MCMP_Combined CP_TOC

Contract No.: 500-00-0033/T.O.05

MPR Reference No.: 6138-145

Evaluation of the Medicare Care Management Performance (MCMP) Demonstration: Supporting Statement for Paperwork Reduction Act Submission

Final

February 19, 2009

Julita Milliner-Waddell

Eric Grau

Stacy Dale

Jillian Stein

Lorenzo Moreno

Submitted to: U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services Office of Research, Development, and Information C3-23-04 Central Bldg. 7500 Security Blvd. Baltimore, MD 21244-1850 Project Officer: Lorraine Johnson

Submitted by: Mathematica Policy Research, Inc. P.O. Box 2393 Princeton, NJ 08543-2393 Telephone: (609) 799-3535 Facsimile: (609) 799-0005 Project Director: Lorenzo Moreno

CONTENTS

Section Page

A BACKGROUND 1

1. Rationale for the Demonstration 1

2. Demonstration Design 2

3. Evaluation Design 4

B JUSTIFICATION 13

1. Need and Legal Basis 13

2. Information Users 13

3. Use of Information Technology 14

4. Duplication of Effort 14

5. Small Businesses 15

6. Less-Frequent Collection 15

7. Special Circumstances 15

8. Federal Register/Outside Consultation 15

9. Payments/Gifts to Respondents 16

10. Confidentiality 16

11. Sensitive Questions 17

12. Burden Estimates (Hours and Wages) 18

13. Capital Costs 18

14. Cost to Federal Government 19

15. Changes to Burden 19

16. Publication/Tabulation Dates 19

a. Cost Neutrality Monitoring Report 20

b. Interim and Final Evaluation Reports 20

c. Report to Congress 22

17. Expiration Date 22

18. Certification Statement 22

C COLLECTION OF INFORMATION EMPLOYING STATISTICAL

METHODS 23

1. Respondent Universe and Sampling Methods 23

a. Respondent Universe 23

b. Sampling Methods 24

2. Procedures for the Collection of Information 26

a. Beneficiary Survey 26

b. Physician Survey 31

CONTENTS (continued)

Section Page

C 3. Methods to Maximize Response Rates and Analyze Nonresponse Bias 33

(con’t) a. Beneficiary Survey 33

b. Physician Survey 34

c. Nonresponse Bias Analysis Plan 35

4. Tests of Procedures or Methods 36

a. Beneficiary Pretest 37

b. Physician Pretest 37

5. Individuals Involved in Design 38

6. Additional Information 39

a. Safeguarding Personally Identifiable Identifiable (PII)

Information 39

b. Social Security Numbers (SSN) 39

REFERENCES 41

TABLES

Table Page

A.1 DATA AVAILABILITY OF QUALITY MEASURES RELATED TO

FINANCIAL INCENTIVES 8

A.2 OVERVIEW OF TYPES OF OUTCOME MEASURES AND DATA

SOURCES FOR IMPACT ANALYSIS 10

A.3 MEASURES COLLECTED ON THE BENEFICIARY SURVEY 11

A.4 MEASURES COLLECTED ON THE PHYSICIAN SURVEY 12

B.1 RESPONSE BURDEN FOR THE BENEFICIARY AND PHYSICIAN

SURVEYS 19

B.2 DELIVERY SCHEDULE FOR EVALUATION REPORTS 20

C.1 DISTRIBUTION OF ELIGIBLE PRACTICES, BY SIZE, IN

DEMONSTRATION STATES 25

C.2 DISTRIBUTION OF MEDICARE BENEFICIARIES BY CHRONIC

CONDITION AND STATE 27

C.3 DATA COLLECTION SCHEDULE 33

APPENDICES

Appendix Page

A LEGISLATION A.1

B FEDERAL REGISTER NOTICE B.1

C MEDICARE CARE MANAGEMENT PERFORMANCE (MCMP)

DEMONSTRATION: ADVANCE LETTER—MEDICARE

BENEFICIARIES C.1

D MEDICARE CARE MANAGEMENT PERFORMANCE (MCMP)

DEMONSTRATION: FACT SHEET FOR BENEFICIARIES D.1

E MEDICARE CARE MANAGEMENT PERFORMANCE

(MCMP) DEMONSTRATION: BENEFICIARY SURVEY E.1

F MEDICARE CARE MANAGEMENT PERFORMANCE (MCMP)

DEMONSTRATION: PHYSICIAN SURVEY—DEMONSTRATION

PHYSICIANS F.1

G MEDICARE CARE MANAGEMENT PERFORMANCE (MCMP)

DEMONSTRATION: PHYSICIAN SURVEY—COMPARISON

PHYSICIANS G.1

H MEDICARE CARE MANAGEMENT PERFORMANCE (MCMP)

DEMONSTRATION: ADVANCE LETTER—DEMONSTRATION

PHYSICIANS H.1

I MEDICARE CARE MANAGEMENT PERFORMANCE (MCMP)

DEMONSTRATION: ADVANCE LETTER—COMPARISON

PHYSICIANS I.1

J MEDICARE CARE MANAGEMENT PERFORMANCE (MCMP)

DEMONSTRATION: FACT SHEET—COMPARISON PHYSICIANS J.1

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