Читать книгу The Legacy of Obama's Achievements - U.S. Government - Страница 11
Improved Accountability, Efficiency, and Quality of Care
ОглавлениеEstablished new transparency requirements and a “star rating” system for hospitals, nursing homes, Medicare Advantage plans, physicians, and other providers to give consumers information related to quality and cost
Provided incentives to hospitals in Medicare to reduce hospital-acquired infections and avoidable readmissions
Linked Medicare payments to physicians, hospitals, and other providers to quality of care improvements and lower costs
Improved coordination of care between Medicare and Medicaid to better serve individuals who receive care through both programs. Formed the Elder Justice Coordinating Council to identify and prevent elder abuse, neglect and exploitation
Included tools to combat fraud, including increased sentencing guidelines for criminal health care fraud with over $1 million in losses and new prevention and detection efforts that identify fraudulent activity and prevent inappropriate payments
Increased consumer protection and community service requirements for charitable hospitals
Raised the Medicare hospital insurance tax and imposed a new tax on net investment income for high income taxpayers in order to strengthen the Medicare Hospital Insurance Trust Fund
Required drug and medical-device manufacturers to publicly disclose payments and other compensation, like gifts and travel, to physicians and teaching hospitals to limit conflicts of interest (also known as the “sunshine” provision)
Required the posting of calorie information on menus of chain restaurants with 20 or more locations and vending machines
Promoted the adoption and usage of certified electronic health records by doctors, hospitals, and other providers
Delivered a fix to the Medicare physician payment problem, eliminating cliffs for payments to physicians, while protecting patient-doctor relationships and creating incentives for qualiy of care improvements, lower costs, and adopting alternative payment models
Created new policies to improve nursing home quality and safety