Evaluation of the Medicare Care Management Performance Demonstration

Forms and Documents

Document Name	Status
MCMP-OMB_APA_(2-26-09).doc Supplementary Document	2009-02-26
MCMP_Combined CP_TOC_(2-26-09).doc Supplementary Document	2009-02-26
MCMP-OMB_APJ_(2-26-09).doc Supplementary Document	2009-02-26
MCMP-OMB_API_(2-26-09).doc Supplementary Document	2009-02-26
MCMP-OMB_APH_(2-26-09).doc Supplementary Document	2009-02-26
MCMP-OMB_APG_(2-26-09).doc Supplementary Document	2009-02-26
MCMP-OMB_APF_(2-26-09).doc Supplementary Document	2009-02-26
MCMP-OMB_APE_(2-26-09).doc Supplementary Document	2009-02-26
MCMP-OMB_APD_(2-26-09).doc Supplementary Document	2009-02-26
MCMP-OMB_APC_(2-26-09).doc Supplementary Document	2009-02-26
MCMP-OMB Appendices-Combined.pdf Supplementary Document	2009-01-26
MCMP-OMB Questions-Vol I-Combined.pdf Supplementary Document	2009-01-26
MCMP_Part C_(2-26-09).doc Supporting Statement B	2009-02-26
MCMP_Combined Parts A and B_(2-26-09).doc Supporting Statement A	2009-02-26

IC Document Collections

IC ID	Document Title	Status
186440	Evaluation of the Medicare Care Management Performance Demonstration (CMS-10256): Benefifiary Survey Other-Surveys	New
186439	Evaluation of the Medicare Care Management Performance Demonstration (CMS-10256): Physician Survey Other-Surveys	New

ICR Details

OMB Control No: 0938-1057	ICR Reference No: 200809-0938-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Evaluation of the Medicare Care Management Performance Demonstration
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/16/2009
	Date Received in OIRA: 09/04/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2012	36 Months From Approved
Responses	6,400	0	0
Time Burden (Hours)	1,472	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CMS is conducting an evaluation of the Medicare Care Management Performance (MCMP) Demonstration. The MCMP demonstration is a pay-for performance demonstration with physician practices that provide primary care for at least 50 traditional fee-for-service Medicare beneficiaries with congestive heart failure, coronary artery disease, diabetes, and other selected chronic diseases. The goals of the demonstration are to (1) improve quality of care to eligible fee-for-service Medicare beneficiaries and (2) to encourage the implementation and use of health information technology (HIT). CMS contracted to conduct an independent evaluation of the demonstration. The evaluation will include a beneficiary (patient) and physician survey. The purpose of the beneficiary survey is to assess the impact of the demonstration on patient health behaviors, satisfaction with care, functioning status and access to care. Data from the physician survey will be used to assess physicians' perceptions of the performance incentive payments on quality of care they provide, patient outcomes, use of electronic health records and other related health information technology to provide quality care, and the effect of the demonstration on their practice and office workflow.

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Authorizing Statute(s): PL: Pub.L. 108 - 173 649 Name of Law: Medicare Care Management Performance Demonstration
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 32336	06/06/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 47953	08/15/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Evaluation of the Medicare Care Management Performance Demonstration (CMS-10256): Physician Survey
Evaluation of the Medicare Care Management Performance Demonstration (CMS-10256): Benefifiary Survey

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	6,400	0	0	6,400	0	0
Annual Time Burden (Hours)	1,472	0	0	1,472	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: CMS contracted to conduct an independent evaluation of the demonstration. The evaluation will include a beneficiary (patient) and physician survey. The purpose of the beneficiary survey is to assess the impact of the demonstration on patient health behaviors, satisfaction with care, functioning status and access to care. Data from the physician survey will be used to assess physicians' perceptions of the performance incentive payments on quality of care they provide, patient outcomes, use of electronic health records and other related health information technology to provide quality care, and the effect of the demonstration on their practice and office workflow.

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Annual Cost to Federal Government: $282,961

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/04/2008

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