80 FR 54287 - Notification of Single Source Cooperative Agreement Awards

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services

Federal Register Volume 80, Issue 174 (September 9, 2015)

Page Range		54287-54288
FR Document		2015-22687

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.

Federal Register, Volume 80 Issue 174 (Wednesday, September 9, 2015)

[Federal Register Volume 80, Number 174 (Wednesday, September 9, 2015)]
[Notices]
[Pages 54287-54288]
From the Federal Register Online  [www.thefederalregister.org]
[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

Federal Register / Vol. 80, No. 174 / Wednesday, September 9, 2015 / Notices 54287

The six National DPP grantees offer practices for achieving program around (1) expanding the reach and
the program consistent with the CDC’s sustainability and scalability at the sustainability of the National DPP
Diabetes Prevention Recognition community level. Informing the lifestyle change programs, (2) improving
Program (DPRP) Standards. The assessment (i.e., the Excel data recruitment and retention efforts, (3)
National DPP grantees deliver the collection spreadsheet) is the Reach, increasing referrals, and (4) securing
intervention through an estimated 110 Effectiveness, Adoption, sustained commitment among insurance
sites. Grantees are responsible for Implementation, and Maintenance (RE– providers and employers to either
scaling and sustaining the National DPP AIM) framework that National DPP reimburse organizations providing the
by: grantees were provided as part of their program or providing an employee
• Increasing the number of delivery funding opportunity announcement in benefit option for the program so it is
sites, 2012. The RE–AIM framework identifies accessible to individuals most in need
• developing delivery sites’ capacity pertinent questions around process and of this intervention. Finally, CDC will
to obtain and maintain DPRP outcome measures that the Excel data use the information to inform the
recognition, collection spreadsheets are designed to development of data-driven technical
• gaining sustainable support for answer. assistance for National DPP grantees and
delivery sites from insurance companies their intervention sites.
CDC plans to distribute Excel data
in the form of reimbursement, and
• actively educating employers and collection spreadsheets to all six The estimated time burden per site for
insurance companies about the cost grantees, who will, in turn, disseminate completion of a site-level spreadsheet is
effectiveness of including the lifestyle the spreadsheets to their community- between 30 and 60 minutes, with an
change program as a covered health level intervention sites. The estimated average of 45 minutes per spreadsheet
benefit and reimbursing delivery sites annualized number of intervention sites per year. The estimated burden for a
on a pay-for-performance basis. is 120. grantee is up to 12 hours to complete a
CDC proposes to assess program Program coordinators at each grantee-level spreadsheet. This includes
implementation among National DPP intervention site will be asked to coordinating the collection of
grantees using Excel data collection describe their intervention, identify spreadsheets from their respective sites.
spreadsheets. This assessment/ barriers and facilitators to Collectively, over the three-year
spreadsheet process is the formative and implementation, and identify resources clearance period being requested, the
summative evaluation of the six used to deliver the lifestyle change total burden estimate is based on 120
grantees, and is just one of the several programs via a site-level spreadsheet. annualized responses from National
evaluations of National DPP activities; Project directors and managers at the DPP Intervention Sites (110 + 120 +
others include the DPRP Standards’ grantee organizations will be asked 130/3) and 6 annualized responses from
measures and Program and Grants similar questions about resource use National DPP Grantees (6 + 6 + 6/3).
Office (PGO) annual grantee progress and implementation strategies via a OMB approval is requested for 3 years.
reports provided to CDC project officers. grantee-level spreadsheet, but will also All information will be collected
The objective of this formative and be asked to discuss elements related to electronically. Participation is voluntary
summative evaluation of the National the reach of their National DPP and there are no costs to respondents
DPP is to collect additional information programs. CDC will use the information other than their time.
to identify program-level factors leading gained from the assessment to discern The total estimated annualized
to successful implementation and best lessons learned and effective strategies burden hours are 162.

ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of
Number of burden per
Type of respondents Form name responses per
respondents response
respondent (in hours)

National DPP Intervention Sites ..................... Spreadsheet for National DPP Intervention 120 1 45/60
Sites.
National DPP Grantees .................................. Spreadsheet for National DPP Grantees ....... 6 1 12

Leroy A. Richardson, DEPARTMENT OF HEALTH AND aggregation model that combines data
Chief, Information Collection Review Office, HUMAN SERVICES from insurance companies and
Office of Scientific Integrity, Office of the Medicare in support of an innovative
Associate Director for Science, Office of the Centers for Medicare and Medicaid payment and service delivery initiative.
Director, Centers for Disease Control and Services
FOR FURTHER INFORMATION CONTACT:
Prevention.
Notification of Single Source Janel Jin, U.S. Department of Health and
[FR Doc. 2015–22672 Filed 9–8–15; 8:45 am]
Cooperative Agreement Awards Human Services, Centers for Medicare &
BILLING CODE 4163–18–P Medicaid Services, 7500 Security Blvd.,
AGENCY: Centers for Medicare and Baltimore, MD 21244, Phone: (410) 786–
Medicaid Services (CMS), HHS. 1438.
Lhorne on DSK5TPTVN1PROD with NOTICES

ACTION: Notice.
SUPPLEMENTARY INFORMATION: Intended
SUMMARY: The Center for Medicare and Recipients: Rise Health, The Health
Medicaid Innovation (CMMI)/Seamless Collaborative, and My Health.
Care Models Group will issue a single- Purpose of Award: The Centers for
source, cooperative agreement award to Medicare & Medicaid Services (CMS) is
three (3) grantees to test a data authorized to test innovative payment

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Document Created: 2015-12-15 09:53:36
Document Modified: 2015-12-15 09:53:36

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice.
Dates		September 12, 2015.
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.
FR Citation		80 FR 54287

80 FR 54287 - Notification of Single Source Cooperative Agreement Awards

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare and Medicaid Services

Federal Register Volume 80, Issue 174 (September 9, 2015)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services