Military Health Risk Management Demonstration Project, 50784-50785 [E9-23741]
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Federal Register / Vol. 74, No. 189 / Thursday, October 1, 2009 / Notices
6 p.m.
Commission Chairman Closing
Remarks;
DFO adjourns the meeting.
Public’s Accessibility to the Meeting:
Pursuant to 5 U.S.C. 552b and 41 CFR
102–3.140 through 102–3.165, and the
availability of space, the October 21 and
22 meetings will be open to the public.
Please note that the availability of
seating is on a first-come basis.
Written Statements:
Pursuant to 41 CFR 102–3.105(j) and
102–3.140, and section 10(a)(3) of the
Federal Advisory Committee Act of
1972, the public or interested
organizations may submit written
statements to the Commission about its
mission and functions. Written
statements may be submitted at any
time or in response to the stated agenda
of a planned meeting of the MLDC.
All written statements shall be
submitted to the Designated Federal
Officer for the Commission, and this
individual will ensure that the written
statements are provided to the
membership for their consideration.
Contact information for the Designated
Federal Officer can be obtained from the
FOR FURTHER INFORMATION CONTACT
section of this notice or from GSA’s
FACA Database—https://www.fido.gov/
facadatabase/public.asp.
Statements being submitted in
response to the agenda mentioned in
this notice must be received by the
Designated Federal Officer at least five
calendar days prior to the meeting
which is the subject of this notice.
Written statements received after this
date may not be provided to or
considered by the Commission until its
next meeting.
The Designated Federal Officer will
review all timely submissions with the
MLDC Chairperson and ensure they are
provided to all members of the
Commission before the meeting that is
the subject of this notice.
Dated: September 25, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. E9–23742 Filed 9–30–09; 8:45 am]
BILLING CODE 5001–06–P
PWALKER on DSK8KYBLC1PROD with NOTICES
DEPARTMENT OF DEFENSE
Office of the Secretary
Military Health Risk Management
Demonstration Project
AGENCY: Office of the Assistant
Secretary of Defense for Health Affairs/
TRICARE Management Activity,
Department of Defense.
VerDate Nov<24>2008
19:32 Sep 30, 2009
Jkt 217001
ACTION: Notice of a Military Health Risk
Management demonstration project.
SUMMARY: This notice is to advise
interested parties of a Military Health
System (MHS) demonstration project
entitled ‘‘Military Health Risk
Management Demonstration Project’’.
This demonstration project, which will
be available for participation by select
non-Medicare eligible, retired TRICAREeligible beneficiaries, and their family
members, is designed to evaluate the
efficacy of providing incentives to
encourage healthy behaviors on the part
of these MHS beneficiaries.
DATES: Effective Date: This
demonstration will be effective from
October 1, 2009, until February 28,
2012.
FOR FURTHER INFORMATION CONTACT: Dr.
Barry Cohen, Director of Healthcare
Operations—TRICARE Management
Activity, 5111 Leesburg Pike, Suite 810,
Falls Church, VA 22041–3206;
telephone (703) 681–7515.
SUPPLEMENTARY INFORMATION:
A. Background
Health Risk Management involves
utilizing a self-reported health risk
assessment to identify areas where
TRICARE beneficiaries may be at risk to
develop certain chronic illnesses. The
questionnaire covers a wide range of
lifestyle behaviors and health issues. In
addition, physiological and biometric
measures such as blood pressure,
glucose level, lipids, nicotine use, and
weight are also considered to aid in
determining the overall level of risk for
chronic disease. This demonstration
project will assess the effects of
providing incentives along with
wellness programs and healthy
behaviors and lifestyle practices among
non-Medicare-eligible retired
beneficiaries and their family members
who are enrolled in TRICARE Prime.
B. National Defense Authorization Act
(NDAA) for Fiscal Year 2009 (FY09)
Military Health Risk Management
Directive
Section 712 of the NDAA for FY09
requires the Department to develop a
wellness assessment to be offered to
beneficiaries enrolled in the
demonstration project. The wellness
assessment will incorporate nationally
recognized standards for health and
healthy behaviors, will be offered to
determine a baseline assessment, and
will be repeated at appropriate intervals.
The wellness assessment will include a
self-reported health risk assessment,
physiological, and biometric measures;
including at least blood pressure,
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Fmt 4703
Sfmt 4703
glucose level, lipids, nicotine use and
weight. Non-Medicare-eligible retired
beneficiaries of the MHS and their
dependents who are enrolled in
TRICARE Prime and who reside in the
demonstration project service areas will
be offered the opportunity to enroll in
the demonstration project. The
demonstration project will be conducted
in at least three geographic areas within
the United States where TRICARE Prime
is offered. The area covered by the
project will be referred to as the
demonstration project service area.
Programs will be developed to assist
enrollees to improve healthy behaviors,
as identified by the wellness
assessment. For the purpose of
conducting the demonstration project,
monetary and/or nonmonetary
incentives will be offered to enrollees to
encourage participation in the
demonstration project.
C. Description of Demonstration Project
The Military Health Risk Management
demonstration project will be conducted
to evaluate whether monetary incentives
in conjunction with wellness programs
will encourage healthy behaviors among
non-Medicare-eligible retired
beneficiaries and their family members
who are enrolled in TRICARE Prime and
reside in the demonstration project
service areas. The duration of the
project will be approximately 3 years.
There will be a monetary incentive
award to enrollees for full participation
in this project of an amount equivalent
to 50 percent of the annual TRICARE
Prime enrollment fee ($230/family or
$115/individual).
For the purpose of this study, at least
one demonstration project service area
will encompass a military treatment
facility (MTF), and the others will
encompass areas supported exclusively
by purchased care. The National Naval
Medical Center, Medical Homes
Program, Bethesda, MD, has been
selected as the MTF demonstration
project service area; the Designated
Provider Programs at Martin’s Point,
Portland, ME, and CHRISTUS Health,
Houston, TX, have been selected as the
purchased care demonstration project
service areas.
D. Implementation
Each site will be responsible for
identifying a cohort of retired
beneficiaries and their family members
who are enrolled in TRICARE Prime and
are non-Medicare-eligible to participate
in the demonstration. Following the
enrollment period, the site will
maintain the demographic, clinical, and
other data required to evaluate the
effectiveness of the demonstration. The
E:\FR\FM\01OCN1.SGM
01OCN1
Federal Register / Vol. 74, No. 189 / Thursday, October 1, 2009 / Notices
service area sites will use a self-reported
Health Risk Assessment (HRA) designed
to screen and identify the participants’
health risk factors and provide targeted
interventions that help prevent, manage,
and improve chronic conditions. They
will perform all of the study
participants’ physiological and
biometric measures, including at least
blood pressure, glucose levels, lipids,
nicotine use, and weight. The service
area sites will schedule follow-up visits,
encourage participants to take advantage
of available online educational Web
sites, and enroll in established wellness
programs. They will also direct
participants to retake the HRA/
biometrics annually to reassess health
behaviors and outcomes. A toll-free
phone line will be available to answer
questions regarding enrollment and
monetary incentives from
demonstration participants.
Dated: September 25, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. E9–23741 Filed 9–30–09; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
Renewal of Department of Defense
Federal Advisory Committees
Department of Defense (DoD).
Renewal of Federal advisory
committee.
AGENCY:
PWALKER on DSK8KYBLC1PROD with NOTICES
ACTION:
SUMMARY: Under the provisions of the
Federal Advisory Committee Act of
1972, (5 U.S.C. Appendix, as amended),
the Government in the Sunshine Act of
1976 (5 U.S.C. 552b, as amended), and
41 CFR 102–3.50, the Department of
Defense gives notice that it is renewing
the charter for the Defense Task Force
on Sexual Assault in the Military
Services (hereafter referred to as the
Task Force).
FOR FURTHER INFORMATION CONTACT: Jim
Freeman, Deputy Committee
Management Officer for the Department
of Defense, 703–601–6128.
SUPPLEMENTARY INFORMATION: The Task
Force, pursuant to Section 576 of Public
Law 108–375, is a non-discretionary
Federal advisory committee established
to conduct an examination of matters
relating to sexual assault by members or
against members of the Armed Forces of
the United States.
Pursuant to Section 576(e) of public
Law 108–375, the Task Force, no later
than one year after the initiation of its
examination, shall submit to the
VerDate Nov<24>2008
19:32 Sep 30, 2009
Jkt 217001
Secretary of Defense and the Secretaries
of the Army, Navy and Air Force on the
activities of the Department of Defense
and the Armed Forces to respond to
sexual assault.
The Task Force shall be comprised of
no more than ten members and the
membership shall be comprised of an
equal number of DoD and civilian
members.
The Secretary of Defense shall select
the DoD Co-Chairperson, and the
civilian members shall select a civilian
Co-Chairperson.
Task Force members who are
appointed by the Secretary of Defense,
who are not full-time or permanent parttime Federal employees, shall be
appointed as experts and consultants
under the authority of 5 U.S.C. 3109 and
serve as Special Government
Employees. All members shall be
appointed on an annual basis for the
duration of the Task Force.
Task Force members who are Federal
officers or employees shall serve
without compensation (other than
compensation to which they are entitled
to as Federal officers or employees).
Other Task Force members shall be
appointed under the authority of 5
U.S.C 3161 and will receive
compensation for their service. All Task
Force members shall receive
compensation for travel and per diem
for official Task Force travel.
With DoD approval, the Task Force is
authorized to establish subcommittees,
as necessary and consistent with its
mission. These subcommittees or
working groups shall operate under the
provisions of the Federal Advisory
Committee Act of 1972, the Government
in the Sunshine Act of 1976 (5 U.S.C
552B, as amended), and other
appropriate Federal regulations.
Such subcommittees or workgroups
shall not work independently of the
chartered Task Force, and shall report
all their recommendations and advice to
the Task Force for full deliberation and
discussion. Subcommittees or
workgroups have no authority to make
decisions on behalf of the chartered
Task Force nor can they report directly
to the Department of Defense or any
Federal officers or employees who are
not Task Force members.
Subcommittee members, who are not
Task Force members, shall be appointed
in the same manner as the Task Force
members.
The Task Force shall meet at the call
of the Task Force’s Designated Federal
Officer, in consultation with the
Chairperson. The estimated number of
Task Force meetings is six per year.
The Designated Federal Officer,
pursuant to DoD policy, shall be a full-
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Frm 00024
Fmt 4703
Sfmt 4703
50785
time or permanent part-time DoD
employee, and shall be appointed in
accordance with established DoD
policies and procedures. In addition, the
Designated Federal Officer is required to
be in attendance at all meetings,
however, in the absence of the
Designated Federal Officer, the
Alternate Designated Federal Officer
shall attend the meeting.
Pursuant to 41 CFR 102–3.105(j) and
102–3.140, the public or interested
organizations may submit written
statements to the Defense Task Force on
Sexual Assault in the Military Services
membership about the Task Forces’
mission and functions. Written
statements may be submitted at any
time or in response to the stated agenda
of planned meeting of the Defense Task
Force on Sexual Assault in the Military
Services.
All written statements shall be
submitted to the Designated Federal
Officer for the Defense Task Force on
Sexual Assault in the Military Services,
and this individual will ensure that the
written statements are provided to the
membership for their consideration.
Contact information for Defense Task
Force on Sexual Assault in the Military
Services’ Designated Federal Officer can
be obtained from the GSA’s FACA
Database—https://www.fido.gov/
facadatabase/public.asp.
The Designated Federal Officer,
pursuant to 41 CFR 102–3.150, will
announce planned meetings of the
Defense Task Force on Sexual Assault in
the Military Services. The Designated
Federal Officer, at that time, may
provide additional guidance on the
submission of written statements that
are in response to the stated agenda for
the planned meeting in question.
Dated: September 28, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. E9–23739 Filed 9–30–09; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
TRICARE; Civilian Health and Medical
Program of the Uniformed Services
(CHAMPUS); Fiscal Year 2010
Diagnosis Related Group (DRG)
Updates
Office of the Secretary, DoD.
Notice of DRG revised rates.
AGENCY:
ACTION:
SUMMARY: This notice describes the
changes made to the TRICARE DRGbased payment system in order to
E:\FR\FM\01OCN1.SGM
01OCN1
]]>Agencies
[Federal Register Volume 74, Number 189 (Thursday, October 1, 2009)]
[Notices]
[Pages 50784-50785]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-23741]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
Military Health Risk Management Demonstration Project
AGENCY: Office of the Assistant Secretary of Defense for Health
Affairs/TRICARE Management Activity, Department of Defense.
ACTION: Notice of a Military Health Risk Management demonstration
project.
-----------------------------------------------------------------------
SUMMARY: This notice is to advise interested parties of a Military
Health System (MHS) demonstration project entitled ``Military Health
Risk Management Demonstration Project''. This demonstration project,
which will be available for participation by select non-Medicare
eligible, retired TRICARE-eligible beneficiaries, and their family
members, is designed to evaluate the efficacy of providing incentives
to encourage healthy behaviors on the part of these MHS beneficiaries.
DATES: Effective Date: This demonstration will be effective from
October 1, 2009, until February 28, 2012.
FOR FURTHER INFORMATION CONTACT: Dr. Barry Cohen, Director of
Healthcare Operations--TRICARE Management Activity, 5111 Leesburg Pike,
Suite 810, Falls Church, VA 22041-3206; telephone (703) 681-7515.
SUPPLEMENTARY INFORMATION:
A. Background
Health Risk Management involves utilizing a self-reported health
risk assessment to identify areas where TRICARE beneficiaries may be at
risk to develop certain chronic illnesses. The questionnaire covers a
wide range of lifestyle behaviors and health issues. In addition,
physiological and biometric measures such as blood pressure, glucose
level, lipids, nicotine use, and weight are also considered to aid in
determining the overall level of risk for chronic disease. This
demonstration project will assess the effects of providing incentives
along with wellness programs and healthy behaviors and lifestyle
practices among non-Medicare-eligible retired beneficiaries and their
family members who are enrolled in TRICARE Prime.
B. National Defense Authorization Act (NDAA) for Fiscal Year 2009
(FY09) Military Health Risk Management Directive
Section 712 of the NDAA for FY09 requires the Department to develop
a wellness assessment to be offered to beneficiaries enrolled in the
demonstration project. The wellness assessment will incorporate
nationally recognized standards for health and healthy behaviors, will
be offered to determine a baseline assessment, and will be repeated at
appropriate intervals. The wellness assessment will include a self-
reported health risk assessment, physiological, and biometric measures;
including at least blood pressure, glucose level, lipids, nicotine use
and weight. Non-Medicare-eligible retired beneficiaries of the MHS and
their dependents who are enrolled in TRICARE Prime and who reside in
the demonstration project service areas will be offered the opportunity
to enroll in the demonstration project. The demonstration project will
be conducted in at least three geographic areas within the United
States where TRICARE Prime is offered. The area covered by the project
will be referred to as the demonstration project service area. Programs
will be developed to assist enrollees to improve healthy behaviors, as
identified by the wellness assessment. For the purpose of conducting
the demonstration project, monetary and/or nonmonetary incentives will
be offered to enrollees to encourage participation in the demonstration
project.
C. Description of Demonstration Project
The Military Health Risk Management demonstration project will be
conducted to evaluate whether monetary incentives in conjunction with
wellness programs will encourage healthy behaviors among non-Medicare-
eligible retired beneficiaries and their family members who are
enrolled in TRICARE Prime and reside in the demonstration project
service areas. The duration of the project will be approximately 3
years. There will be a monetary incentive award to enrollees for full
participation in this project of an amount equivalent to 50 percent of
the annual TRICARE Prime enrollment fee ($230/family or $115/
individual).
For the purpose of this study, at least one demonstration project
service area will encompass a military treatment facility (MTF), and
the others will encompass areas supported exclusively by purchased
care. The National Naval Medical Center, Medical Homes Program,
Bethesda, MD, has been selected as the MTF demonstration project
service area; the Designated Provider Programs at Martin's Point,
Portland, ME, and CHRISTUS Health, Houston, TX, have been selected as
the purchased care demonstration project service areas.
D. Implementation
Each site will be responsible for identifying a cohort of retired
beneficiaries and their family members who are enrolled in TRICARE
Prime and are non-Medicare-eligible to participate in the
demonstration. Following the enrollment period, the site will maintain
the demographic, clinical, and other data required to evaluate the
effectiveness of the demonstration. The
[[Page 50785]]
service area sites will use a self-reported Health Risk Assessment
(HRA) designed to screen and identify the participants' health risk
factors and provide targeted interventions that help prevent, manage,
and improve chronic conditions. They will perform all of the study
participants' physiological and biometric measures, including at least
blood pressure, glucose levels, lipids, nicotine use, and weight. The
service area sites will schedule follow-up visits, encourage
participants to take advantage of available online educational Web
sites, and enroll in established wellness programs. They will also
direct participants to retake the HRA/biometrics annually to reassess
health behaviors and outcomes. A toll-free phone line will be available
to answer questions regarding enrollment and monetary incentives from
demonstration participants.
Dated: September 25, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. E9-23741 Filed 9-30-09; 8:45 am]
BILLING CODE 5001-06-P
