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Politics : Politics for Pros- moderated -- Ignore unavailable to you. Want to Upgrade?

To: TideGlider who wrote (319392)	8/12/2009 2:29:02 PM
From: mph	3 Recommendations Read Replies (2) \| Respond to of 793697

Geez! Watch out for those "other purposes!"

To: TideGlider who wrote (319392)	8/12/2009 2:55:08 PM
From: FJB	8 Recommendations Read Replies (2) \| Respond to of 793697

Great link, Thanks. It could be 250 pages, if they used normal fonts and spacing. I get the impression that they do not want this stuff to be easily read. Properly made .pdfs usually have a hyperlinked table of contents on the left margin. That would make it just too easy for someone to understand. A good way to read it is put in a keyword and use the search function. Anyway, once you start reading, it is mostly gibberish. The government would have to employ another million people to adminster this stuff - Obama job creation. ESTABLISHMENT OF OUTCOME17 BASED MEASURES.—By not later than for 18 2013 the Secretary shall implement report19 ing requirements for quality under this 20 section on measures selected under clause 21 (iii) that reflect the outcomes of care expe22 rienced by individuals enrolled in Medicare 23 Advantage plans (in addition to measures 24 described in clause (i)). Such measures 25 may include— ‘‘(I) measures of rates of admission and readmission to a hospital; 3 ‘‘(II) measures of prevention 4 quality, such as those established by 5 the Agency for Healthcare Research 6 and Quality (that include hospital admission rates for specified conditions); 8 ‘‘(III) measures of patient mortality and morbidity following surgery; 10 ‘‘(IV) measures of health functioning (such as limitations on activities of daily living) and survival for 13 patients with chronic diseases; 14 ‘‘(V) measures of patient safety; 15 and 16 ‘‘(VI) other measure of outcomes 17 and patient quality of life as deter18 mined by the Secretary. 19 Such measures shall be risk-adjusted as 20 the Secretary deems appropriate. In determining the quality measures to be used 22 under this clause, the Secretary shall take 23 into consideration the recommendations of 24 the Medicare Payment Advisory Commission in its report to Congress under section Links I am including: ahrq.gov medpac.gov

To: TideGlider who wrote (319392)	8/12/2009 3:02:43 PM
From: FJB	2 Recommendations Read Replies (1) \| Respond to of 793697

There are 386 hits for "income" on the .pdf file. This should be interesting... Check it out. ------------------------------------------------------- RFP CONTRACT DESCRIBED.— 21 The RFP contract described in this section 22 is a contract entered into between the Sec23 retary and a sponsor of a prescription drug 24 plan pursuant to the Centers for Medicare 25 & Medicaid Services’ request for proposals 1 issued on February 17, 2009, relating to 2 Medicare part D retroactive coverage for 3 certain low income beneficiaries, or a simi4 lar subsequent request for proposals. 5 SEC. 1205. INTELLIGENT ASSIGNMENT IN ENROLLMENT. 6 (a) IN GENERAL.—Section 1860D–1(b)(1)(C) of the 7 Social Security Act (42 U.S.C. 1395w–101(b)(1)(C)) is 8 amended by adding after ‘‘PDP region’’ the following: ‘‘or 9 through use of an intelligent assignment process that is 10 designed to maximize the access of such individual to nec11 essary prescription drugs while minimizing costs to such 12 individual and to the program under this part to the great13 est extent possible. In the case the Secretary enrolls such 14 individuals through use of an intelligent assignment proc15 ess, such process shall take into account the extent to 16 which prescription drugs necessary for the individual are 17 covered in the case of a PDP sponsor of a prescription 18 drug plan that uses a formulary, the use of prior author19 ization or other restrictions on access to coverage of such 20 prescription drugs by such a sponsor, and the overall qual21 ity of a prescription drug plan as measured by quality rat22 ings established by the Secretary.’’ 23 (b) EFFECTIVE DATE.—The amendment made by 24 subsection (a) shall take effect for contract years begin25 ning with 2012. VerDate Nov