CMS-10584.LAN Registration PRA submission

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0938-1185)

T ITLE OF INFORMATION COLLECTION:

Health Care Payment Learning and Action Network Registration

PURPOSE:

Section 3021 of the ACA established the Center for Medicare and Medicaid Innovation. The statute states that the Secretary shall focus on models expected to reduce program costs under the applicable title while preserving or enhancing the quality of care received by individuals receiving benefits under such titles. Secretary Burwell announced Medicare goals for value based care, care that improves quality and lowers cost, during January 2015. Changes to Medicare alone, however, cannot produce fundamental transformation within the US health care system. The Health Care Payment Learning and Action Network (LAN) has been established to help all U.S. health care payment (private and public) meet or exceed the recently announced Medicare goals for value-based payments. To help move away from volume based incentives, HHS has set a goal of moving 30 percent of Medicare fee-for-services payments into alternative payment models by the end of 2016 and 50 percent into alternative payment models by the end of 2018. Alternative payment models include systems such as Accountable Care Organizations (ACOs), bundled payments, and advanced primary care medical home models. Overall, HHS seeks to have 85 percent of Medicare fee-for-service payments tied to quality of value by 2016 and 90 percent by 2018.

The LAN will serve as a forum in which payers, providers, employers, purchasers, consumers, and state partners can discuss how to transition away from pure fee-for-service payments towards alternative payment models and value-based payments. The LAN will act as a convener and facilitator. As a convener, the LAN will identify discussion topics and will bring together technical experts from the payer, provider, purchaser, employer, state, and consumer communities — creating workgroups that will catalogue best practices and implementation successes for alternative payment models. As a facilitator, the LAN will provide logistical support to workgroups and help disseminate best practices to all network participants. By moving together, the public and private sector health systems can more quickly and effectively reach our goals for value based care

The approval of this data collection process is required to identify organization types participating, or who will participate, in LAN activities, to include registration for the LAN Summit scheduled for October 26, 2015. Approximately 4,500 participants from across the US are registered for the LAN and it is still unclear who has registered as an individual, who is registering on behalf of their organizations, and what types of organizations are registering. Without the identification of organizations, it is impossible to comprehensively identify workgroup participants and the specific needs those organizations need to address. With the information collected in this request, the LAN contractor will have a more complete range of organizations to consider for future workgroups and associated LAN activities. In the absence of this change, the LAN contractor will not have basic information on the types of organizations participating and will thus lack vital information on prioritizing future topics and LAN activities. Additionally, identification of these organization types will allow them to be recognized at the October 26^th LAN Summit, which will also allow LAN participants to engage more meaningfully with like-minded organizations that are also committed to achieving the Secretary’s goal to move 50% of traditional Medicare payments into alternative payment models by 2018.

DESCRIPTION OF RESPONDENTS:

Respondents are individuals and organizations who register to participate in the Health Care Payment Learning and Action Network and the LAN Summit scheduled for October 26th. CMS has not limited participation, but most registered individuals are from health care payers, purchasers, delivery system providers, state and local governments, health care companies, and consumers.

TYPE OF COLLECTION: (Check one)

[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[ ] Focus Group [X ] Other: LAN Registration

CERTIFICATION:

I certify the following to be true:

1. The collection is voluntary.

2. The collection is low-burden for respondents and low-cost for the Federal Government.

3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

4. The results are not intended to be disseminated to the public.

• Organization information, and the individuals attending on behalf of organizations (name and role), will be shared with others attending the LAN Summit

5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.

Name: Dustin Allison, (303) 844-7031

To assist review, please provide answers to the following question:

Personally Identifiable Information:

1. Is personally identifiable information (PII) collected? [ X ] Yes [ ] No

• This is only contact information and does not go beyond name, email, phone number, and address which we already have from their registration with the LAN.

2. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [ ] Yes [ X ] No

3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No

Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [ X ] No

BURDEN HOURS

Category of Respondent	No. of Respondents	Participation Time	Burden
Private Sector (Business or other for-profits and Not-for-profit institutions	5000	2 min per response	167 hours
Totals	5000	.03 hours	167 hours

FEDERAL COST: The estimated annual cost to the Federal government is $1891___.

This is an estimate of the LAN contractor’s labor hours to design and launch the registration tool.

If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:

The selection of your targeted respondents

1. Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [ X] Yes [ ] No

If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?

We have a list of respondents that signed up to participate in the Learning and Action Network. We are sending the LAN Summit registration link to the entire list. No sampling is involved.

Administration of the Instrument

1. How will you collect the information? (Check all that apply)

[X] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain

This information will be collected when organizations register for the LAN and the LAN Summit. The proposed collection instrument is attached in Word form. The actual instrument will be web-based with drop down options.

2. Will interviewers or facilitators be used? [ ] Yes [ X ] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.

Instructions for completing Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback”

TITLE OF INFORMATION COLLECTION: Provide the name of the collection that is the subject of the request. (e.g. Comment card for soliciting feedback on xxxx)

PURPOSE: Provide a brief description of the purpose of this collection and how it will be used. If this is part of a larger study or effort, please include this in your explanation.

DESCRIPTION OF RESPONDENTS: Provide a brief description of the targeted group or groups for this collection of information. These groups must have experience with the program.

TYPE OF COLLECTION: Check one box. If you are requesting approval of other instruments under the generic, you must complete a form for each instrument.

CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the collection will be returned as improperly submitted or it will be disapproved.

Personally Identifiable Information: Provide answers to the questions. Note: Agencies should only collect PII to the extent necessary, and they should only retain PII for the period of time that is necessary to achieve a specific objective.

Gifts or Payments: If you answer yes to the question, please describe the incentive and provide a justification for the amount.

BURDEN HOURS:

Category of Respondents: Identify who you expect the respondents to be in terms of the following categories: (1) Individuals or Households;(2) Private Sector; (3) State, local, or tribal governments; or (4) Federal Government. Only one type of respondent can be selected per row.

No. of Respondents: Provide an estimate of the Number of respondents.

Participation Time: Provide an estimate of the amount of time required for a respondent to participate (e.g. fill out a survey or participate in a focus group)

Burden: Provide the Annual burden hours: Multiply the Number of responses and the participation time and divide by 60.

FEDERAL COST: Provide an estimate of the annual cost to the Federal government.

If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:

The selection of your targeted respondents. Please provide a description of how you plan to identify your potential group of respondents and how you will select them. If the answer is yes, to the first question, you may provide the sampling plan in an attachment.

Administration of the Instrument: Identify how the information will be collected. More than one box may be checked. Indicate whether there will be interviewers (e.g. for surveys) or facilitators (e.g., for focus groups) used.

Submit all instruments, instructions, and scripts are submitted with the request.

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