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Publicado el 08-08-2009

Dear Resident,

Commissioner Joe A. Marinez

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be made to hospitals in order to account for excess readmissions in the hospital

Sec. 1156 (1)(1)(B) - Prohibition on physician ownership or investment. The percentage of the total value of the ownership or investment interests held in the hospital, or in an entity whose assets include the hospital, by physician owners or investors in the aggregate does not exceed such percentage as of the date of enactment of this subsection

Sec. 1156 (1)(1)(C) - Prohibition on expansion of facility capacity. Except as provided in paragraph (2), the number of operating rooms, procedure rooms, or beds of the hospital at any time on or after the date of the enactment of this subsection are no greater than the number of operating rooms, procedure rooms, or beds, respectively, as of such date

Sec. 1156 (1)(2) - Hospitals have opportunity to apply for exception to prohibition of expansion of facility capacity, and provides for persons and entities in the community in which the hospital applying for an exception is located with the opportunity to provide input with respect to the application
Sec. 1162 (3)(ii)- Government establishes outcome based reporting by implementing reporting requirements for quality under this section on measures selected under clause (iii) that reflect the outcomes of care experienced by individuals enrolled in Medicare Advantage plans

Sec. 1162 (E)(iv) - Authority to disqualify certain plans. In applying clauses (ii) and (iii), the Secretary may determine not to identify a Medicare Advantage plan if the Secretary has identified deficiencies in the plan's compliance with rules for such plans under this part.

Sec. 1177 -Extension of authority of special needs plans to restrict enrollment.

Sec. 1191 (c) - Telehealth Advisory Committee will make recommendations to the Secretary on policies of the Centers for Medicare & Medicaid Services regarding telehealth services as established under section 1834(m), including the appropriate addition or deletion of services (and HCPCS codes) to those specified in paragraphs (4)(F)(i) and (4)(F)(ii) of ...


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