Preventive Health Allowance Demonstration Project, 62289 [E9-28355]

Download as PDF Federal Register / Vol. 74, No. 227 / Friday, November 27, 2009 / Notices DEPARTMENT OF DEFENSE Office of the Secretary Preventive Health Allowance Demonstration Project AGENCY: Office of the Secretary of Defense (Health Affairs)/TRICARE Management Activity, Department of Defense. ACTION: Notice of a Preventive Health Allowance Demonstration Project. SUMMARY: This notice is to advise interested parties of a Military Health System (MHS) demonstration project entitled ‘‘Preventive Health Allowance Demonstration Project for TRICARE Active Duty Personnel and their Family Members’’. This demonstration project is designed to evaluate the efficacy of providing a preventive health services allowance to encourage healthy behaviors on the part of eligible MHS beneficiaries. DATES: Effective Date: This demonstration is effective from December 1, 2009, until December 31, 2011. FOR FURTHER INFORMATION CONTACT: Dr. Barry Cohen, Director, Healthcare Operations–TRICARE Management Activity, 5111 Leesburg Pike, Suite 810, Falls Church, VA 22041–3206; telephone (703) 681–4029. SUPPLEMENTARY INFORMATION: sroberts on DSKD5P82C1PROD with NOTICES A. Background Studies have been performed in health organizations to assess the effectiveness of waiving co-pays for clinical preventive services, as well as financial incentives for healthy behavioral change. No studies to date have assessed the effects of providing financial incentives for increasing compliance with recommended and, in some instances, mandated clinical preventive services in an Active Duty military population. This demonstration project will be the first such effort among Active Duty military personnel and their family members. The results of this demonstration will have a direct impact on the future utility of this type of intervention. B. National Defense Authorization Act (NDAA) for Fiscal Year 2009 (FY09) Preventive Health Allowance Directive Section 714 of the NDAA for FY09 authorizes the Department to conduct a demonstration project designed to evaluate the efficacy of providing an annual allowance to members of the armed forces to increase the use of preventive health services by such members and their dependents. To meet VerDate Nov<24>2008 18:08 Nov 25, 2009 Jkt 220001 eligibility standards to receive this benefit, the member of the armed forces must be serving on active duty for a period of more than 30 days and meet the medical and dental readiness requirements for their branch of service. Not more than 1,500 members of each of the Army, Navy, Air Force, and Marine Corps may receive a preventive health services allowance during any year, of which half in each Service shall be members without dependents and half shall be members with dependents. The Secretary of the military department concerned shall pay a preventive health services allowance to a member selected to receive the allowance in an amount equal to $500 per year in the case of a member without dependents, and $1,000 per year in the case of a member with dependents. C. Description of Demonstration Project The Preventive Health Allowance demonstration project will be conducted to evaluate whether a preventive health services allowance will increase the utilization of clinical preventive services among Active Duty personnel and their family members. Clinical Preventive Services, with respect to age and gender-specific recommendations included in this study, are screening for colorectal cancer, breast cancer, cervical cancer, and prostate cancer; an annual physical exam; an annual dental exam; weight and body mass screening; and immunizations. The TRICARE Management Activity (TMA) will establish the methodology, implement the demonstration, and obtain the necessary data to evaluate the outcome effectively. There will be 1,500 Active Duty members enrolled from each Service, with 750 being single Active Duty members, and 750 having family members. The Secretary of the military department concerned shall pay the preventive health allowance at the rate of $500 or $1,000 per year for single Active Duty members or for Active Duty with family members respectively for those in compliance with the appropriate clinical preventive services recommendations. The selected participants will be provided information regarding the nature of the study, their obligations during the study, the incentive that can be achieved with compliance and a tollfree telephone number for enrollment and/or questions. D. Evaluation An independent evaluation of the demonstration will be conducted. The evaluation will be designed to determine whether the provision of a PO 00000 Frm 00008 Fmt 4703 Sfmt 4703 62289 preventive health allowance increased the utilization rate of clinical preventive services among TRICARE Active Duty personnel and their family members. Dated: November 19, 2009. Patricia L. Toppings, OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. E9–28355 Filed 11–25–09; 8:45 am] BILLING CODE 5001–06–P DEPARTMENT OF ENERGY Agency Information Collection Extension U.S. Department of Energy. Notice and Request for Comments. AGENCY: ACTION: SUMMARY: The Department of Energy (DOE), pursuant to the Paperwork Reduction Act of 1995), has obtained emergency approval of an information collection request with the Office of Management and Budget (OMB). In order to obtain OMB’s approval for the next three years, comments are now invited on: (a) Whether the collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology. DATES: Comments regarding this proposed information collection must be received on or before January 26, 2010. If you anticipate difficulty in submitting comments within that period, contact the person listed below as soon as possible. ADDRESSES: Written comments may be sent to Tony Johnson, Program Analyst, Department of Energy, 1000 Independence Avenue, Washington, DC 20585 or by fax at 202–586–0573 or by e-mail at Tony.Johnson@Hq.Doe.Gov. FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of the information collection instrument and instructions should be directed to Tony Johnson as described above in the address section. SUPPLEMENTARY INFORMATION: This information collection request contains: (1) OMB No. 1910–5142; (2) Information E:\FR\FM\27NON1.SGM 27NON1

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[Federal Register Volume 74, Number 227 (Friday, November 27, 2009)]
[Notices]
[Page 62289]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-28355]



[[Page 62289]]

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DEPARTMENT OF DEFENSE

Office of the Secretary


Preventive Health Allowance Demonstration Project

AGENCY: Office of the Secretary of Defense (Health Affairs)/TRICARE 
Management Activity, Department of Defense.

ACTION: Notice of a Preventive Health Allowance Demonstration Project.

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SUMMARY: This notice is to advise interested parties of a Military 
Health System (MHS) demonstration project entitled ``Preventive Health 
Allowance Demonstration Project for TRICARE Active Duty Personnel and 
their Family Members''. This demonstration project is designed to 
evaluate the efficacy of providing a preventive health services 
allowance to encourage healthy behaviors on the part of eligible MHS 
beneficiaries.

DATES: Effective Date: This demonstration is effective from December 1, 
2009, until December 31, 2011.

FOR FURTHER INFORMATION CONTACT: Dr. Barry Cohen, Director, Healthcare 
Operations-TRICARE Management Activity, 5111 Leesburg Pike, Suite 810, 
Falls Church, VA 22041-3206; telephone (703) 681-4029.

SUPPLEMENTARY INFORMATION:

A. Background

    Studies have been performed in health organizations to assess the 
effectiveness of waiving co-pays for clinical preventive services, as 
well as financial incentives for healthy behavioral change. No studies 
to date have assessed the effects of providing financial incentives for 
increasing compliance with recommended and, in some instances, mandated 
clinical preventive services in an Active Duty military population. 
This demonstration project will be the first such effort among Active 
Duty military personnel and their family members. The results of this 
demonstration will have a direct impact on the future utility of this 
type of intervention.

B. National Defense Authorization Act (NDAA) for Fiscal Year 2009 
(FY09) Preventive Health Allowance Directive

    Section 714 of the NDAA for FY09 authorizes the Department to 
conduct a demonstration project designed to evaluate the efficacy of 
providing an annual allowance to members of the armed forces to 
increase the use of preventive health services by such members and 
their dependents. To meet eligibility standards to receive this 
benefit, the member of the armed forces must be serving on active duty 
for a period of more than 30 days and meet the medical and dental 
readiness requirements for their branch of service.
    Not more than 1,500 members of each of the Army, Navy, Air Force, 
and Marine Corps may receive a preventive health services allowance 
during any year, of which half in each Service shall be members without 
dependents and half shall be members with dependents. The Secretary of 
the military department concerned shall pay a preventive health 
services allowance to a member selected to receive the allowance in an 
amount equal to $500 per year in the case of a member without 
dependents, and $1,000 per year in the case of a member with 
dependents.

C. Description of Demonstration Project

    The Preventive Health Allowance demonstration project will be 
conducted to evaluate whether a preventive health services allowance 
will increase the utilization of clinical preventive services among 
Active Duty personnel and their family members. Clinical Preventive 
Services, with respect to age and gender-specific recommendations 
included in this study, are screening for colorectal cancer, breast 
cancer, cervical cancer, and prostate cancer; an annual physical exam; 
an annual dental exam; weight and body mass screening; and 
immunizations.
    The TRICARE Management Activity (TMA) will establish the 
methodology, implement the demonstration, and obtain the necessary data 
to evaluate the outcome effectively. There will be 1,500 Active Duty 
members enrolled from each Service, with 750 being single Active Duty 
members, and 750 having family members. The Secretary of the military 
department concerned shall pay the preventive health allowance at the 
rate of $500 or $1,000 per year for single Active Duty members or for 
Active Duty with family members respectively for those in compliance 
with the appropriate clinical preventive services recommendations. The 
selected participants will be provided information regarding the nature 
of the study, their obligations during the study, the incentive that 
can be achieved with compliance and a toll-free telephone number for 
enrollment and/or questions.

D. Evaluation

    An independent evaluation of the demonstration will be conducted. 
The evaluation will be designed to determine whether the provision of a 
preventive health allowance increased the utilization rate of clinical 
preventive services among TRICARE Active Duty personnel and their 
family members.

    Dated: November 19, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. E9-28355 Filed 11-25-09; 8:45 am]
BILLING CODE 5001-06-P