Notification of Single Source Cooperative Agreement Awards, 54287-54288 [2015-22687]

Download as PDF 54287 Federal Register / Vol. 80, No. 174 / Wednesday, September 9, 2015 / Notices The six National DPP grantees offer the program consistent with the CDC’s Diabetes Prevention Recognition Program (DPRP) Standards. The National DPP grantees deliver the intervention through an estimated 110 sites. Grantees are responsible for scaling and sustaining the National DPP by: • Increasing the number of delivery sites, • developing delivery sites’ capacity to obtain and maintain DPRP recognition, • gaining sustainable support for delivery sites from insurance companies in the form of reimbursement, and • actively educating employers and insurance companies about the cost effectiveness of including the lifestyle change program as a covered health benefit and reimbursing delivery sites on a pay-for-performance basis. CDC proposes to assess program implementation among National DPP grantees using Excel data collection spreadsheets. This assessment/ spreadsheet process is the formative and summative evaluation of the six grantees, and is just one of the several evaluations of National DPP activities; others include the DPRP Standards’ measures and Program and Grants Office (PGO) annual grantee progress reports provided to CDC project officers. The objective of this formative and summative evaluation of the National DPP is to collect additional information to identify program-level factors leading to successful implementation and best practices for achieving program sustainability and scalability at the community level. Informing the assessment (i.e., the Excel data collection spreadsheet) is the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE– AIM) framework that National DPP grantees were provided as part of their funding opportunity announcement in 2012. The RE–AIM framework identifies pertinent questions around process and outcome measures that the Excel data collection spreadsheets are designed to answer. CDC plans to distribute Excel data collection spreadsheets to all six grantees, who will, in turn, disseminate the spreadsheets to their communitylevel intervention sites. The estimated annualized number of intervention sites is 120. Program coordinators at each intervention site will be asked to describe their intervention, identify barriers and facilitators to implementation, and identify resources used to deliver the lifestyle change programs via a site-level spreadsheet. Project directors and managers at the grantee organizations will be asked similar questions about resource use and implementation strategies via a grantee-level spreadsheet, but will also be asked to discuss elements related to the reach of their National DPP programs. CDC will use the information gained from the assessment to discern lessons learned and effective strategies around (1) expanding the reach and sustainability of the National DPP lifestyle change programs, (2) improving recruitment and retention efforts, (3) increasing referrals, and (4) securing sustained commitment among insurance providers and employers to either reimburse organizations providing the program or providing an employee benefit option for the program so it is accessible to individuals most in need of this intervention. Finally, CDC will use the information to inform the development of data-driven technical assistance for National DPP grantees and their intervention sites. The estimated time burden per site for completion of a site-level spreadsheet is between 30 and 60 minutes, with an average of 45 minutes per spreadsheet per year. The estimated burden for a grantee is up to 12 hours to complete a grantee-level spreadsheet. This includes coordinating the collection of spreadsheets from their respective sites. Collectively, over the three-year clearance period being requested, the total burden estimate is based on 120 annualized responses from National DPP Intervention Sites (110 + 120 + 130/3) and 6 annualized responses from National DPP Grantees (6 + 6 + 6/3). OMB approval is requested for 3 years. All information will be collected electronically. Participation is voluntary and there are no costs to respondents other than their time. The total estimated annualized burden hours are 162. ESTIMATED ANNUALIZED BURDEN HOURS Form name National DPP Intervention Sites ..................... Spreadsheet for National DPP Intervention Sites. Spreadsheet for National DPP Grantees ....... National DPP Grantees .................................. Leroy A. Richardson, Chief, Information Collection Review Office, Office of Scientific Integrity, Office of the Associate Director for Science, Office of the Director, Centers for Disease Control and Prevention. [FR Doc. 2015–22672 Filed 9–8–15; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare and Medicaid Services Notification of Single Source Cooperative Agreement Awards Centers for Medicare and Medicaid Services (CMS), HHS. ACTION: Notice. Lhorne on DSK5TPTVN1PROD with NOTICES AGENCY: The Center for Medicare and Medicaid Innovation (CMMI)/Seamless Care Models Group will issue a singlesource, cooperative agreement award to three (3) grantees to test a data SUMMARY: VerDate Sep<11>2014 14:19 Sep 08, 2015 Jkt 235001 PO 00000 Frm 00029 Fmt 4703 Sfmt 4703 Number of responses per respondent Number of respondents Type of respondents Average burden per response (in hours) 120 1 45/60 6 1 12 aggregation model that combines data from insurance companies and Medicare in support of an innovative payment and service delivery initiative. FOR FURTHER INFORMATION CONTACT: Janel Jin, U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, 7500 Security Blvd., Baltimore, MD 21244, Phone: (410) 786– 1438. Intended Recipients: Rise Health, The Health Collaborative, and My Health. Purpose of Award: The Centers for Medicare & Medicaid Services (CMS) is authorized to test innovative payment SUPPLEMENTARY INFORMATION: E:\FR\FM\09SEN1.SGM 09SEN1 Lhorne on DSK5TPTVN1PROD with NOTICES 54288 Federal Register / Vol. 80, No. 174 / Wednesday, September 9, 2015 / Notices and service delivery models to reduce program expenditures under Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP) while preserving or enhancing the quality of care furnished to individuals under such programs. In October 2012, CMS launched the Comprehensive Primary Care (CPC) initiative as a multi-payer demonstration to test a model that fosters collaboration between public and private health insurance companies (‘‘payers’’) to strengthen primary care. The program includes 479 participating primary care practices and 38 participating payers across 7 regional areas within the United States. The CMS Innovation Center executed a Memorandum of Understanding (MOU) with each participating payer within the 7 regional areas covered by the program. One of the stated goals in the MOU is improving the flow of cost and utilization data to CPC primary care practices. The test model will aggregate multi-payer data for each primary care practice rather than practices receiving the data individually from each payer. This single-source cooperative agreement award will allow the inclusion of Medicare data into the CPC multi-payer data model. The awardees will combine Medicare Fee-for-Service (FFS) data with utilization data from participating payers resulting in the creation of uniform and actionable reports to support physicians care coordination and quality improvement efforts. Amount of the Award: There will be three (3) single-source, cooperative agreements awarded in the initial amount of $200,000–$450,000 per award for the first budget period. An award for a non-competing continuation at $200,000–$450,000 may be awarded for a period of 12 months. Justification for Single Source Award: Commercial payers within the 7 regions have agreed to work together to improve data-sharing to the CPC practices. Each of the awardees currently maintain contracts with all of the CPC payers for data-sharing and have worked with the payers and practices to develop business requirements for the CPC multi-payer claims database system. If CMS were to award another source, the vendor would not be aggregating Medicare claims data with claims data from the regional payers, as each of the payers have selected the three entities of this award to perform this function. Doing so would undermine the CPC practices’ ability to improve care and lower costs through care coordination and quality improvement and is counter to CMS’s MOU with the payers. In conclusion, the only entities capable of VerDate Sep<11>2014 14:19 Sep 08, 2015 Jkt 235001 providing the data aggregation services described are the three entities identified for the single-source awards. Project Period: The anticipated period of performance for each cooperative agreement is 12 months from date of award with one continuation period of up to 12 months. Provisions of the Notice: Title: Testing a Model of Data Aggregation under the Comprehensive Primary Care (CPC) Initiative. CFDA Number: 93.646. Estimated Award Date: September 12, 2015. CMS has solicited proposal from Rise Health, The Health Collaborative, and My Health to include Medicare data into the multi-payer data model of the CPC initiative. CMS requested the following to be submitted with each application: 1. Cover Letter 2. Project Abstract Summary 3. Project Narrative to address how the applicant will implement the cooperative agreement program in support of the goals of the Comprehensive Primary Care Initiative. 4. Budget Narrative 5. SF–424: Official Application for Federal Assistance 6. SF–424A: Budget Information NonConstruction 7. SF–424B: Assurances-NonConstruction Programs 8. SF–LLL: Disclosure of Lobbying Activities 9. Project Site Location Form(s) [as applicable] Applications will be reviewed using the following evaluation criteria: 1. Proposed Approach—describe the development and implementation strategy for collecting and aggregating Medicare data with payer data from across the specified regions, including an anticipated timeline and activities associated with building the infrastructure needed to implement the project. 2. Organizational Capacity and Management Plan—demonstrates sufficient infrastructure and capacity to plan and implement the cooperative agreement activities and associated funding. 3. Evaluation and Reporting— overview of plans for quarterly reporting to CMS on the progress of the data aggregation activities funded under this cooperative agreement. 4. Budget and Budget Narrative— provide a detailed cost breakdown with explanations and justifications for the proposed cooperative agreement activities. PO 00000 Frm 00030 Fmt 4703 Sfmt 4703 Authority: The CMS award is authorized under section 1115A of the Social Security Act, as added by Section 3021 of the Patient Protection and Affordable Care Act (P.L. 111– 148) which permits the obligation of funding for CMS to design, implement, and evaluate innovative payment and service delivery models. Dated: September 1, 2015. Daniel F. Kane, Director, Office of Acquisition and Grants Management, Centers for Medicare & Medicaid Services. [FR Doc. 2015–22687 Filed 9–8–15; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Community Living Announcement of the Intent To Award a Single-Source Cooperative Agreement to the Gerontology Institute, University of Massachusetts Boston Administration for Community Living, HHS. ACTION: Notice. AGENCY: The Administration for Community Living (ACL) announces the intent to award a single-source cooperative agreement in the amount of $75,000 to the Gerontology Institute, University of Massachusetts Boston (UMass Boston) to support and stimulate the expansion of work already underway by UMass Boston in providing pension counseling services to residents of the State of Illinois. DATES: The award will be issued for a project period to run concurrently with the existing grantee’s budget period of July 1, 2015 through June 30, 2016. FOR FURTHER INFORMATION CONTACT: Valerie Soroka, Office of Elder Justice and Adult Protective Services, Administration on Aging, Administration for Community Living, 1 Massachusetts Avenue NW., Washington, DC 20001. Telephone: 202–357–3531; Email: valerie.soroka@ acl.hhs.gov SUMMARY: The ACL’s Pension Counseling & Information Program consists of six regional pension counseling projects, covering 29 states. The state of Illinois, with 6.4 million workers and a pension participation rate of 42%, is one of the largest states without an ACL-funded pension counseling project. The Pension Action Center at UMass Boston, which conducts ACL’s New England Pension Assistance Project, is currently providing pension counseling services SUPPLEMENTARY INFORMATION: E:\FR\FM\09SEN1.SGM 09SEN1

Agencies

[Federal Register Volume 80, Number 174 (Wednesday, September 9, 2015)]
[Notices]
[Pages 54287-54288]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-22687]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services


Notification of Single Source Cooperative Agreement Awards

AGENCY: Centers for Medicare and Medicaid Services (CMS), HHS.

ACTION: Notice.

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SUMMARY: The Center for Medicare and Medicaid Innovation (CMMI)/
Seamless Care Models Group will issue a single-source, cooperative 
agreement award to three (3) grantees to test a data aggregation model 
that combines data from insurance companies and Medicare in support of 
an innovative payment and service delivery initiative.

FOR FURTHER INFORMATION CONTACT: Janel Jin, U.S. Department of Health 
and Human Services, Centers for Medicare & Medicaid Services, 7500 
Security Blvd., Baltimore, MD 21244, Phone: (410) 786-1438.

SUPPLEMENTARY INFORMATION: Intended Recipients: Rise Health, The Health 
Collaborative, and My Health.
    Purpose of Award: The Centers for Medicare & Medicaid Services 
(CMS) is authorized to test innovative payment

[[Page 54288]]

and service delivery models to reduce program expenditures under 
Medicare, Medicaid, and the Children's Health Insurance Program (CHIP) 
while preserving or enhancing the quality of care furnished to 
individuals under such programs. In October 2012, CMS launched the 
Comprehensive Primary Care (CPC) initiative as a multi-payer 
demonstration to test a model that fosters collaboration between public 
and private health insurance companies (``payers'') to strengthen 
primary care. The program includes 479 participating primary care 
practices and 38 participating payers across 7 regional areas within 
the United States. The CMS Innovation Center executed a Memorandum of 
Understanding (MOU) with each participating payer within the 7 regional 
areas covered by the program. One of the stated goals in the MOU is 
improving the flow of cost and utilization data to CPC primary care 
practices. The test model will aggregate multi-payer data for each 
primary care practice rather than practices receiving the data 
individually from each payer.
    This single-source cooperative agreement award will allow the 
inclusion of Medicare data into the CPC multi-payer data model. The 
awardees will combine Medicare Fee-for-Service (FFS) data with 
utilization data from participating payers resulting in the creation of 
uniform and actionable reports to support physicians care coordination 
and quality improvement efforts.
    Amount of the Award: There will be three (3) single-source, 
cooperative agreements awarded in the initial amount of $200,000-
$450,000 per award for the first budget period. An award for a non-
competing continuation at $200,000-$450,000 may be awarded for a period 
of 12 months.
    Justification for Single Source Award: Commercial payers within the 
7 regions have agreed to work together to improve data-sharing to the 
CPC practices. Each of the awardees currently maintain contracts with 
all of the CPC payers for data-sharing and have worked with the payers 
and practices to develop business requirements for the CPC multi-payer 
claims database system. If CMS were to award another source, the vendor 
would not be aggregating Medicare claims data with claims data from the 
regional payers, as each of the payers have selected the three entities 
of this award to perform this function. Doing so would undermine the 
CPC practices' ability to improve care and lower costs through care 
coordination and quality improvement and is counter to CMS's MOU with 
the payers. In conclusion, the only entities capable of providing the 
data aggregation services described are the three entities identified 
for the single-source awards.
    Project Period: The anticipated period of performance for each 
cooperative agreement is 12 months from date of award with one 
continuation period of up to 12 months.
    Provisions of the Notice: Title: Testing a Model of Data 
Aggregation under the Comprehensive Primary Care (CPC) Initiative.
    CFDA Number: 93.646.
    Estimated Award Date: September 12, 2015.
    CMS has solicited proposal from Rise Health, The Health 
Collaborative, and My Health to include Medicare data into the multi-
payer data model of the CPC initiative.
    CMS requested the following to be submitted with each application:

1. Cover Letter
2. Project Abstract Summary
3. Project Narrative to address how the applicant will implement the 
cooperative agreement program in support of the goals of the 
Comprehensive Primary Care Initiative.
4. Budget Narrative
5. SF-424: Official Application for Federal Assistance
6. SF-424A: Budget Information Non-Construction
7. SF-424B: Assurances-Non-Construction Programs
8. SF-LLL: Disclosure of Lobbying Activities
9. Project Site Location Form(s) [as applicable]

    Applications will be reviewed using the following evaluation 
criteria:
    1. Proposed Approach--describe the development and implementation 
strategy for collecting and aggregating Medicare data with payer data 
from across the specified regions, including an anticipated timeline 
and activities associated with building the infrastructure needed to 
implement the project.
    2. Organizational Capacity and Management Plan--demonstrates 
sufficient infrastructure and capacity to plan and implement the 
cooperative agreement activities and associated funding.
    3. Evaluation and Reporting--overview of plans for quarterly 
reporting to CMS on the progress of the data aggregation activities 
funded under this cooperative agreement.
    4. Budget and Budget Narrative--provide a detailed cost breakdown 
with explanations and justifications for the proposed cooperative 
agreement activities.

    Authority: The CMS award is authorized under section 1115A of 
the Social Security Act, as added by Section 3021 of the Patient 
Protection and Affordable Care Act (P.L. 111-148) which permits the 
obligation of funding for CMS to design, implement, and evaluate 
innovative payment and service delivery models.

    Dated: September 1, 2015.
Daniel F. Kane,
Director, Office of Acquisition and Grants Management, Centers for 
Medicare & Medicaid Services.
[FR Doc. 2015-22687 Filed 9-8-15; 8:45 am]
 BILLING CODE 4120-01-P