–The HHS Secretary is to implement a value-based purchasing program for ambulatory surgical centers under Medicare. This should include a method to include bonus payments. Public disclosure of quality measures is to be made available.
–Provider-level outcome measures for hospitals, physicians, and other providers are to be developed and kept updated. Outcome measurements for the 5 most prevalent and resource-intensive acute and chronic medical conditions; plus 10 most common ailments for primary and preventive care are to be developed. These can then be compared and made public.
–Alternative methods of payment are to be explored, including partial capitations, to improve the quality and efficiency of items and services furnished by Medicare.
–Pilot programs to test continuing care hospital model are authorized (patient stays in hospital plus 30 days following, to be bundled together).
–Demonstration projects for low population density states are to be increased to 20, with rural community hospitals to be increased to 30.