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Home health care providers that participate in Medicaid are required to report specific data about patient care known as Outcome and Assessment Information Set-C (OASIS-C). [11] Data includes health status, functional status, and support system information. The data is used to establish a measurement of patient home health care options. [11]
Through "deeming authority" granted by the Centers for Medicare and Medicaid Services (CMS), in 1992, CHAP has the regulatory authority to survey agencies providing home health, hospice, and home medical equipment services to determine if they meet the Medicare Conditions of Participation and CMS Quality Standards.
In 2006 the Tax Relief and Health Care Act (TRHCA) included a provision for a 1.5% incentive payment to eligible providers who successfully submitted quality data to CMS. This provision included a cap on payments. The 2007 Medicare, Medicaid, and SCHIP Extension Act extended the program through 2008 and 2009. It also removed the TRHCA payment cap.
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
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A Medicare medical savings account (MSA) is a type of Medicare Advantage plan. Discover eligibility, coverage, and more for MSAs. Understanding Medicare Medical Savings Account (MSA) Plans
According to the Centers for Medicare and Medicaid Services, an ACO is "an organization of health care practitioners that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it".
HealthCare.gov is a health insurance exchange website operated by the United States federal government under the provisions of the Affordable Care Act (ACA), informally referred to as "Obamacare", which currently serves the residents of the U.S. states which have opted not to create their own state exchanges.