Health Care Bill - Part Eleven

Okay...I'm back. I had an amazing weekend.

I left off part 10 with this section, Pg. 528 SEC. 2703. STATE OPTION TO PROVIDE HEALTH HOME FOR ENROLLEES WITH CHRONIC CONDITIONS...This was a full section about the Secretary and how they are going to handle reports and such. They are going to organize this.

Pg. 538 SEC. 2704. DEMONSTRATION PROJECT TO EVALUATE INTEGRATED CARE AROUND A HOSPITALIZATION. This section is also about the Secretary doing this evaluation, setting up this project, ect.
It's to evaluate the use of bundled payments through Medicade, where there is a hospital stay involved.

They want to increase quality of care while reducing costs. I don't know that it's appropriate for me to laugh but, that is the most naive crap I have ever heard. The only way they could do this is by RATIONING care.

SEC. 2705. MEDICAID GLOBAL PAYMENT SYSTEM DEMONSTRATION PROJECT. Pg. 542

The Secretary is going to pick no more than 5 states to participate in this study. They are going to establish a Medicade global payment system, moving from a fee for payment structure to a global capitated payment model. This study will be between 2010 and 2012, and they have a full year to report their findings.

I am reading this to be such that doctors and nurses will not be paid for their services individually but, a set salary. That is what the direction appears to be moving in.

SEC. 2706. PEDIATRIC ACCOUNTABLE CARE ORGANIZATION DEMONSTRATION PROJECT. Pg. 544

Pediatric medical providers in a state will be offered incentives. The Secretary will oversee this project.

Pg 547 SEC. 2707. MEDICAID EMERGENCY PSYCHIATRIC DEMONSTRATION PROJECT.

Again, the Secretary will establish this project, in which a state will make payments to mental institutes that are not publicly owned.

This appears to be talking about the 3 days a person can be held against their will. The rest of this section goes on to describe how a state can apply for this funding and, again, the Secretary will oversee all of this and make determinations.

Pg. 553 Subtitle J—Improvements to the Medicaid and CHIP Payment and Access Commission (MACPAC)

...more later...