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Patient Protection and Affordable Care Act
Medicare, Medicaid, and Value-Based Purchasing: Transparency and Program Integrity


 

Sec. 6103 Nursing Home Compare Medicare Website

 

The Secretary of Health and Human Services must establish a Nursing Home Compare website that will contain information on staffing, quality, and criminal violations.61 Please see the Medicare section for more information.

 

Sec. 6301 Patient-Centered Outcomes Research

 

The ACA establishes the  'Patient-Centered Outcomes Research Institute.’62 Please see the Social Security Act Administrative Provisions Section for more information.

 

Sec. 6402 Enhanced Medicare and Medicaid Program Integrity Provisions

 

The Center for Medicare and Medicaid Services must keep an Integrated Data Repository that includes information obtained pursuant to the Social Security Act, by the Secretaries of Veteran Affairs and Defense, and by the Indian Health Service.63 Please see the Social Security Act Administrative Provisions Section for more information.

 

Sec. 6403 Elimination of Duplication between the Healthcare Integrity and Protection Data Bank and the National Practitioner Data Bank

 

The Secretary of Health and Human Services will “maintain a national health care fraud and abuse data collection program…for the reporting of final adverse actions…”64 Please see the Social Security Act Administrative Provisions Section for more information.

 

Sec. 6703 Elder Justice

 

The ACA establishes an Elder Justice Coordinating Council and Advisory Board on Elder Abuse, Neglect, and Exploitation for the purpose of improving the quality of long term elder care and protecting such individuals from abuse.65 The Secretary of Health and Human Services will make grants available to create programs such as the Long-Term Care Ombudsman Program and Adult Protective Services Program(s).66 Entities that receive a grant pursuant to this section must comply with information sharing and Electronic Health Records requirements. Please see Social Security Act Administrative Provisions Section for more information. 67

 

Footnotes

  • 61. Affordable Care Act § 6103(a)(B); 42 U.S.C. 1395i-3(h)(i).
  • 62. Affordable Care Act §6301(a); 42 U.S.C. 1320e(b).
  • 63. Affordable Care Act §6402(a); 42 U.S.C. 1320a-7k(a)(1).
  • 64. Affordable Care Act §6403(a); 42 U.S.C. 1320a-7e(a).
  • 65. Affordable Care Act §6703(a)(1)(C); 42 U.S.C. 1397k; 42 U.S.C. 1397k-1.
  • 66. Affordable Care Act §6703(a)(1)(C); 42 U.S.C. 1397m; 42 U.S.C. 1397m-2.
  • 67. Affordable Care Act §6703(a)(1)(C); 42 U.S.C. 1397m(b); 42 U.S.C. 1397m-2(b).