Appendix H - Medicare Care Management Performance (mcmp) Demonstration Advance Letter�demonstration Physicians

APPENDIX h

MEDICARE CARE MANAGEMENT PERFORMANCE (MCMP) DEMONSTRATION advance letter—DEMONSTRATION physicians

CMS LETTERHEAD

ADVANCE LETTER—DEMONSTRATION PHYSICIANS

[DATE]

[NAME AND ADDRESS]

Dear Dr. [FILL LAST NAME]:

The Centers for Medicare & Medicaid Services (CMS) is sponsoring a study about the Medicare Care Management Performance (MCMP) Demonstration in which you are participating. The purpose of the study is to evaluate the demonstration’s impact on physicians’ ability to meet the needs of Medicare beneficiaries through the use of health information technology (HIT) and evidence-based outcome measures.

Mathematica Policy Research, Inc. (MPR), an independent research organization, is conducting the study on behalf of CMS. As part of this study, MPR will survey approximately 1,600 physicians across the United States about their use of HIT. Half of these physicians will be from practices that are participating in the demonstration, and half will be from comparison practices that are not participating in the demonstration.

Your participation in the survey is essential in helping us evaluate the demonstration’s impact for CMS. Please complete the enclosed questionnaire and return it in the postage paid envelope provided. In a pretest, physicians took an average of 10 minutes to complete the questionnaire. Your answers will remain completely confidential to the extent allowable by law. Neither your name nor your practices’ name will ever be included in any reports prepared as part of this study.

If you have any questions, or if you would prefer to complete the survey by telephone, please call MPR toll-free at 1-XXX-XXX-XXXX and ask for Melanie Costas. An interviewer from MPR will follow up with you in a couple of weeks to answer any questions you might have or to schedule an appointment to complete the survey with you by telephone if you haven’t already done so. If you would like to learn more about the study, please visit the CMS website at http:// www.cms.hhs.gov/
DemoProjectsEvalRpts/downloads/MMA649_Summary.pdf.

We look forward to including your valuable input in this study.

Sincerely,

CMS Privacy Officer

E

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-XXXX. The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.

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