MDBGpraestimate_COB_5_28

MDBGpraestimate_COB_5_28.xls

Coordination of Benefits between Part D Plans and Other Prescription Coverage Providers

MDBGpraestimate_COB_5_28

OMB: 0938-0978

Document [xlsx]
Download: xlsx | pdf

Overview

Estimates Table
2008 Contracts&Pharmacies
Salary Calculation
Beneficiary Information


Sheet 1: Estimates Table

Subpart Original # Respondents 2006 Estimate - Burden Hours # Respondents (CY 2009 - 209) # of Responses Time per response (in hours) 2008 Revised BurdenEstimate Exempt/Separate PRA Division
J—Coordination of Part D Plans with Other Prescription Drug Coverage







423.464 Coordination of Benefits







Part D sponsors







Revise payer systems to receive N transactions from Troop Facilitator 370 22200 10 1 60 600

Processing claims through TrOOP facilitator (Receiving Ns) 370 592000 209 154738 0.000138889 4492

Entering OHI into PDP sponsor systems 370 246790 209 1 0.0166 3

Submission of Lump Sum 370 22200 209 1 60 12540

Programming for Automatic Troop Balance Transfer (ATBT) (New CY 2009) n/a n/a 209 1 40 8360

ATBT exchanges and updates transactions (New CY 2009) n/a n/a 209 52,632 0.000138889 1528

Pharmacies







Eligibility Queries 55413 132753 55855 1182 0.011574074074074 764127

States/Secondary Payers







Submission of VDSAs 636 318 n/a n/a n/a
Already collected for MSP purposes - Separate PRA 0938-214 OFM
Submission of Enrollment Files 636 382 n/a n/a n/a
Already collected for MSP purposes - Separate PRA 0938-215 OFM
State Attestations 21 10.5 39 1 2 78

Lump Sum Negotiations 21 1260 39 1 60 2340



1017913.5 56988 208558 222.028451852074 794068














3.65968274022601
14 responses per respondent/ yr

0.011574074074074







Sheet 2: 2008 Contracts&Pharmacies



Source
2008 Sponsors
HPMS
209 Parent Organizations HPMS
87 PDPs HPMS
605 MA-PDs HPMS



Ave. monthly enrollment 25.4 HPMS



% enrollees w/ OHI 23% See OHI tab
# enrollees w/OHI 5.842









38,934 chain pharmacies & 16,921 independents. Total – 55,314 * Source – NACDS 2007 data.


Sheet 3: Salary Calculation

Subpart # Respondents # of Responses Time per response (in hours) 2008 Revised Burden Estimate GS-11/6 Hourly Rate (2008) Estimated Cost Exempt/Separate PRA
J—Coordination of Part D Plans with Other Prescription Drug Coverage






423.464 Coordination of Benefits






Part D sponsors






Revise payer systems to receive N transactions from Troop Facilitator 10 1 60 600 $26.92 $16,152.00
Processing claims through TrOOP facilitator (Receiving Ns) 209 154738 0.000138889 4492 $26.92 $120,916.67
Entering OHI into PDP sponsor systems 209 1 0.0166 3 $26.92 $93.40
Submission of Lump Sum 209 1 60 12540 $26.92 $337,576.80
Programming for Automatic Troop Balance Transfer (ATBT) (New CY 2009) 209 1 40 8360 $26.92 $225,051.20
ATBT exchanges and updates transactions (New CY 2009) 209 52632 0.000138889 1528 $26.92 $41,128.14
Pharmacies






Eligibility Queries 55855 1182 0.0166 1095942 $26.92 $29,502,762.03
States/Secondary Payers






Submission of VDSAs n/a n/a n/a



Submission of Enrollment Files n/a n/a n/a



State Attestations 39 1 2 78 $26.92 $2,099.76
Lump Sum Negotiations 39 1 60 2340 $26.92 $62,992.80

56988 208558 222.033477778 1125883 $26.92 $30,308,772.80





$30,308,772.80


20
0.00106461261509




Sheet 4: Beneficiary Information





Total # Responses # Respondents # per Respondent
Total N transactions for all sponsors (9/2007 - 10/2008)


32340162 209 154737.61722488
Total estimated ATBT transactions


11,000,000 209 52631.5789473684
Total Eligibility Queries


66067290 55855 1182.83573538627





















Source: TrOOP Facilitation Contractor/Deborah Larwood





File Typeapplication/vnd.ms-excel
AuthorCMS
Last Modified ByCMS
File Modified2009-05-27
File Created2008-01-10

© 2024 OMB.report | Privacy Policy