OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

The Medicare Acute Care Episode Demonstration

ICR 201009-0938-019 · OMB 0938-1117 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
ACE OMB Social Security Act.pdf Supplementary Document Uploaded 2010-09-09 Available
ACE OMB MMA.pdf Supplementary Document Uploaded 2010-09-09 Available
ACE OMB SiteVisit_2_Correspondence.pdf Supplementary Document Uploaded 2010-09-09 Repair queued
ACE OMB SiteVisitCorrespondence.pdf Supplementary Document Uploaded 2010-09-09 Available
ACE OMB Supporting Statement A 100908.docx Supporting Statement A Uploaded 2010-09-09 Available
IC Document Collections
IC IDCollectionTypeStatusForm
194759 The Medicare Acute Care Episode Demonstration (CMS-10317) Other-Focus Group and Interview Protocols New
ICR Details
0938-1117 201009-0938-019
Historical Active
HHS/CMS
The Medicare Acute Care Episode Demonstration
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/10/2011
Retrieve Notice of Action (NOA) 09/30/2010
  Inventory as of this Action Requested Previously Approved
01/31/2014 36 Months From Approved
509 0 0
764 0 0
0 0 0
Five hospitals/health systems in Medicare Administrative Contractor (MAC) jurisdiction 4 were selected, through a competitive bidding process, to participate in a demonstration to evaluate the impact of bundling physician and hospital payment for selected cardiac and orthopedic Medicare severity-based diagnosis-related groups (MS-DRGs). The demonstration includes discounts to CMS, allowance of gainsharing between physicians and hospitals, and beneficiary financial incentives. The evaluation of the demonstration will include quantitative and qualitative analysis (interviews and focus groups).
PL: Pub.L. 108 - 173 646 Name of Law: Medicare Prescription Drug, Improvement, and Modernization Act (MMA)
   US Code: 42 USC 1395cc-3 Name of Law: HEALTH CARE QUALITY DEMONSTRATION PROGRAM
  
None
Not associated with rulemaking
  75 FR 34740 06/18/2010
75 FR 54150 09/03/2010
No
1
IC Title Form No. Form Name
The Medicare Acute Care Episode Demonstration (CMS-10317)
  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 509 0 0 509 0 0
Annual Time Burden (Hours) 764 0 0 764 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
CMS is conducting a new information collection to evaluate the impact of bundling physician and hospital payment for selected cardiac and orthopedic Medicare severity-based diagnosis-related groups (MS-DRGs). While this effort builds on previous CMS demonstrations, this project has unique features that require its participants to be queried about its impact on them. The proposed data collection is necessary because no other information would provide enough data for this purpose. This information collection does not duplicate any other effort, and the information cannot be obtained from any other source.
$347,151
No
No
No
No
No
Uncollected
Bonnie Harkless 4107865666
  No
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.
09/30/2010