Medicare Program; Request for Information on Medicare Advantage Data, 5907-5909 [2024-01832]
Download as PDF
Federal Register / Vol. 89, No. 20 / Tuesday, January 30, 2024 / Notices
procedures. On February 21, 2006, we
issued our decision memorandum on
bariatric surgery procedures. We
determined that bariatric surgical
procedures are reasonable and necessary
for Medicare beneficiaries who have a
body-mass index (BMI) greater than or
equal to 35, have at least one comorbidity related to obesity and have
been previously unsuccessful with
medical treatment for obesity. This
decision also stipulated that covered
bariatric surgery procedures are
reasonable and necessary only when
performed at facilities that are: (1)
certified by the American College of
Surgeons (ACS) as a Level 1 Bariatric
Surgery Center (program standards and
requirements in effect on February 15,
2006); or (2) certified by the American
Society for Bariatric Surgery (ASBS) as
a Bariatric Surgery Center of Excellence
(BSCOE) (program standards and
requirements in effect on February 15,
2006).
There were no additions, deletions, or
editorial changes to Medicare-approved
facilities that meet CMS’ minimum
facility standards for bariatric surgery
that have been certified by ACS and/or
ASMBS in the 3-month period. This
information is available at
www.cms.gov/MedicareApproved
Facilitie/BSF/list.asp#TopOfPage.
For questions or additional
information, contact Sarah Fulton, MHS
(410–786–2749).
Addendum XV: FDG–PET for Dementia
and Neurodegenerative Diseases
Clinical Trials (October Through
December 2023)
There were no FDG–PET for Dementia
and Neurodegenerative Diseases
Clinical Trials published in the 3-month
period.
This information is available on our
website at www.cms.gov/Medicare
ApprovedFacilitie/PETDT/list.asp#
TopOfPage.
For questions or additional
information, contact David Dolan, MBA
(410–786–3365).
[FR Doc. 2024–01785 Filed 1–29–24; 8:45 am]
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BILLING CODE 4120–01–P
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–4207–NC]
RIN 0938–ZB84
Medicare Program; Request for
Information on Medicare Advantage
Data
Centers for Medicare &
Medicaid Services (CMS), Department
of Health and Human Services (HHS).
ACTION: Request for information.
AGENCY:
This request for information
(RFI) seeks input from the public
regarding various aspects of Medicare
Advantage (MA) data. Responses to this
RFI may be used to inform general
efforts to strengthen Centers for
Medicare & Medicaid Services’ (CMS’)
MA data capabilities and guide
policymaking.
SUMMARY:
To be assured consideration,
comments must be received at one of
the addresses provided below, by May
29, 2024.
ADDRESSES: In commenting, refer to file
code CMS–4207–NC.
Comments, including mass comment
submissions, must be submitted in one
of the following three ways (please
choose only one of the ways listed):
1. Electronically. You may submit
electronic comments on this document
to https://www.regulations.gov. Follow
the ‘‘Submit a comment’’ instructions.
2. By regular mail. You may mail
written comments to the following
address ONLY: Centers for Medicare &
Medicaid Services, Department of
Health and Human Services, Attention:
CMS–4207–NC, P.O. Box 8013,
Baltimore, MD 21244–8013.
Please allow sufficient time for mailed
comments to be received before the
close of the comment period.
3. By express or overnight mail. You
may send written comments to the
following address ONLY: Centers for
Medicare & Medicaid Services,
Department of Health and Human
Services, Attention: CMS–4207–NC,
Mail Stop C4–26–05, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
For information on viewing public
comments, see the beginning of the
SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT: Ilina
Chaudhuri, (410) 786–8628.
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: All
comments received before the close of
the comment period are available for
DATES:
PO 00000
Frm 00053
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Sfmt 4703
5907
viewing by the public, including any
personally identifiable or confidential
business information that is included in
a comment. We post all comments
received before the close of the
comment period on the following
website as soon as possible after they
have been received: https://
www.regulations.gov. Follow the search
instructions on that website to view
public comments. CMS will not post on
Regulations.gov public comments that
make threats to individuals or
institutions or suggest that the
individual will take actions to harm the
individual. CMS continues to encourage
individuals not to submit duplicative
comments. We will post acceptable
comments from multiple unique
commenters even if the content is
identical or nearly identical to other
comments.
I. Background
In a request for information that
appeared in the Federal Register on
August 1, 2022 (87 FR 46918)
(hereinafter referred to as 2022 General
MA RFI), CMS sought feedback on ways
to strengthen Medicare Advantage (MA)
to align with the Vision for Medicare
(https://www.cms.gov/blog/buildingcms-strategic-vision-working-togetherstronger-medicare) and the CMS
Strategic Pillars (https://www.cms.gov/
about-cms/what-we-do/cms-strategicplan). The 2022 General MA RFI set out
to create more opportunities for
stakeholders to engage with CMS, and
in alignment with the agency’s Strategic
Pillars, prioritize increased engagement
throughout the policy process with our
partners and the communities we serve.
As a result of this commitment, we
received more than 4,000 responses
from a wide variety of voices. One key
theme that emerged was an interest in
greater beneficiary protections, such as
strengthened MA marketing regulations
and prior authorization protections.
Respondents also focused on issues
related to payment, including accurate
risk adjustment and value-based
payment arrangements between
providers and insurers, as well as
competition in the market, such as
topics related to insurer consolidation
and vertical integration. Additionally,
we received strong feedback from
respondents who stated that CMS
should have comprehensive highquality MA programmatic data and
promote more program transparency
through increased public releases of MA
data. Respondents underscored the
urgency for more complete MA data and
data transparency as enrollment in MA
E:\FR\FM\30JAN1.SGM
30JAN1
5908
Federal Register / Vol. 89, No. 20 / Tuesday, January 30, 2024 / Notices
khammond on DSKJM1Z7X2PROD with NOTICES
has for the first time reached half of all
people enrolled in Medicare.1
Recommendations regarding MA data
included calls for CMS to collect and
release more MA data on key areas of
concern, such as supplemental benefit
costs and utilization, value-based
payment arrangements between
providers and plans, utilization
management and prior authorization
including denials and appeals and
access to inpatient services and postacute care, network adequacy and
provider directory accuracy,
competitive forces in the market such as
the effects of market shifts and vertical
integration and consolidation on
consumers, care outcomes, and
Medicare Loss Ratios (MLRs).
Commenters also raised data
considerations on topics such as MA
marketing activity, especially predatory
behavior, care outcomes and data
available in MA compared to
Traditional Medicare (Medicare Parts A
and B), and geographic impacts
including on rural areas, among other
important topic areas. Respondents
emphasized that CMS should improve
its data capabilities to measure impacts
of MA on underserved communities.
HHS’ Office of Inspector General (OIG),
the Government Accountability Office
(GAO), and the Medicare Payment
Advisory Commission (MedPAC) have
pointed out program areas that would
benefit from better or more MA data as
well.2
1 From ‘‘Medicare Advantage and Medicare
Prescription Drug Programs to Remain Stable in
2024’’, available at https://www.cms.gov/newsroom/
press-releases/medicare-advantage-and-medicareprescription-drug-programs-remain-stable-2024.
2 Examples of such studies and reports include:
‘‘Priority Open Recommendations: Department of
Health and Human Services.’’ May 2023. https://
www.gao.gov/assets/gao-23-106467.pdf; ‘‘The
Inability To Identify Denied Claims in Medicare
Advantage Hinders Fraud Oversight.’’ OEI–03–21–
00380. March 2023. https://oig.hhs.gov/oei/reports/
OEI-03-21-00380.asp; ‘‘Medicare Advantage: Plans
Generally Offered Some Supplemental Benefits, but
CMS Has Limited Data on Utilization.’’ Jan 2023.
https://www.gao.gov/products/gao-23-105527;
‘‘OIG’s Top Unimplemented Recommendations:
Solutions to Reduce Fraud, Waste, and Abuse in
HHS Programs.’’ 2022. https://oig.hhs.gov/reportsand-publications/compendium/files/
compendium2022.pdf; ‘‘CMS Generally Ensured
That Medicare Part C and Part D Sponsors Did Not
Pay Ineligible Providers for Services to Medicare
Beneficiaries.’’ A–02–20–01027. Oct 2022. https://
oig.hhs.gov/oas/reports/region2/22001027.pdf;
‘‘Some Medicare Advantage Organization Denials of
Prior Authorization Requests Raise Concerns About
Beneficiary Access to Medically Necessary Care.’’
OEI–09–18–00260. Apr 2022. https://oig.hhs.gov/
oei/reports/oei-09-18-00260.asp; ‘‘Medicare
Advantage Organizations Are Missing
Opportunities To Use Ordering Provider Identifiers
to Protect Integrity.’’ OEI Report OEI–03–19–00432.
Apr 2021. https://oig.hhs.gov/oei/reports/OEI-0319-00432.asp; https://www.medpac.gov/wpcontent/uploads/import_data/scrape_files/docs/
default-source/reports/jun19_ch7_medpac_reportto
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During the Biden-Harris
Administration, we have finalized
policies for 2024 3 and proposed
policies 4 that will improve MA data
capabilities, among other important MA
policy changes. We have also issued
requirements for collecting more data
related to supplemental benefits in the
updated Part C reporting requirements,5
required MA organizations to improve
prior authorization processes 6 and final
interoperability requirements,7 and
begun collecting race and ethnicity data
on a voluntary basis on MA and Part D
enrollment forms.8
This RFI is an extension of our
ongoing work on MA data as we solicit
feedback from the public on how best to
meet the shared goals of enhancing data
capabilities to have better insight into
our programs, consider areas to increase
MA data transparency, and propose
future rulemaking. Our eventual goal is
to have, and make publicly available,
MA data commensurate with data
available for Traditional Medicare to
advance transparency across the
Medicare program, and to allow for
analysis in the context of other health
programs like accountable care
organizations, the Marketplace,
Medicaid managed care, integrated
delivery systems, among others.
II. Solicitation of Public Comments
We encourage feedback from a wide
array of interested parties, including
beneficiaries and beneficiary advocates,
plans, providers, community-based
organizations, researchers, employers
and unions, and all other interested
parties, including the public at large.
Our interest in this RFI is to solicit
comments on all aspects of data related
congress_sec.pdf; ‘‘The Inability To Identify Denied
Claims in Medicare Advantage Hinders Fraud
Oversight.’’ (OEI–03–21–00380) March 2023.
https://oig.hhs.gov/oei/reports/OEI-03-2100380.asp.
3 https://www.cms.gov/newsroom/fact-sheets/
2024-medicare-advantage-and-part-d-final-rulecms-4201-f.
4 https://www.cms.gov/newsroom/fact-sheets/
contract-year-2025-policy-and-technical-changesmedicare-advantage-plan-program-medicare;
https://www.cms.gov/newsroom/fact-sheets/
contract-year-2024-policy-and-technical-changesmedicare-advantage-and-medicare-prescriptiondrug.
5 https://www.cms.gov/medicare/enrollmentrenewal/health-plans/part-c.
6 https://www.cms.gov/newsroom/fact-sheets/
contract-year-2024-policy-and-technical-changesmedicare-advantage-and-medicare-prescriptiondrug; https://www.cms.gov/newsroom/fact-sheets/
contract-year-2025-policy-and-technical-changesmedicare-advantage-plan-program-medicare.
7 https://www.cms.gov/newsroom/fact-sheets/
cms-interoperability-and-prior-authorization-finalrule-cms-0057-f.
8 https://www.cms.gov/regulations-and-guidance
legislationpaperworkreductionactof1995pra-listing/
cms-10718.
PO 00000
Frm 00054
Fmt 4703
Sfmt 4703
to the MA program. Intimate knowledge
of CMS’ current data availability or
capability is not needed to provide
input on the aspects of MA for which
commenters think policymakers and the
public should have more data.
In this RFI, CMS requests comments
on all aspects of data related to the MA
program—both data not currently
collected as well as data currently
collected. We are especially interested
in: data-related recommendations
related to beneficiary access to care
including provider directories and
networks; prior authorization and
utilization management, including
denials of care and beneficiary
experience with appeals processes as
well as use and reliance on algorithms;
cost and utilization of different
supplemental benefits; all aspects of MA
marketing and consumer decisionmaking; care quality and outcomes,
including value-based care
arrangements and health equity; healthy
competition in the market, including the
impact of mergers and acquisitions, high
levels of enrollment concentration, and
the effects of vertical integration, data
topics related to Medicare Advantage
prescription drug plans (MAPDs); and
special populations such as individuals
dually eligible for Medicare and
Medicaid, individuals with end stage
renal disease (ESRD), and other
enrollees with complex conditions. We
ask that academic researchers and other
data analysts provide precise detail and
definitions on the data format, fields,
and content that would facilitate
comprehensive analyses of any publicly
released MA data, including
comparisons with existing data sets, for
example, between Traditional Medicare
and MA. Additionally, we seek detail
regarding the rationale, goals, and
questions that you could address with
newly released data and suggestions for
how such data could support new
action or regulation by CMS. We are
also interested to hear if you have
insight in ways in which CMS could
leverage existing private sector data.
It would also be helpful for plans,
providers, data vendors, and other
stakeholders with a deep understanding
of MA data to provide recommendations
related to operational considerations as
part of this effort. Comments are
welcome on ways that we could
improve our current MA data collection
and release methods, including
recommendations on the preferred
cadence of data releases. Finally, we
seek detailed information from
beneficiary advocates, health care
providers, and other stakeholders on
common challenges and experiences in
E:\FR\FM\30JAN1.SGM
30JAN1
5909
Federal Register / Vol. 89, No. 20 / Tuesday, January 30, 2024 / Notices
the MA program for which limited data
are currently available.
III. Collection of Information
Requirements
This is a request for information (RFI)
only. In accordance with the
implementing regulations of the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501 et seq.), specifically 5
CFR 1320.3(h)(4), this general
solicitation is exempt from the PRA.
Facts or opinions submitted in response
to general solicitations of comments
from the public, published in the
Federal Register or other publications,
regardless of the form or format thereof,
provided that no person is required to
supply specific information pertaining
to the commenter, other than that
necessary for self-identification, as a
condition of the agency’s full
consideration, are not generally
considered information collections and
therefore not subject to the PRA.
This RFI is issued solely for
information and planning purposes; it
does not constitute a Request for
Proposal (RFP), applications, proposal
abstracts, or quotations. This RFI does
not commit the U.S. Government to
contract for any supplies or services or
make a grant award. Further, we are not
seeking proposals through this RFI and
will not accept unsolicited proposals.
Responders are advised that the U.S.
Government will not pay for any
information or administrative costs
incurred in response to this RFI; all
costs associated with responding to this
RFI will be solely at the interested
party’s expense. In addition, this RFI
does not commit the Government to any
policy decision and CMS will follow
established methods for proposing
future policy changes, including the MA
Advance Notice and Rate
Announcement process. We note that
not responding to this RFI does not
preclude participation in any future
procurement or rulemaking, if
conducted. It is the responsibility of the
potential responders to monitor this RFI
announcement for additional
information pertaining to this request.
In addition, we note that CMS will not
respond to questions about the policy
issues raised in this RFI.
Chiquita Brooks-LaSure,
Administrator of the Centers for
Medicare & Medicaid Services,
approved this document on January 22,
2024.
Dated: January 25, 2024.
Xavier Becerra,
Secretary, Department of Health and Human
Services.
[FR Doc. 2024–01832 Filed 1–25–24; 4:15 pm]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for Office of Management
and Budget Review; Office of Human
Services Emergency Preparedness
and Response Disaster Human
Services Case Management Intake
Assessment, Resource Referral, and
Case Management Plan
Office of Human Services
Emergency Preparedness and Response,
Administration for Children and
Families, U.S. Department of Health and
Human Services.
ACTION: Request for public comments.
AGENCY:
The Office of Human Services
Emergency Preparedness and Response
(OHSEPR), Administration for Children
and Families (ACF), U.S. Department of
Health and Human Services (HHS), is
requesting an extension for approval of
the following information collection:
OHSEPR Disaster Human Services Case
Management Intake Assessment,
SUMMARY:
Resource Referral, and Case
Management Plan; OMB No.: 0970–
0619. This information collection was
originally approved for 6 months
through an emergency approval.
Comments due within 30 days of
publication. OMB is required to make a
decision concerning the collection of
information between 30 and 60 days
after publication of this document in the
Federal Register. Therefore, a comment
is best assured of having its full effect
if OMB receives it within 30 days of
publication.
DATES:
Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function. You can also obtain
copies of the proposed collection of
information by emailing infocollection@
acf.hhs.gov. All emailed requests should
be identified by the title of the
information collection.
ADDRESSES:
SUPPLEMENTARY INFORMATION:
Description: OHSEPR is seeking to
continue data collection with all forms
approved under OMB No. 0970–0619,
which OMB recently approved through
an emergency approval for 6 months.
OHSEPR’s Disaster Human Services
Intake Assessment, Resource Referral,
and Case Management Plan collection is
part of a system of tools that OHSEPR
utilizes to support disaster survivors
during response missions. OHSEPR’s
case managers would use this collection
during an intake assessment to identify
a disaster survivor’s unmet needs and to
work with the survivor to develop a case
management plan based on the
survivor’s responses.
Respondents: Disaster survivors.
ANNUAL BURDEN ESTIMATES
Annual
number of
respondents
khammond on DSKJM1Z7X2PROD with NOTICES
Data collection
Total number
of responses
per respondent
Average
burden hours
per response
Annual
burden hours
Disaster Human Services Case Management Intake Assessment—Survivor ........................................................................................................
Case Management Plan—Case Manager .................................................
Resource Referral Form—Case Manager .................................................
Case Record Notes—Case Manager ........................................................
Survivor Satisfaction Survey—Survivor .....................................................
9,000
180
180
180
9,000
1
50
50
50
1
1.5
1
1
1
.25
13,500
9,000
9,000
9,000
2,250
Estimated Total Annual Burden Hours: ..............................................
........................
..............................
........................
42,750
Authority: The Disaster Human
Services Case Management Program is
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17:23 Jan 29, 2024
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authorized through appropriations
language under the Children and
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Sfmt 4703
Families Services account. It is operated
by the ACF Office of Human Services
E:\FR\FM\30JAN1.SGM
30JAN1
Agencies
[Federal Register Volume 89, Number 20 (Tuesday, January 30, 2024)]
[Notices]
[Pages 5907-5909]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-01832]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-4207-NC]
RIN 0938-ZB84
Medicare Program; Request for Information on Medicare Advantage
Data
AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of
Health and Human Services (HHS).
ACTION: Request for information.
-----------------------------------------------------------------------
SUMMARY: This request for information (RFI) seeks input from the public
regarding various aspects of Medicare Advantage (MA) data. Responses to
this RFI may be used to inform general efforts to strengthen Centers
for Medicare & Medicaid Services' (CMS') MA data capabilities and guide
policymaking.
DATES: To be assured consideration, comments must be received at one of
the addresses provided below, by May 29, 2024.
ADDRESSES: In commenting, refer to file code CMS-4207-NC.
Comments, including mass comment submissions, must be submitted in
one of the following three ways (please choose only one of the ways
listed):
1. Electronically. You may submit electronic comments on this
document to https://www.regulations.gov. Follow the ``Submit a comment''
instructions.
2. By regular mail. You may mail written comments to the following
address ONLY: Centers for Medicare & Medicaid Services, Department of
Health and Human Services, Attention: CMS-4207-NC, P.O. Box 8013,
Baltimore, MD 21244-8013.
Please allow sufficient time for mailed comments to be received
before the close of the comment period.
3. By express or overnight mail. You may send written comments to
the following address ONLY: Centers for Medicare & Medicaid Services,
Department of Health and Human Services, Attention: CMS-4207-NC, Mail
Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.
For information on viewing public comments, see the beginning of
the SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT: Ilina Chaudhuri, (410) 786-8628.
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: All comments received before the
close of the comment period are available for viewing by the public,
including any personally identifiable or confidential business
information that is included in a comment. We post all comments
received before the close of the comment period on the following
website as soon as possible after they have been received: https://www.regulations.gov. Follow the search instructions on that website to
view public comments. CMS will not post on Regulations.gov public
comments that make threats to individuals or institutions or suggest
that the individual will take actions to harm the individual. CMS
continues to encourage individuals not to submit duplicative comments.
We will post acceptable comments from multiple unique commenters even
if the content is identical or nearly identical to other comments.
I. Background
In a request for information that appeared in the Federal Register
on August 1, 2022 (87 FR 46918) (hereinafter referred to as 2022
General MA RFI), CMS sought feedback on ways to strengthen Medicare
Advantage (MA) to align with the Vision for Medicare (https://www.cms.gov/blog/building-cms-strategic-vision-working-together-stronger-medicare) and the CMS Strategic Pillars (https://www.cms.gov/about-cms/what-we-do/cms-strategic-plan). The 2022 General MA RFI set
out to create more opportunities for stakeholders to engage with CMS,
and in alignment with the agency's Strategic Pillars, prioritize
increased engagement throughout the policy process with our partners
and the communities we serve. As a result of this commitment, we
received more than 4,000 responses from a wide variety of voices. One
key theme that emerged was an interest in greater beneficiary
protections, such as strengthened MA marketing regulations and prior
authorization protections. Respondents also focused on issues related
to payment, including accurate risk adjustment and value-based payment
arrangements between providers and insurers, as well as competition in
the market, such as topics related to insurer consolidation and
vertical integration. Additionally, we received strong feedback from
respondents who stated that CMS should have comprehensive high-quality
MA programmatic data and promote more program transparency through
increased public releases of MA data. Respondents underscored the
urgency for more complete MA data and data transparency as enrollment
in MA
[[Page 5908]]
has for the first time reached half of all people enrolled in
Medicare.\1\
---------------------------------------------------------------------------
\1\ From ``Medicare Advantage and Medicare Prescription Drug
Programs to Remain Stable in 2024'', available at https://www.cms.gov/newsroom/press-releases/medicare-advantage-and-medicare-prescription-drug-programs-remain-stable-2024.
---------------------------------------------------------------------------
Recommendations regarding MA data included calls for CMS to collect
and release more MA data on key areas of concern, such as supplemental
benefit costs and utilization, value-based payment arrangements between
providers and plans, utilization management and prior authorization
including denials and appeals and access to inpatient services and
post-acute care, network adequacy and provider directory accuracy,
competitive forces in the market such as the effects of market shifts
and vertical integration and consolidation on consumers, care outcomes,
and Medicare Loss Ratios (MLRs). Commenters also raised data
considerations on topics such as MA marketing activity, especially
predatory behavior, care outcomes and data available in MA compared to
Traditional Medicare (Medicare Parts A and B), and geographic impacts
including on rural areas, among other important topic areas.
Respondents emphasized that CMS should improve its data capabilities to
measure impacts of MA on underserved communities. HHS' Office of
Inspector General (OIG), the Government Accountability Office (GAO),
and the Medicare Payment Advisory Commission (MedPAC) have pointed out
program areas that would benefit from better or more MA data as
well.\2\
---------------------------------------------------------------------------
\2\ Examples of such studies and reports include: ``Priority
Open Recommendations: Department of Health and Human Services.'' May
2023. https://www.gao.gov/assets/gao-23-106467.pdf; ``The Inability
To Identify Denied Claims in Medicare Advantage Hinders Fraud
Oversight.'' OEI-03-21-00380. March 2023. https://oig.hhs.gov/oei/reports/OEI-03-21-00380.asp; ``Medicare Advantage: Plans Generally
Offered Some Supplemental Benefits, but CMS Has Limited Data on
Utilization.'' Jan 2023. https://www.gao.gov/products/gao-23-105527;
``OIG's Top Unimplemented Recommendations: Solutions to Reduce
Fraud, Waste, and Abuse in HHS Programs.'' 2022. https://oig.hhs.gov/reports-and-publications/compendium/files/compendium2022.pdf; ``CMS Generally Ensured That Medicare Part C and
Part D Sponsors Did Not Pay Ineligible Providers for Services to
Medicare Beneficiaries.'' A-02-20-01027. Oct 2022. https://oig.hhs.gov/oas/reports/region2/22001027.pdf; ``Some Medicare
Advantage Organization Denials of Prior Authorization Requests Raise
Concerns About Beneficiary Access to Medically Necessary Care.''
OEI-09-18-00260. Apr 2022. https://oig.hhs.gov/oei/reports/oei-09-18-00260.asp; ``Medicare Advantage Organizations Are Missing
Opportunities To Use Ordering Provider Identifiers to Protect
Integrity.'' OEI Report OEI-03-19-00432. Apr 2021. https://oig.hhs.gov/oei/reports/OEI-03-19-00432.asp; https://www.medpac.gov/wp-content/uploads/import_data/scrape_files/docs/default-source/reports/jun19_ch7_medpac_reporttocongress_sec.pdf; ``The Inability
To Identify Denied Claims in Medicare Advantage Hinders Fraud
Oversight.'' (OEI-03-21-00380) March 2023. https://oig.hhs.gov/oei/reports/OEI-03-21-00380.asp.
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During the Biden-Harris Administration, we have finalized policies
for 2024 \3\ and proposed policies \4\ that will improve MA data
capabilities, among other important MA policy changes. We have also
issued requirements for collecting more data related to supplemental
benefits in the updated Part C reporting requirements,\5\ required MA
organizations to improve prior authorization processes \6\ and final
interoperability requirements,\7\ and begun collecting race and
ethnicity data on a voluntary basis on MA and Part D enrollment
forms.\8\
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\3\ https://www.cms.gov/newsroom/fact-sheets/2024-medicare-advantage-and-part-d-final-rule-cms-4201-f.
\4\ https://www.cms.gov/newsroom/fact-sheets/contract-year-2025-policy-and-technical-changes-medicare-advantage-plan-program-medicare; https://www.cms.gov/newsroom/fact-sheets/contract-year-2024-policy-and-technical-changes-medicare-advantage-and-medicare-prescription-drug.
\5\ https://www.cms.gov/medicare/enrollment-renewal/health-plans/part-c.
\6\ https://www.cms.gov/newsroom/fact-sheets/contract-year-2024-policy-and-technical-changes-medicare-advantage-and-medicare-prescription-drug; https://www.cms.gov/newsroom/fact-sheets/contract-year-2025-policy-and-technical-changes-medicare-advantage-plan-program-medicare.
\7\ https://www.cms.gov/newsroom/fact-sheets/cms-interoperability-and-prior-authorization-final-rule-cms-0057-f.
\8\ https://www.cms.gov/regulations-and-guidancelegislationpaperworkreductionactof1995pra-listing/cms-10718.
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This RFI is an extension of our ongoing work on MA data as we
solicit feedback from the public on how best to meet the shared goals
of enhancing data capabilities to have better insight into our
programs, consider areas to increase MA data transparency, and propose
future rulemaking. Our eventual goal is to have, and make publicly
available, MA data commensurate with data available for Traditional
Medicare to advance transparency across the Medicare program, and to
allow for analysis in the context of other health programs like
accountable care organizations, the Marketplace, Medicaid managed care,
integrated delivery systems, among others.
II. Solicitation of Public Comments
We encourage feedback from a wide array of interested parties,
including beneficiaries and beneficiary advocates, plans, providers,
community-based organizations, researchers, employers and unions, and
all other interested parties, including the public at large. Our
interest in this RFI is to solicit comments on all aspects of data
related to the MA program. Intimate knowledge of CMS' current data
availability or capability is not needed to provide input on the
aspects of MA for which commenters think policymakers and the public
should have more data.
In this RFI, CMS requests comments on all aspects of data related
to the MA program--both data not currently collected as well as data
currently collected. We are especially interested in: data-related
recommendations related to beneficiary access to care including
provider directories and networks; prior authorization and utilization
management, including denials of care and beneficiary experience with
appeals processes as well as use and reliance on algorithms; cost and
utilization of different supplemental benefits; all aspects of MA
marketing and consumer decision-making; care quality and outcomes,
including value-based care arrangements and health equity; healthy
competition in the market, including the impact of mergers and
acquisitions, high levels of enrollment concentration, and the effects
of vertical integration, data topics related to Medicare Advantage
prescription drug plans (MAPDs); and special populations such as
individuals dually eligible for Medicare and Medicaid, individuals with
end stage renal disease (ESRD), and other enrollees with complex
conditions. We ask that academic researchers and other data analysts
provide precise detail and definitions on the data format, fields, and
content that would facilitate comprehensive analyses of any publicly
released MA data, including comparisons with existing data sets, for
example, between Traditional Medicare and MA. Additionally, we seek
detail regarding the rationale, goals, and questions that you could
address with newly released data and suggestions for how such data
could support new action or regulation by CMS. We are also interested
to hear if you have insight in ways in which CMS could leverage
existing private sector data.
It would also be helpful for plans, providers, data vendors, and
other stakeholders with a deep understanding of MA data to provide
recommendations related to operational considerations as part of this
effort. Comments are welcome on ways that we could improve our current
MA data collection and release methods, including recommendations on
the preferred cadence of data releases. Finally, we seek detailed
information from beneficiary advocates, health care providers, and
other stakeholders on common challenges and experiences in
[[Page 5909]]
the MA program for which limited data are currently available.
III. Collection of Information Requirements
This is a request for information (RFI) only. In accordance with
the implementing regulations of the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501 et seq.), specifically 5 CFR 1320.3(h)(4), this
general solicitation is exempt from the PRA. Facts or opinions
submitted in response to general solicitations of comments from the
public, published in the Federal Register or other publications,
regardless of the form or format thereof, provided that no person is
required to supply specific information pertaining to the commenter,
other than that necessary for self-identification, as a condition of
the agency's full consideration, are not generally considered
information collections and therefore not subject to the PRA.
This RFI is issued solely for information and planning purposes; it
does not constitute a Request for Proposal (RFP), applications,
proposal abstracts, or quotations. This RFI does not commit the U.S.
Government to contract for any supplies or services or make a grant
award. Further, we are not seeking proposals through this RFI and will
not accept unsolicited proposals. Responders are advised that the U.S.
Government will not pay for any information or administrative costs
incurred in response to this RFI; all costs associated with responding
to this RFI will be solely at the interested party's expense. In
addition, this RFI does not commit the Government to any policy
decision and CMS will follow established methods for proposing future
policy changes, including the MA Advance Notice and Rate Announcement
process. We note that not responding to this RFI does not preclude
participation in any future procurement or rulemaking, if conducted. It
is the responsibility of the potential responders to monitor this RFI
announcement for additional information pertaining to this request. In
addition, we note that CMS will not respond to questions about the
policy issues raised in this RFI.
Chiquita Brooks-LaSure, Administrator of the Centers for Medicare &
Medicaid Services, approved this document on January 22, 2024.
Dated: January 25, 2024.
Xavier Becerra,
Secretary, Department of Health and Human Services.
[FR Doc. 2024-01832 Filed 1-25-24; 4:15 pm]
BILLING CODE 4120-01-P