Develop a national quality improvement strategy that includes priorities to improve the delivery of health care services, patient health outcomes, and population health.

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Establish the Community First Choice Option in Medicaid to provide community-based attendant support services to certain people with disabilities.

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Create the State Balancing Incentive Program in Medicaid to provide enhanced federal matching payments to increase non-institutionally based long-term care services.

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Create a new Medicaid state plan option to permit Medicaid enrollees with at least two chronic conditions, one condition and risk of developing another, or at least one serious and persistent mental health condition to designate a provider as a health home. Provide states taking up the option with 90% FMAP for two years for health home related services including care management, care coordination and health promotion.

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Prohibit federal payments to states for Medicaid services related to health care acquired conditions.

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Create an Innovation Center within the Centers for Medicare and Medicaid Services.

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Freeze the income threshold for income-related Medicare Part B premiums for 2011 through 2019 at 2010 levels, and reduce the Medicare Part D premium subsidy for those with incomes above $85,000/individual and $170,000/couple.

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Provide Medicare payments to qualifying hospitals in counties with the lowest quartile Medicare spending for 2011 and 2012.

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Reduce annual market basket updates for Medicare providers beginning in 2011.

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Prohibit Medicare Advantage plans from imposing higher cost-sharing requirements for some Medicare covered benefits than is required under the traditional fee-for-service program.

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