 1395aaa(b)) is amended by striking paragraph (4). ###
(b)Providing Data for Performance Improvement in a Timely Manner ####
(1)In general The Secretary of Health and Human Services (in this subsection referred to as the “Secretary”) shall develop a strategy to provide data for performance improvement in a timely manner to applicable providers under the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.), including with respect to the provision of the following: #####
(A)Utilization data, including such data for items and services under parts A, B, and D of the Medicare program. #####
(B)Feedback on quality data submitted by the applicable provider under the Medicare program. ####
(2)Considerations In developing the strategy under paragraph (1), the Secretary shall consider— #####
(A)the type of applicable provider receiving the data; #####
(B)the frequency of providing the data so that it can be the most relevant in improving provider performance; #####
(C)risk adjustment methods; #####
(D)presentation of the data in a meaningful manner and easily understandable format; #####
(E)with respect to utilization data, the provision of data that the Secretary determines would be useful to improve the performance of the type of applicable provider involved; and #####
(F)administrative costs involved with providing data. ####
(3)Submission and availability of initial strategy Not later than 1 year after the date of the enactment of this Act, the Secretary shall— #####
(A)submit to the relevant committees of Congress the strategy described in paragraph (1); and #####
(B)post such strategy on the website of the Centers for Medicare & Medicaid Services. ####
(4)Strategy update #####
(A)Feedback from stakeholders The Secretary shall seek feedback from stakeholders on the initial strategy submitted under paragraph (3). #####
(B)Strategy update The Secretary shall— ######
(i)update the strategy described in paragraph
(1)based on the feedback submitted under subparagraph (A); and ######
(ii)not later than 18 months after the date of the enactment of this Act— ######
(I)submit such updated strategy to the relevant committees of Congress; and ######
(II)post such updated strategy on the website of the Centers for Medicare & Medicaid Services. ####
(5)GAO study and report on private sector information sharing activities #####
(A)Study The Comptroller General of the United States (in this paragraph referred to as the “Comptroller General”) shall conduct a study on information sharing activities. Such study shall include an analysis of— ######
(i)how private sector entities share timely data with hospitals, physicians, and other providers and what lessons can be learned from those activities; ######
(ii)how the Medicare program currently shares data with providers, including what data is provided and to which providers, and what divisions within the Centers for Medicare & Medicaid Services oversee those efforts; ######
(iii)what, if any, differences there are between the private sector and the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) in terms of sharing data; and ######
(iv)what, if any, barriers there are for the Centers for Medicare & Medicaid Services to sharing timely data with applicable providers and recommendations to eliminate or reduce such barriers. #####
(B)Report Not later than 8 months after the date of the enactment of this Act, the Comptroller General shall submit to the relevant committees of Congress a report containing the results of the study conducted under subparagraph (A), together with recommendations for such legislation and administrative action as the Comptroller General determines appropriate. ####
(6)Definitions In this subsection: #####
(A)Applicable provider The term “applicable provider” means the following: ######
(i)A critical access hospital (as defined in section 1861(mm)(1) of the Social Security Act (42 U.S.C. 1395xx(mm)(1))). ######
(ii)A hospital (as defined in section 1861(e) of such Act (42 U.S.C. 1395x(e))). ######
(iii)A physician (as defined in section 1861(r) of such Act (42 U.S.C. 1395x(r))). ######
(iv)Any other provider the Secretary determines should receive the information described in subsection (a). #####
(B)Performance improvement The term “performance improvement” means improvements in quality, reducing per capita costs, and other criteria the Secretary determines appropriate.
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