124 STAT. 940 PUBLIC LAW 111–148—MAR. 23, 2010 provide health services for patients with chronic complex conditions. ‘‘(xx) Utilizing a diverse network of providers of services and suppliers to improve care coordination for applicable individuals described in subsection (a)(4)(A)(i) with 2 or more chronic conditions and a history of prior-year hospitalization through interven- tions developed under the Medicare Coordinated Care Demonstration Project under section 4016 of the Bal- anced Budget Act of 1997 (42 U.S.C. 1395b–1 note).’’; and (C) in subparagraph (C), by adding at the end the following new clause: ‘‘(viii) Whether the model demonstrates effective linkage with other public sector or private sector payers.’’; (3) in subsection (b)(4), by adding at the end the following new subparagraph: ‘‘(C) MEASURE SELECTION.—To the extent feasible, the Secretary shall select measures under this paragraph that reflect national priorities for quality improvement and patient-centered care consistent with the measures described in 1890(b)(7)(B).’’; and (4) in subsection (c)— (A) in paragraph (1)(B), by striking ‘‘care and reduce spending; and’’ and inserting ‘‘patient care without increasing spending;’’; (B) in paragraph (2), by striking ‘‘reduce program spending under applicable titles.’’ and inserting ‘‘reduce (or would not result in any increase in) net program spending under applicable titles; and’’; and (C) by adding at the end the following: ‘‘(3) the Secretary determines that such expansion would not deny or limit the coverage or provision of benefits under the applicable title for applicable individuals. In determining which models or demonstration projects to expand under the preceding sentence, the Secretary shall focus on models and demonstration projects that improve the quality of patient care and reduce spending.’’. SEC. 10307. IMPROVEMENTS TO THE MEDICARE SHARED SAVINGS PRO - GRAM. Section 1899 of the Social Security Act, as added by section 3022, is amended by adding at the end the following new sub- sections: ‘‘(i) OPTION TO USE OTHER PAYMENT MODELS.— ‘‘(1) IN GENERAL.—If the Secretary determines appropriate, the Secretary may use any of the payment models described in paragraph (2) or (3) for making payments under the program rather than the payment model described in subsection (d). ‘‘(2) PARTIAL CAPITATION MODEL.— ‘‘(A) IN GENERAL.—Subject to subparagraph (B), a model described in this paragraph is a partial capitation model in which an ACO is at financial risk for some, but not all, of the items and services covered under parts A and B, such as at risk for some or all physicians’ services or all items and services under part B. The Secretary Determination. 42 USC 1395jjj. Determination.
