United States. Congress

“ 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 complications and readmissions. ”

“ 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. ”

“ MA Local Plan Service Areas- (1) IN GENERAL- Section 1853 (d) of the Social Security Act (42 U.S.C. 1395w-23 (d) ) is amended-- (A) in the subsection heading, by striking `MA Region' and inserting `MA Region; MA Local Plan Service Area'; (B) in paragraph (1) , by striking subparagraph (A) and inserting the following: ` (A) with respect to an MA local plan-- ` (i) for years before 2012, an MA local area (as defined in paragraph (2) ) ; and ` (ii) for 2012 and succeeding years, a service area that is an entire urban or rural area, as applicable (as described in paragraph (5) ) ”

“ A county where--
` (i) the MA area-specific non-drug monthly benchmark amount for a month in 2011 is equal to the legacy urban floor amount (as described in subsection (c) (1) (B) (iii) ) , as determined by the Secretary for the area for 2011;
` (ii) the percentage of Medicare Advantage eligible beneficiaries in the county who are enrolled in an MA plan for 2009 is greater than 30 percent (as determined by the Secretary) ”