Establish a Medicaid global payments demonstration to fund large, safety-net hospitals in five states to alter payment from fee-for-service to a capitated, global payment structure. Demonstration projects to occur in 2010–2012.

Source: The Common Wealth Fund

Extend physician quality reporting system beyond 2010, penalize eligible providers who do not participate beginning 2015, expand Medicare physician feedback program, and provide reports to physicians that compare their resource use to such patterns of other physicians.

Source: The Common Wealth Fund

Establish a Federal Coordinated Health Care Office within the Centers for Medicare and Medicaid Services (CMS) to more effectively integrate benefits and improve coordination between state and federal governments for individuals eligible for both Medicare and Medicaid. Effective March 1, 2010.

Source: The Common Wealth Fund

Require coverage of tobacco cessation programs for pregnant women under Medicaid free of cost-sharing. Effective October 1, 2010.

Source: The Common Wealth Fund

Medicaid Quality Measurement Program. Establish the Medicaid Quality Measurement Program to establish priorities for the development and advancement of quality measures for adults in Medicaid. Quality measures must be available for comment January 1, 2011 and published January 1, 2012. Reporting by States on these measures may begin voluntarily January 1, 2013 and will be summarized in a triennial report to Congress.

Source: The Common Wealth Fund

HHS to offer grants to states to provide incentives to Medicaid beneficiaries to enlist in comprehensive and proven wellness programs. Initial report due not later than January 1, 2014; final report due not later than July 1, 2016.

Source: The Common Wealth Fund

Require HHS to apply physician payment modifier to Medicare fee-for-service payment to pay physicians differentially based on quality and costs of care. Publish measures in 2012; phase in modifier from 2015 to 2017.

Source: The Common Wealth Fund

Authorize release of Medicare claims data to measure performance of providers and suppliers in a way that protects patient privacy. Effective January 1, 2012.

Source: The Common Wealth Fund

Creates sliding-scale premium assistance tax credits for non-Medicaid eligible individuals with incomes up to 400% of FPL to buy coverage through the exchange. Beginning in 2019, a fail-safe mechanism would be applied that reduces overall premium subsidies if the aggregate amount exceeds 0.504 percent of GDP.

Source: NAHU

Requires states to offer premium assistance and Medicaid wrap-around benefits to Medicaid beneficiaries who are offered employer-sponsored coverage if cost-effective to do so, under terms outlined already in current law.

Source:NAHU