–The Secretary of Health and Human Services shall establish a Federal Coordinated Health Care Office, whose job it is to more effectively integrate benefits under Medicare and MedicAid for those dual-eligible individuals to provide full access to benefits, simplify the processes, improve quality of care, increase understanding of their coverage, eliminate regulatory conflicts between the programs, improve care continuity and transitions, eliminate cost-shifting, and improve the quality of service providers.
–Provide states with specialized Medicare Advantage plans to care for special needs individuals, support their efforts to coordinate acute and long-term care, study drug coverage for newly eligible individuals and monitor and report expenditures, outcomes, and access to benefits.
–Secretary shall create a core set of adult health quality measures for Medicaid eligible adults.
–Effective July 1, 2011, Medicaid will not reimburse for health care-acquired conditions, such as MRSA.
–Beginning January 1, 2011, a State may provide for managed care of eligible Medicaid individuals with chronic conditions, by designating a “health home” or team of providers; and the federal government will reimburse 90% of the cost of care. Planning grants can also be given to the states for this purpose, up to a maximum of $25 million.