Patient Protection and Affordable Care Act The Greens: Elijah, Amber, Kayla, Patrick Comparative Effectiveness Research (CER) is the direct comparison of existing healthcare interventions to determine which works best for which patients and which pose the greatest benefits and harms. Non-profit research institute that compares the effectiveness of treatments an independent body of physicians and patient an independent body of physicians and patient representatives that aids patients, physicians and policymakers in the application and use of comparative effectiveness information to improve the quality and value of healthcare in the region. Amber Medical Malpractice Award five year demonstration grants to states to develop, implement, and evaluate alternatives to current civil wrongs due to negligence. Preference is given to the states that have proposals that are likely to help enhance patient safety by reducing medical errors. Amber Medicare National Medicare pilot program to achieve improvement goals such as inpatient hospital services, outpatient hospital services, physician services, and more. If the program achieves these goals of improving quality and reducing spending, develop a plan for expanding the program. Amber Medicare (continued) Create Independence at Home demonstration program. Under the Independence at Home Demonstration, the CMS Innovation Center will work with medical practices to test the effectiveness of delivering comprehensive primary care services at home and if doing so improves care for Medicare beneficiaries with multiple chronic conditions. Additionally, the Demonstration will reward health care providers that provide high quality care while reducing costs. Amber Medicare (continued) Pay hospitals based on performance with a hospital value-based purchasing program. Develop plans to implement these programs for skilled nursing facilities, home health agencies, and ambulatory surgical centers. Amber Dual Eligibles The Affordable Care Act creates a new office within the Centers for Medicare & Medicaid Services, the Medicare-Medicaid Coordination Office, to coordinate care for individuals who are eligible for both Medicaid and Medicare. Integrate Medicare and Medicaid benefits Improve access to and quality of care and services for dual eligibles. Amber Medicaid New State Medicaid Plan Option House calls for those who qualify 2 chronic Condition 1 Condition and risk of another 1 serious and persistent Mental Condition States that add option get up to 90% of money in matching funds Elijah Janke Medicaid Bundled payments Medicaid pays a set payment for Hospitalization events $11 million additional funds given to Medicaid evaluate health system and services Elijah Janke Primary Care Increased State Medicaid Payments to equal Medicare Payment Rates State Medicaid is fully reimbursed by Federal government for increased spending 10% bonus payment to primary care physicians in medicare Elijah Janke National Quality Strategy Quality Improvement Delivery of Health Care Service Patient Health Outcome Health of Community Measure Quality Improvement Come up with Process Way to report it Elijah Janke National Quality Strategy Community-based Collaborative Care Net Program Supports a group of Health care providers and Services for Low-Income, uninsured, and underinsured people Elijah Janke Financial Disclosure Financial Transparency Health care providers need to make financial reports public Elijah Janke Disparities Enhance Collection of Personal Data Race, Sex, Primary Language, Disability Status, Location Treatment information of Disabled Information collected and looked over to ensure equality Elijah Janke National Strategy Was to establish an advisory group on prevention that provide recommendations to the council. The strategy goal was to increase the number of Americans who are healthy at every stage of life to engage broad partnership across of range of sectors Kayla Stewart National Strategy Identified which areas of prevention can be accelerated through the combined efforts of all 20 council departments each council department takes ownership of their actions encourages partnerships among Federal, State, Tribal, Local, and Territorial Governments Kayla Stewart Coverage of Preventive preventive care is the test that will hopefully keep you for getting sick that will keep you from getting major illness that cost them more Kayla Stewart Coverage of Preventive shots cancer testing lab testing Kayla Stewart Wellness Programs the program gives your employer grants for five years to pay for gym membership and other incentives to participate Programs to stop smoking Diabetes management Weight loss programs Preventative health screenings Kayla Stewart Long-Term Care CLASS Act Community Living Assistance Services (CLASS) Act is an insurance program designed to help people that are disable to pay to receive in home care or at a nursing home care along with other personal tasks. Patrick Kenke Medicaid Although Medicaid does not usually provide Long-Term Care (LTC), changes are being made in different states so medicare accepts LTC By these changes being made, citizens that belong receiving more care than what is otherwise needed are able to receive that care. Patrick Kenke Skilled Nursing Facility requirements Under Medicare nursing homes must release information in order for a new resident can look as to what is offered in order to choose from other facilities if wanted/needed to. Patrick Kenke References "Wellness Programs." HealthCare.gov. A Federal Government, n.d. Web. 11 Jan Slide 20: Peterson, Stephanie. "Affordable Care Act and Long-Term Care Services." Caring.com. N.p., n.d. Web. 11 Jan obamacarefacts.com