Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575)

Forms and Documents

Document Name	Status
Form CMS-10620 2020 Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction	New
Form CMS-10713 LAN Summit – Total Event Evaluations (CMS-10713) Form and Instruction	New
Form CMS-10702 LAN Summit Registration Form (CMS-10702) Form and Instruction	New
Form CMS-10620 Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction	New
CMS-10575 Supporting Statement Part B - final 11.15.2018.docx Supporting Statement B	2019-02-01
CMS-10575 Supporting Statement Part A - final 11.15.2018.docx Supporting Statement A	2019-02-01

IC Document Collections

IC ID	Document Title	Status
240101	2020 Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction	New
237472	LAN Summit – Total Event Evaluations (CMS-10713) Form and Instruction	New
236069	LAN Summit Registration Form (CMS-10702) Form and Instruction	New
235746	Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction	New

ICR Details

OMB Control No: 0938-1297	ICR Reference No: 201902-0938-001
Status: Active	Previous ICR Reference No: 201509-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No: CMMI
Title: Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/29/2019
	Date Received in OIRA: 02/05/2019
Terms of Clearance: Previous terms continue: CMS must obtain OMB approval for each data collection instrument under this Generic ICR by submitting a mini-supporting statement describing the purpose and protocol of each collection. This generic includes four types of ICs. GenICs of the first two types (registration and participant opinions and priorities) may be submitted to OMB at any time. However, before submitting clearance requests to OMB for GenICs for tracking the adoption of alternative payment systems and for tracking the characteristics of alternative payment models adopted, CMS has committed to first conducting pilot tests with less than 10 LAN participants and then, once the approaches for full-scale data collection are finalized, posting the details of those methods for a public for a 30 day comment period through the LAN website, blog, newsletter, and other communication mediums if needed, such as webinars and listening sessions.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2022	36 Months From Approved	03/31/2019
Responses	23,110	0	48,440
Time Burden (Hours)	25,917	0	49,400
Cost Burden (Dollars)	0	0	0

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Abstract: To more effectively partner with stakeholders across the health care system and accelerate transformation through the use of alternative payment models, CMS launched the Health Care Payment Learning and Action Network (LAN) to accelerate the transition to Medicare and non-Medicare alternative payment models by collaborating with a broad array of health care delivery stakeholders, identifying best practices in their implementation, and monitoring the adoption of value-based alternative payment models across the U.S. health care system—to include the percentage of Medicare, Medicaid, and non-Medicare payments tied to (and U.S. lives covered by) alternative payment models that reward the quality of care delivered. CMS requests a generic clearance to assist in monitoring and characterizing the adoption of alternative payment models in order to meaningfully inform 1115A model decisions on the design, selection, testing, modification, and expansion of innovative payment and service delivery models in accordance with the requirements of section 1115A.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 3021 Name of Law: Affordable Care Act
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 3012 Name of Law: Affordable Care Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 58572	11/20/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 1150	02/01/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
LAN Summit Registration Form (CMS-10702)	CMS-10702	LAN Summit Registration Form
LAN Summit – Total Event Evaluations (CMS-10713)	CMS-10713, CMS-10713, CMS-10713, CMS-10713	Guidebook - Breakout Session Evaluation Questions ,   Mentimeter - Overall Summit Evaluation Questions ,   Overall Eval ,   Session Evaluation
2020 Tracking the adoption of alternative payment models (CMS-10620)	CMS-10620, CMS-10620, CMS-10620	Informational Questions ,   National_Data_Collection_Metrics ,   Online Survey
Tracking the adoption of alternative payment models (CMS-10620)	CMS-10620, CMS-10620	National_Data_Collection_Metrics ,   Informational Questions

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ICR Summary of Burden

	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	23,110	48,440	0	0	-25,330	0
Annual Time Burden (Hours)	25,917	49,400	0	0	-23,483	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: CMS is requesting 25,917 burden hours in this extension to its current generic clearance. The total number of burden hours already approved (49,400) has been reduced by previously-approved GenICs.

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Annual Cost to Federal Government: $400,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/05/2019

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