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Patient Protection and Affordable Care Act
Medicare, Medicaid, and Value-Based Purchasing: Ensuring Medicare Sustainability


 

Sec. 3401 Revision of Certain Market Basket Updates and Incorporation of Productivity Improvements into Market Basket Updates that do not Already Incorporate such Improvements

 

Psychiatric Hospitals must annually submit quality data to the Secretary of Health and Human Services.51  Please see the Medicare section for more information.

 

Sec. 3403 Independent [Medicare] [Payment] Advisory Board52

 

The ACA creates the Independent Payment Advisory Board (“IPAB”) for the purpose of “reduc[ing] the per capita rate of growth in Medicare spending.” The IPAB must issue proposals for reducing the Medicare growth rate if the Chief Actuary of the Centers for Medicare & Medicaid Services determines that the projected growth rate will exceed the target growth rate. The IPAB must include, to the extent possible, recommendations in the proposals regarding quality and care coordination.53 Please see the Medicare section for more information.

 

Footnotes

  • 51. Affordable Care Act §3401(f); 1395ww(s).
  • 52. The House of Representatives passed a bill to repeal the IPAB on March 22, 2012. However, the White House has indicated that Obama will likely veto the bill if it passes the Senate. H.R. 5, 112th Cong. (2012); Executive Office of the President, Statement of Administration Policy: H.R. 5- Protecting Access to Healthcare Act (2012), http://www.whitehouse.gov/sites/default/files/omb/legislative/sap/112/saphr305r_20120320.pdf.
  • 53. Affordable Care Act §3403; 42 U.S.C. 1395kkk.