OMB approves
HEDIS 3.0 for Medicare managed care plans through 9/97 with the
understanding that this requirement may be reevaluated upon
enactment of the Administration's legislative proposal implementing
the FY 98 Budget. This legislative proposal would mandate that the
Secretary publish proposed regulations by July 1, 1998 requiring
the collection, analysis, and reporting of data that will permit
measurement of outcomes and other indicies of the quality of
managed care plans. Successful participation in this data system
may qualify a Medicare managed care plan for a waiver from the
50/50 enroll- ment rule. In addition, OMB approves the CAHPS in
concept with the understanding that HCFA will continue to
extensively coor- dinate with the NCQA on the design of the CAHPS
and the its mode of administration. OMB reserves judgement on the
details of the CAHPS instrument design and implementation, pending
its final submission for PRA review. In this submission, HCFA must
demonstrate that the CAPHS will achieve at least an 80% response
rate and discuss alternative survey methodologies considered and
the advantages and disadvantages of each, i.e. in terms of over-
all and item non response and bias and other factors affecting the
information's practical utility.
Inventory as of this Action
Requested
Previously Approved
09/30/1997
09/30/1997
307,154
0
0
186,320
0
0
0
0
0
The collection of HEDIS 3.0
performance measures, including the Health of Seniors and Consumer
Assessment of Health Plans Study surveys is necessary to hold the
Medicare managed care industry accountable for the quality of care
they are delivering. This requirement will allow HCFA to obtain the
information necessary for the proper oversight of the program. It
is critical to HCFA's mission that we collect and disseminate
information that will help beneficiaries in choosing among health
plans, contribute to improved quality of care through
identification of quality improvement opportunities,
and......................
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
HEDIS 3.0 (Health Plan Data and Information Set) and supporting regulations (42 CFR 417.470, and 42 CFR 417.126)