Radio Broadcasting Services; Crowell, TX, 61455-61456 [E6-17348]
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Federal Register / Vol. 71, No. 201 / Wednesday, October 18, 2006 / Proposed Rules
will also be used in budget neutrality
calculations.
4. Medicare Health Care Quality
Demonstration
Section 646 of the MMA mandates a 5-year
demonstration program under which we will
test major changes to improve quality of care
while increasing efficiency across an entire
health care system. Broadly stated, the goals
of the Medicare Health Care Quality
demonstration are to improve patient safety;
enhance quality; increase efficiency; and
reduce scientific uncertainty and the
unwarranted variation in medical practice
that results in both lower quality and higher
costs. Projects approved under this
demonstration will be expected to achieve
significant improvements in safety,
effectiveness, efficiency, patientcenteredness, timeliness and equity: the six
aims for improvement in quality identified
by the Institute of Medicine in its Crossing
the Quality Chasm report.
Each factor to be addressed in the
evaluation of this demonstration can be
directly or indirectly related to prescription
drug use, hence the need for Part D claims
and other data. For example, research on
patient safety has illuminated the way that
prescription drug errors represent a nexus
that ties together the benefits of health
information technology and the need to
reduce care fragmentation, and improve care
coordination.
rmajette on PROD1PC67 with PROPOSALS
5. Expanded Coverage for Chiropractic
Services Evaluation
Section 651 of the MMA mandated a
budget neutral chiropractor demonstration.
Achievement of budget neutrality for the
expanded coverage of chiropractic services
under the demonstration is likely to depend
on the abilities of these services to substitute
for the use of ambulatory services by
allopathic physicians (for example, primary
care physicians, orthopedic surgeons, and,
possibly, neurologists) and to reduce the
need for medications. Prevention of the need
for surgical procedures and associated
hospitalizations is also possible, but is likely
to be infrequent over the course of a 2-year
demonstration.
Information on medication consumption
under Part D will be a key component of the
evaluation. For example, use of pain
medications may be reduced by chiropractic
services in patients with back pain, extremity
pain due to arthritis, and in patients with
migraine headaches. Reduction in the use of
pain medications may, in turn, have
beneficial effects on the need for treatment of
complications associated with these
medications.
6. Adult Medical Day Care Evaluation
Section 703 of the MMA mandated an
adult medical day care demonstration. In the
evaluation, we will compare patient
outcomes and costs of furnishing care for
beneficiaries receiving some of their home
health services in an adult day care setting,
with outcomes and costs for beneficiaries
receiving these services principally at home
under current rules. Drug claims will be used
to help identify matched comparison groups
and to explore differences between
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beneficiaries who elect to enroll in the
demonstration and those who decline to
enroll or are excluded.
7. Follow-Up of Medicare Beneficiaries
Enrolled in the Medicare Replacement Drug
Demonstration
Section 641 of the MMA mandated the
Medicare Replacement Drug Demonstration
that served as a bridge to the implementation
of a full-scale Medicare prescription drug
benefit. It targeted vulnerable beneficiaries
with disabling or life threatening conditions.
Many of the covered drugs were expensive
‘‘specialty’’ biologics, costing more than
$20,000 per year. A review of benefit designs
under Part D suggests specialty drugs are
commonly being placed on fourth and fifth
tiers with relatively high levels of patient
cost sharing. Plan-level information from Part
D coupled with individual drug claims data
will allow us to examine levels of plan
uptake among demonstration participants,
the features of plan design selected, and the
effect of Part D on patient cost-sharing for
this vulnerable population.
8. Value-Based Purchasing Initiatives
Many evidence-based guidelines
underscore the importance of pharmacologic
therapy to providing high-quality patient
care. Yet, under prescribing of drugs with a
known beneficial effect remains a common
problem (for example, beta-blockers for
treatment of hypertensive patients with a
history of myocardial infarction). As
Medicare moves toward value-based
purchasing, it will be critical to design a
payment system that provides incentives for
physicians to appropriately prescribe proven
pharmacologic therapies. This will require
individual Part D claims linkable to a
physician’s practice.
9. Medicare Physician Group Practice
Demonstration
Section 412 of the Benefits Improvement
and Protection Act mandated the Medicare
Physician Group Practice Demonstration.
This demonstration is a shared savings model
that rewards physician groups for improving
the quality and efficiency of health care
services delivered to Medicare FFS
beneficiaries. The financial model includes
all Part A and Part B spending for
beneficiaries assigned to the physician group
as well as for the comparison population.
Part D claims data will be used for budget
neutrality calculations. Physician groups can
also use the Part D claims data to improve
quality by managing medications for their
Medicare patients.
10. Chronic Care Data Warehouse
Section 723 of the MMA mandates
development of recommendations for
improving the quality of care for chronically
ill Medicare beneficiaries. To implement this
sector we are developing a chronic care
warehouse to be made available to
researchers who want to study chronic
illnesses in the Medicare population. The
CCW consolidates beneficiary level Medicare
enrollment and utilization data with MDS
and OASIS assessment data to facilitate the
study of the Medicare population with
chronic conditions. Congress specifically
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61455
directed us to identify any new data needs
and develop a methodology to address these
data needs. The absence of drug data is a
significant gap in data available to study
chronically ill Medicare beneficiaries.
Integrating Part D enrollment information
and drug claims data into the CCW will
address this data need and greatly enhance
the analytic power and utility of the CCW.
[FR Doc. 06–8750 Filed 10–13–06; 4:05 pm]
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FEDERAL COMMUNICATIONS
COMMISSION
47 CFR Part 73
[DA 06–1901; MB Docket No. 06–11; RM–
11304]
Radio Broadcasting Services; Crowell,
TX
Federal Communications
Commission.
ACTION: Proposed rule; dismissal.
AGENCY:
SUMMARY: At the petitioner’s request, the
Audio Division has dismissed the
proposal of Jeraldine Anderson
(‘‘Anderson’’) to allot Channel 250A at
Crowell, Texas. Anderson had filed a
petition for rule making proposing the
allotment of Channel 250A at Crowell,
Texas, as the community’s second local
FM transmission service. The Audio
Division further dismissed the
counterproposal submitted in the
proceeding by Linda Crawford
(‘‘Crawford’’), upon Crawford’s request
to withdraw that proposal. Finally, the
Audio Division dismissed the
counterproposal submitted in the
proceeding by LKCM Radio Group, L.P.,
licensee of FM Station KFWR, Mineral
Wells, Texas; Fort Worth Media Group
GP, LLC, licensee of FM Station KYBE,
Frederick, Oklahoma; and LKCM Radio
Licenses, LP, the proposed assignee of
KFWR and KYBE (collectively, ‘‘Joint
Parties’’). The Joint Parties’
counterproposal was dismissed for
failure to meet the Commission’s
minimum distance separation
requirements with respect to FM Station
KRZB, Channel 248C2, Archer City,
Texas.
FOR FURTHER INFORMATION CONTACT:
Deborah Dupont, Media Bureau, (202)
418–2180.
SUPPLEMENTARY INFORMATION: This is a
synopsis of the Commission’s Report
and Order, MB Docket No. 06–11, RM–
11304, adopted September 20, 2006, and
released September 22, 2006. The full
text of this Commission decision is
available for inspection and copying
during normal business hours in the
FCC Reference Information Center,
E:\FR\FM\18OCP1.SGM
18OCP1
61456
Federal Register / Vol. 71, No. 201 / Wednesday, October 18, 2006 / Proposed Rules
Portals II, 445 12th Street, SW., Room
CY–A257, Washington, DC 20554. The
complete text of this decision also may
be purchased from the Commission’s
duplicating contractor, Best Copy and
Printing, Inc., 445 12th Street, SW.,
Room CY–B402, Washington, DC 20554,
(800) 378–3160, or via the company’s
Web site, https://www.bcpiweb.com. This
document is not subject to the
Congressional Review Act. The
Commission is, therefore, not required
to send a copy of this Report and Order
in a report to be sent to Congress and
the Government Accountability Office
pursuant to the Congressional Review
Act, see U.S.C. 801(a)(1)(A), because the
proposed rule was dismissed.
Federal Communications Commission.
John A. Karousos,
Assistant Chief, Audio Division, Media
Bureau
[FR Doc. E6–17348 Filed 10–17–06; 8:45 am]
BILLING CODE 6712–01–P
FEDERAL COMMUNICATIONS
COMMISSION
47 CFR Part 73
[DA 06–1885; MB Docket No. 05–230; RM–
11032]
Federal Communications Commission.
John A. Karousos,
Assistant Chief, Audio Division, Media
Bureau.
[FR Doc. E6–17350 Filed 10–17–06; 8:45 am]
Radio Broadcasting Services;
Auxvasse, MO
Federal Communications
Commission.
ACTION: Proposed rule; dismissal.
AGENCY:
BILLING CODE 6712–01–P
rmajette on PROD1PC67 with PROPOSALS
SUMMARY: The Audio Division dismisses
a Petition for Rule Making filed by
Charles Crawford, requesting the
allotment of Channel 235A at Auxvasse,
Missouri, as its first local service.
Charles Crawford, or no other party,
filed comments supporting the
allotment of Channel 235A at Auxvasse,
Missouri. It is the Commission’s policy
to refrain from making a new allotment
to a community absent an expression of
interest.
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Secretary, Federal
Communications Commission, 445
Twelfth Street, SW., Washington, DC
20554.
FOR FURTHER INFORMATION CONTACT:
Rolanda F. Smith, Media Bureau, (202)
418–2180.
SUPPLEMENTARY INFORMATION: This is a
synopsis of the Commission’s Report
and Order, MB Docket No. 05–230,
adopted September 20, 2006, and
released September 22, 2006. The full
text of this Commission decision is
available for inspection and copying
during regular business hours at the
FCC’s Reference Information Center,
Portals II, 445 Twelfth Street, SW.,
Room CY–A257, Washington, DC 20554.
The complete text of this decision may
also be purchased from the
Commission’s duplicating contractor,
Best Copy and Printing, Inc., 445 12th
Street, SW., Room CY–B402,
Washington, DC, 20054, telephone 1–
800–378–3160 or https://
www.BCPIWEB.com. This document is
not subject to the Congressional Review
Act. (The Commission, is, therefore, not
required to submit a copy of this Report
and Order to GAO, pursuant to the
Congressional Review Act, see 5 U.S.C.
801(a)(1)(A) because the proposed rule
was dismissed.
ADDRESSES:
FEDERAL COMMUNICATIONS
COMMISSION
47 CFR Part 73
[DA 06–1887; MB Docket No. 04–81; RM–
10876]
Radio Broadcasting Services;
Patagonia, AZ
Federal Communications
Commission.
AGENCY:
PO 00000
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ACTION:
Proposed rule; denial.
SUMMARY: The Audio Division denies a
Petition for Rule Making filed by
Calvary Chapel of Tucson, Inc.,
requesting the reservation of vacant
Channel 251A at Patagonia, Arizona for
noncommercial educational use.
Federal Communications
Commission, 445 Twelfth Street, SW.,
Washington, DC 20554.
ADDRESSES:
FOR FURTHER INFORMATION CONTACT:
Rolanda F. Smith, Media Bureau, (202)
418–2180.
This is a
synopsis of the Commission’s Report
and Order, MB Docket No. 04–81,
adopted September 20, 2006, and
released September 22, 2006. The full
text of this Commission decision is
available for inspection and copying
during regular business hours at the
FCC’s Reference Information Center,
Portals II, 445 Twelfth Street, SW.,
Room CY–A257, Washington, DC 20554.
The complete text of this decision may
also be purchased from the
Commission’s duplicating contractor,
Best Copy and Printing, Inc., 445 12th
Street, SW., Room CY–B402,
Washington, DC 20054, telephone
1–800–378–3160 or https://
www.BCPIWEB.com. This document is
not subject to the Congressional Review
Act. (The Commission is, therefore, not
required to submit a copy of this Report
and Order to GAO, pursuant to the
Congressional Review Act, see 5 U.S.C.
801(a)(1)(A) because the proposed rule
was denied.)
SUPPLEMENTARY INFORMATION:
List of Subjects in 47 CFR Part 73
Radio, Radio broadcasting.
Federal Communications Commission.
John A. Karousos,
Assistant Chief, Audio Division, Media
Bureau.
[FR Doc. E6–17347 Filed 10–17–06; 8:45 am]
BILLING CODE 6712–01–P
E:\FR\FM\18OCP1.SGM
18OCP1
Agencies
[Federal Register Volume 71, Number 201 (Wednesday, October 18, 2006)]
[Proposed Rules]
[Pages 61455-61456]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-17348]
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FEDERAL COMMUNICATIONS COMMISSION
47 CFR Part 73
[DA 06-1901; MB Docket No. 06-11; RM-11304]
Radio Broadcasting Services; Crowell, TX
AGENCY: Federal Communications Commission.
ACTION: Proposed rule; dismissal.
-----------------------------------------------------------------------
SUMMARY: At the petitioner's request, the Audio Division has dismissed
the proposal of Jeraldine Anderson (``Anderson'') to allot Channel 250A
at Crowell, Texas. Anderson had filed a petition for rule making
proposing the allotment of Channel 250A at Crowell, Texas, as the
community's second local FM transmission service. The Audio Division
further dismissed the counterproposal submitted in the proceeding by
Linda Crawford (``Crawford''), upon Crawford's request to withdraw that
proposal. Finally, the Audio Division dismissed the counterproposal
submitted in the proceeding by LKCM Radio Group, L.P., licensee of FM
Station KFWR, Mineral Wells, Texas; Fort Worth Media Group GP, LLC,
licensee of FM Station KYBE, Frederick, Oklahoma; and LKCM Radio
Licenses, LP, the proposed assignee of KFWR and KYBE (collectively,
``Joint Parties''). The Joint Parties' counterproposal was dismissed
for failure to meet the Commission's minimum distance separation
requirements with respect to FM Station KRZB, Channel 248C2, Archer
City, Texas.
FOR FURTHER INFORMATION CONTACT: Deborah Dupont, Media Bureau, (202)
418-2180.
SUPPLEMENTARY INFORMATION: This is a synopsis of the Commission's
Report and Order, MB Docket No. 06-11, RM-11304, adopted September 20,
2006, and released September 22, 2006. The full text of this Commission
decision is available for inspection and copying during normal business
hours in the FCC Reference Information Center,
[[Page 61456]]
Portals II, 445 12th Street, SW., Room CY-A257, Washington, DC 20554.
The complete text of this decision also may be purchased from the
Commission's duplicating contractor, Best Copy and Printing, Inc., 445
12th Street, SW., Room CY-B402, Washington, DC 20554, (800) 378-3160,
or via the company's Web site, https://www.bcpiweb.com. This document is
not subject to the Congressional Review Act. The Commission is,
therefore, not required to send a copy of this Report and Order in a
report to be sent to Congress and the Government Accountability Office
pursuant to the Congressional Review Act, see U.S.C. 801(a)(1)(A),
because the proposed rule was dismissed.
Federal Communications Commission.
John A. Karousos,
Assistant Chief, Audio Division, Media Bureau
[FR Doc. E6-17348 Filed 10-17-06; 8:45 am]
BILLING CODE 6712-01-P