Medicare Program; Announcement of a New Opportunity for Participation in the Advance Payment Model for Accountable Care Organizations (ACOs), 38066-38067 [2012-15541]
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38066
Federal Register / Vol. 77, No. 123 / Tuesday, June 26, 2012 / Notices
focus groups with 9 respondents each to
identify potential messaging frames for
communicating information about
congenital CMV to the target audiences
and adopting CMV preventive
guidelines. We will also conduct some
preliminary testing of existing CDC
CMV draft materials (factsheet and
video). We estimate that we will screen
144 women in order to recruit 72
participants for the focus groups. These
focus groups will be conducted in
Atlanta, Georgia (4) and San Diego,
California (4). Findings from the Phase
I focus groups will inform refinements
their attitudes, beliefs, and behavioral
intentions regarding prevention
behaviors and (4) assess knowledge,
attitudes and behaviors pre- and postinterventions with a larger target
audience sample (N=800). We estimate
that we will screen 4,800 women in
order to recruit 800 respondents for the
online survey.
This request is submitted to obtain
OMB clearance for two years. There are
no costs to the respondents other than
their time.
to existing CDC messages and materials
(factsheet and video), which will be
further tested in the second information
collection activity, the web survey.
Phase II research will include an online
survey to test the refined
communication interventions (factsheet
and video). This web survey will: (1)
Examine baseline awareness and
knowledge regarding CMV, (2) assess
baseline CMV prevention behaviors
prior to viewing CMV communication
interventions (factsheet and video), (3)
assess appeal and evaluate the impact of
CMV communication interventions on
ESTIMATED ANNUALIZED BURDEN HOURS
Type of respondent
Number of
respondents
Form name
Number of responses per
respondent
Average
burden per
response
(in hours)
Total burden
hours
Phase I: Focus Groups
Women of childbearing age ..................................
Participant screener .....
Demographic questionnaire.
Informed consent form
Focus group .................
144
72
1
1
5/60
15/60
12
18
72
72
1
1
15/60
90/60
18
108
4,800
800
1
1
3/60
11/60
240
147
Phase II: Web Survey
Women of childbearing age ..................................
Dated: June 18, 2012.
Ron A. Otten,
Director, Office of Scientific Integrity (OSI),
Office of the Associate Director for Science
(OADS), Office of the Director, Centers for
Disease Control and Prevention.
[FR Doc. 2012–15574 Filed 6–25–12; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[CMS–5505–N3]
Medicare Program; Announcement of a
New Opportunity for Participation in
the Advance Payment Model for
Accountable Care Organizations
(ACOs)
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
rmajette on DSK2TPTVN1PROD with NOTICES
AGENCY:
This notice announces a new
opportunity for participation in the
Advance Payment Model for certain
accountable care organizations
participating in the Medicare Shared
Savings Program scheduled to begin in
January 2013.
VerDate Mar<15>2010
15:33 Jun 25, 2012
Jkt 226001
Application Submission
Deadline for the Advance Payment
Model: Applications for the
performance period beginning on
January 1, 2013 will be accepted from
August 1, 2012 through September 19,
2012.
FOR FURTHER INFORMATION CONTACT:
Maria Alexander, (410) 786–4792.
SUPPLEMENTARY INFORMATION:
DATES:
I. Background
Centers for Medicare & Medicaid
Services
SUMMARY:
Participant per screener
Web Survey ..................
The Centers for Medicare & Medicaid
Services (CMS) is committed to
achieving better health for populations,
better health care for individuals, and
lower growth in expenditures through
continuous improvement for Medicare,
Medicaid, and Children’s Health
Insurance Program beneficiaries. One
potential mechanism for achieving these
goals is for CMS to partner with groups
of health care providers of services and
suppliers that have a mechanism for
shared governance and have formed an
Accountable Care Organization (ACO)
through which they work together to
coordinate care for a specified group of
patients. We will pursue such
partnerships through complementary
efforts, including the Medicare Shared
Savings Program and initiatives
undertaken by the Center for Medicare
PO 00000
Frm 00034
Fmt 4703
Sfmt 4703
and Medicaid Innovation (Innovation
Center).
The Advance Payment Model is an
Innovation Center initiative designed for
participants in the Medicare Shared
Savings Program in need of prepayment
of expected shared savings to build their
capacity to provide high quality,
coordinated care and generate cost
savings. The Advance Payment Model
will test whether and how prepaying a
portion of future shared savings could
increase participation in the Medicare
Shared Savings Program, and whether
advance payments will enhance the
ability of ACOs to effectively coordinate
care and generate Medicare savings, as
well as the speed at which they attain
that goal.
In the November 2, 2011 Federal
Register (76 FR 68012), we published a
notice entitled ‘‘Medicare Program;
Advance Payment Model’’ that
announced the testing of the Advance
Payment Model for certain ACOs
participating in the Medicare Shared
Savings Program scheduled to begin in
2012 and provided information about
the Advance Payment Model and the
application process. In November 30,
2011 Federal Register (76 FR 74067), we
published a second notice that extended
the application deadline for the first
E:\FR\FM\26JNN1.SGM
26JNN1
Federal Register / Vol. 77, No. 123 / Tuesday, June 26, 2012 / Notices
performance period that began on April
1, 2012. We announced the
organizations participating in the
Advanced Payment Model for the first
performance period (which began on
April 1, 2012) on April 10, 2012. The
second performance period of the
Advance Payment Model will begin on
July 1, 2012.
Additional information about the
Advance Payment Model, including
organizations currently participating in
the testing of the Model, is available on
the Advance Payment Model Web site at
https://www.innovations.cms.gov/
initiatives/ACO/Advance-Payment/.
II. Provisions of the Notice
We will be launching a third group of
Advance Payment Model ACOs on
January 1, 2013. We will accept
applications as specified in the DATES
section of this notice. We are creating
this new opportunity in response to
requests from stakeholders and potential
partners who requested additional
opportunities to partner with CMS as
Advance Payment ACOs.
Organizations interested in applying
to the Advance Payment Model must
also complete an application for the
Shared Savings Program. Information
about the application process and
deadlines for the Shared Savings
Program is available at https://
www.cms.gov/sharedsavingsprogram.
Additional information about the
application process for the Advance
Payment Model is available on the
Advance Payment Model Web site at
https://www.innovations.cms.gov/
initiatives/ACO/Advance-Payment/.
Authority: Section 1115A of the Social
Security Act.
Dated: June 19, 2012.
Marilyn Tavenner,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. 2012–15541 Filed 6–22–12; 11:15 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
rmajette on DSK2TPTVN1PROD with NOTICES
[CMS–1445–N]
Medicare Program; Public Meeting
Regarding Inherent Reasonableness of
Medicare Fee Schedule Amounts for
Non-Mail Order (Retail) Diabetic
Testing Supplies
ACTION:
Notice of meeting.
This notice announces a
public meeting that provides an
SUMMARY:
VerDate Mar<15>2010
15:33 Jun 25, 2012
Jkt 226001
opportunity for CMS to consult with
representatives of suppliers and other
interested parties regarding options to
adjust the Medicare payment amounts
for non-mail order diabetic testing
supplies. This meeting will provide the
public an opportunity to offer oral and
written comments.
Meeting Date: The public
meeting will be held on Monday, July
23, 2012, 9 a.m. to 1 p.m. eastern
daylight time (e.d.t.).
Deadline for Attendees that are
Foreign Nationals (reside outside the
U.S.) Registration: Prospective attendees
that are foreign nationals (as described
in section V. of this notice) are required
to identify themselves as such, and
provide the necessary information for
security clearance (as described in
section V. of this notice) by 5 p.m. e.d.t.
Thursday, July 5, 2012.
Deadline for All Other Attendees: All
other individuals who plan to attend the
public meeting must register by 5 p.m.
e.d.t. Monday, July 16, 2012.
Deadline for Requesting Special
Accommodations: Persons attending the
meeting who are hearing or visually
impaired, or have a condition that
requires special assistance or
accommodations, are asked to contact
the persons as specified in the FOR
FURTHER INFORMATION CONTACT section of
this notice no later July 9, 2012, 5 p.m.,
e.d.t.
Deadline for Submission of Written
Comments: Written comments must be
received at the address specified in the
ADDRESSES section of this notice by 5
p.m. e.d.t., Monday, July 30, 2012. Once
submitted, all comments are final.
DATES:
Meeting Location: The
public meeting will be held in the main
auditorium of the central building of the
Centers for Medicare and Medicaid
Services, 7500 Security Boulevard,
Baltimore, MD 21244–1850.
Submission of Written Comments:
Written comments may either be
emailed to DMEPOS@cms.hhs.gov or
sent via regular mail to Elliot Klein,
Centers for Medicare & Medicaid
Services, 7500 Security Boulevard, Mail
Stop C5–03–17, Baltimore, MD 21244–
1850.
Registration and Special
Accommodations: Individuals wishing
to participate or who need special
accommodations or both must register
by completing the on-line registration
located at https://www.cms.gov/apps/
events/upcomingevents.asp or by
contacting one of the persons listed in
the FOR FURTHER INFORMATION CONTACT
section of this notice.
ADDRESSES:
PO 00000
Frm 00035
Fmt 4703
Sfmt 4703
38067
FOR FURTHER INFORMATION CONTACT:
Hafsa Vahora at (410) 786–7899 or
Hafsa.Vahora@cms.hhs.gov
Elliot Klein at (410) 786–0415 or
Elliot.Klein@cms.hhs.gov
SUPPLEMENTARY INFORMATION:
I. Background
A. Process for Using Inherent
Reasonableness Authority
In the December 13, 2005 Federal
Register (70 FR 73623), we published a
final rule entitled ‘‘Medicare Program;
Application of Inherent Reasonableness
Payment Policy to Medicare Part B
Services (Other Than Physician
Services)’’ that finalized a process for
establishing a realistic and equitable
payment amount for Medicare Part B
services (other than physicians’
services) when the existing payment
amounts are inherently unreasonable
because they are either grossly excessive
or grossly deficient. In that December
2005 final rule, we define grossly
excessive and deficient payment
amounts and provide the criteria for
using valid and reliable data in making
an inherent reasonableness
determination.
Sections 1842(b)(8) and (9) of the Act
and our regulations at 42 CFR
405.502(g) and (h) set forth the steps
that the Secretary must follow in
determining whether a payment amount
is grossly excessive and in setting a
special payment limit. Those steps are
as follows:
• Factors Considered In Determining
Whether Payment Amount is Grossly
Excessive or Deficient. When making a
determination that a payment amount is
grossly excessive, we take into account
several factors. Factors that may result
in grossly excessive or deficient
payment amounts include, but are not
limited, to the following:
++ The marketplace is not
competitive.
++ Medicare and Medicaid are the
sole or primary sources of payment for
a category of items and services.
++ The payment amounts for a
category of items and services do not
reflect changing technology, increased
facility with that technology, or changes
in acquisition, production, or supplier
costs.
++ The payment amounts for a
category of items or services in a
particular locality are grossly high or
lower than payment amounts in other
comparable localities for the category of
items or services.
++ Payment amounts for a category of
items and services are grossly higher or
lower than acquisition or production
E:\FR\FM\26JNN1.SGM
26JNN1
]]>Agencies
[Federal Register Volume 77, Number 123 (Tuesday, June 26, 2012)]
[Notices]
[Pages 38066-38067]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-15541]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-5505-N3]
Medicare Program; Announcement of a New Opportunity for
Participation in the Advance Payment Model for Accountable Care
Organizations (ACOs)
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice announces a new opportunity for participation in
the Advance Payment Model for certain accountable care organizations
participating in the Medicare Shared Savings Program scheduled to begin
in January 2013.
DATES: Application Submission Deadline for the Advance Payment Model:
Applications for the performance period beginning on January 1, 2013
will be accepted from August 1, 2012 through September 19, 2012.
FOR FURTHER INFORMATION CONTACT: Maria Alexander, (410) 786-4792.
SUPPLEMENTARY INFORMATION:
I. Background
The Centers for Medicare & Medicaid Services (CMS) is committed to
achieving better health for populations, better health care for
individuals, and lower growth in expenditures through continuous
improvement for Medicare, Medicaid, and Children's Health Insurance
Program beneficiaries. One potential mechanism for achieving these
goals is for CMS to partner with groups of health care providers of
services and suppliers that have a mechanism for shared governance and
have formed an Accountable Care Organization (ACO) through which they
work together to coordinate care for a specified group of patients. We
will pursue such partnerships through complementary efforts, including
the Medicare Shared Savings Program and initiatives undertaken by the
Center for Medicare and Medicaid Innovation (Innovation Center).
The Advance Payment Model is an Innovation Center initiative
designed for participants in the Medicare Shared Savings Program in
need of prepayment of expected shared savings to build their capacity
to provide high quality, coordinated care and generate cost savings.
The Advance Payment Model will test whether and how prepaying a portion
of future shared savings could increase participation in the Medicare
Shared Savings Program, and whether advance payments will enhance the
ability of ACOs to effectively coordinate care and generate Medicare
savings, as well as the speed at which they attain that goal.
In the November 2, 2011 Federal Register (76 FR 68012), we
published a notice entitled ``Medicare Program; Advance Payment Model''
that announced the testing of the Advance Payment Model for certain
ACOs participating in the Medicare Shared Savings Program scheduled to
begin in 2012 and provided information about the Advance Payment Model
and the application process. In November 30, 2011 Federal Register (76
FR 74067), we published a second notice that extended the application
deadline for the first
[[Page 38067]]
performance period that began on April 1, 2012. We announced the
organizations participating in the Advanced Payment Model for the first
performance period (which began on April 1, 2012) on April 10, 2012.
The second performance period of the Advance Payment Model will begin
on July 1, 2012.
Additional information about the Advance Payment Model, including
organizations currently participating in the testing of the Model, is
available on the Advance Payment Model Web site at https://www.innovations.cms.gov/initiatives/ACO/Advance-Payment/.
II. Provisions of the Notice
We will be launching a third group of Advance Payment Model ACOs on
January 1, 2013. We will accept applications as specified in the DATES
section of this notice. We are creating this new opportunity in
response to requests from stakeholders and potential partners who
requested additional opportunities to partner with CMS as Advance
Payment ACOs.
Organizations interested in applying to the Advance Payment Model
must also complete an application for the Shared Savings Program.
Information about the application process and deadlines for the Shared
Savings Program is available at https://www.cms.gov/sharedsavingsprogram. Additional information about the application
process for the Advance Payment Model is available on the Advance
Payment Model Web site at https://www.innovations.cms.gov/initiatives/ACO/Advance-Payment/.
Authority: Section 1115A of the Social Security Act.
Dated: June 19, 2012.
Marilyn Tavenner,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2012-15541 Filed 6-22-12; 11:15 am]
BILLING CODE 4120-01-P
