81 FR 17147 - Revised Non-Foreign Overseas Per Diem Rates
DEPARTMENT OF DEFENSE
Office of the Secretary Federal Register Volume 81, Issue 59 (March 28, 2016)
Office of the Secretary
Federal Register Volume 81, Issue 59 (March 28, 2016)
| Page Range | 17147-17159 | |
| FR Document | 2016-06937 |
[Federal Register Volume 81, Number 59 (Monday, March 28, 2016)] [Notices] [Pages 17147-17159] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-06937] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF DEFENSE Office of the Secretary Revised Non-Foreign Overseas Per Diem Rates AGENCY: Defense Travel Management Office, DoD. ACTION: Notice of Revised Non-Foreign Overseas Per Diem Rates. ----------------------------------------------------------------------- SUMMARY: The Defense Travel Management Office is publishing Civilian Personnel Per Diem Bulletin Number 302. This bulletin lists revisions in the per diem rates prescribed for U.S. Government employees for official travel in Alaska, Hawaii, Puerto Rico, the Northern Mariana Islands and Possessions of the United States when applicable. AEA changes announced in Bulletin Number 194 remain in effect. Bulletin Number 302 is being published in the Federal Register to assure that travelers are paid per diem at the most current rates. DATES: Effective Date: April 1, 2016. FOR FURTHER INFORMATION CONTACT: Ms. Sonia Malik, 571-372-1276. SUPPLEMENTARY INFORMATION: This document gives notice of revisions in per diem rates prescribed by the Defense Travel Management Office for non-foreign areas outside the contiguous United States. It supersedes Civilian Personnel Per Diem Bulletin Number 301. Per Diem Bulletins published periodically in the Federal Register now constitute the only notification of revisions in per diem rates to agencies and establishments outside the Department of Defense. For more information or questions about per diem rates, please contact your local travel office. Civilian Bulletin 302 includes updated rates for Hawaii and the Midway Islands. Dated: March 23, 2016. Aaron Siegel, Alternate OSD Federal Register Liaison Officer, Department of Defense. BILLING CODE 5001-06-P [[Page 17148]] [GRAPHIC] [TIFF OMITTED] TN28MR16.030 [[Page 17149]] [GRAPHIC] [TIFF OMITTED] TN28MR16.031 [[Page 17150]] [GRAPHIC] [TIFF OMITTED] TN28MR16.032 [[Page 17151]] [GRAPHIC] [TIFF OMITTED] TN28MR16.033 [[Page 17152]] [GRAPHIC] [TIFF OMITTED] TN28MR16.034 [[Page 17153]] [GRAPHIC] [TIFF OMITTED] TN28MR16.035 [[Page 17154]] [GRAPHIC] [TIFF OMITTED] TN28MR16.036 [[Page 17155]] [GRAPHIC] [TIFF OMITTED] TN28MR16.037 [[Page 17156]] [GRAPHIC] [TIFF OMITTED] TN28MR16.038 [[Page 17157]] [GRAPHIC] [TIFF OMITTED] TN28MR16.039 [[Page 17158]] [GRAPHIC] [TIFF OMITTED] TN28MR16.040 [[Page 17159]] [FR Doc. 2016-06937 Filed 3-25-16; 8:45 am] BILLING CODE 5001-06-C
![Federal Register / Vol. 81, No. 59 / Monday, March 28, 2016 / Notices 17147
collection, OMB Control Number (see order to collect information from state, DEPARTMENT OF DEFENSE
below), and docket number (see above), local, and tribal governments. These
by any of the following methods: governments interact closely with Office of the Secretary
• Electronic: http:// consumers and are critical partners in
www.regulations.gov. Follow the promoting transparency and Revised Non-Foreign Overseas Per
instructions for submitting comments. competition in the consumer financial Diem Rates
• Mail: Consumer Financial products marketplace, eliminating
Protection Bureau (Attention: PRA unfair and unlawfully discriminatory AGENCY: Defense Travel Management
Office), 1700 G Street NW., Washington, practices, and enforcing consumer Office, DoD.
DC 20552. financial laws. The outreach activities ACTION:Notice of Revised Non-Foreign
• Hand Delivery/Courier: Consumer performed by IGA will collect low- Overseas Per Diem Rates.
Financial Protection Bureau (Attention: burden, non-generalizable information
PRA Office), 1275 First Street NE., through this GICP on trends in SUMMARY: The Defense Travel
Washington, DC 20002. consumer financial markets, Management Office is publishing
Please note that comments submitted enforcement actions, regulatory and Civilian Personnel Per Diem Bulletin
after the comment period will not be supervisory issues, and consumer needs Number 302. This bulletin lists
accepted. In general, all comments at the state, local, and tribal levels. Most revisions in the per diem rates
received will become public records, of this information will be in the form prescribed for U.S. Government
including any personal information of government representatives providing employees for official travel in Alaska,
provided. Sensitive personal impressions and overviews of their Hawaii, Puerto Rico, the Northern
information, such as account numbers activities. Information will be collected Mariana Islands and Possessions of the
or social security numbers, should not on an occasional and voluntary basis United States when applicable. AEA
be included. from state, local, and tribal governments changes announced in Bulletin Number
FOR FURTHER INFORMATION CONTACT: and from their respective trade 194 remain in effect. Bulletin Number
Documentation prepared in support of associations. 302 is being published in the Federal
this information collection request is Request For Comments: Comments Register to assure that travelers are paid
available at www.regulations.gov. are invited on: (a) Whether the per diem at the most current rates.
Requests for additional information collection of information is necessary
should be directed to the Consumer DATES: Effective Date: April 1, 2016.
for the proper performance of the
Financial Protection Bureau, (Attention: functions of the Bureau, including FOR FURTHER INFORMATION CONTACT: Ms.
PRA Office), 1700 G Street NW., whether the information will have Sonia Malik, 571–372–1276.
Washington, DC 20552, (202) 435–9575, practical utility; (b) The accuracy of the
or email: CFPB_PRA@cfpb.gov. Please SUPPLEMENTARY INFORMATION: This
Bureau’s estimate of the burden of the document gives notice of revisions in
do not submit comments to this collection of information, including the
mailbox. per diem rates prescribed by the Defense
validity of the methods and the Travel Management Office for non-
SUPPLEMENTARY INFORMATION: assumptions used; (c) Ways to enhance foreign areas outside the contiguous
Title of Collection: Generic the quality, utility, and clarity of the United States. It supersedes Civilian
Information Collection Plan for the information to be collected; and (d) Personnel Per Diem Bulletin Number
Office of Intergovernmental Affairs Ways to minimize the burden of the 301. Per Diem Bulletins published
Outreach Activities. collection of information on periodically in the Federal Register now
OMB Control Number: 3170–0041. respondents, including through the use constitute the only notification of
Type of Review: Extension without of automated collection techniques or revisions in per diem rates to agencies
change of a currently approve other forms of information technology. and establishments outside the
collection. Comments submitted in response to this Department of Defense. For more
Affected Public: State, local, or Tribal notice will be summarized and/or information or questions about per diem
governments. included in the request for OMB rates, please contact your local travel
Estimated Number of Annual approval. All comments will become a office. Civilian Bulletin 302 includes
Respondents: 400. matter of public record. updated rates for Hawaii and the
Estimated Total Annual Burden
Dated: March 22, 2016. Midway Islands.
Hours: 3,200.
Abstract: The Office of Darrin A. King, Dated: March 23, 2016.
Intergovernmental Affairs (IGA) at the Paperwork Reduction Act Officer, Bureau of Aaron Siegel,
Bureau requests OMB’s approval for an Consumer Financial Protection. Alternate OSD Federal Register Liaison
extension without change this generic [FR Doc. 2016–06959 Filed 3–25–16; 8:45 am] Officer, Department of Defense.
information collection plan (GICP) in BILLING CODE 4810–AM–P BILLING CODE 5001–06–P
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[FR Doc. 2016–06937 Filed 3–25–16; 8:45 am] incentives will result in a reduction in the Social Security Act, and as
BILLING CODE 5001–06–C the rate of increase in health care implemented by CMS. A copy of the
spending and improvements in health Final Rule published by CMS on
care quality, patient experience of care, November 24, 2015, may be found at
DEPARTMENT OF DEFENSE and overall health of TRICARE https://www.federalregister.gov/articles/
beneficiaries. All network and non- 2015/11/24/2015-29438/medicare-
Office of the Secretary network hospitals with at least 20 program-comprehensive-care-for-joint-
TRICARE admissions for DRG 470 over replacement-payment-model-for-acute-
TRICARE Bundled Payment for Lower
the three years of Fiscal Year (FY) 2013, care-hospitals. In general, CMS sought
Extremity Joint Replacement or
2014, and 2015 shall be required to to target high expenditure, high
Reattachment (LEJR) Surgeries Based
participate in the demonstration project utilization procedures for which there
on Centers for Medicare and Medicaid
(excluding admissions for beneficiaries were significant regional variation in
Services (CMS) Comprehensive Care
with primary Other Health Insurance spending. Acute care hospitals, as the
for Joint Replacement (CJR) Model
(OHI), Active Duty Service Members site of surgery, will be held accountable
AGENCY: Department of Defense. (ADSMs), and Medicare-TRICARE dual for spending during the entire episode
ACTION: Notice of demonstration. eligible beneficiaries). Once selected for of care. This model seeks to promote the
participation, hospitals will remain in alignment of financial and other
SUMMARY: This notice is to advise the project throughout the duration of incentives for all health care providers
interested parties of a Military Health this demonstration (regardless of actual and suppliers caring for a beneficiary
System (MHS) demonstration project TRICARE utilization) unless the during an LEJR episode, thereby
under the authority of Title 10, United Government directs otherwise. improving quality and increasing
States Code, Section 1092, entitled efficiency in the provision of care. It is
DATES: Effective Date: This
TRICARE Bundled Payment for Lower also anticipated the CJR model will
demonstration is mandated by Section
Extremity Joint Replacement or benefit Medicare beneficiaries by
726 of the National Defense
Reattachment (LEJR) Surgeries that will improving coordination and transition
Authorization Act for Fiscal Year 2016,
test bundled payment and quality of care by incentivizing more efficient
with an implementation deadline of
measurement on an ‘‘episode of care’’ service delivery and higher value care
May 23, 2016. This demonstration
basis to encourage hospitals, physicians, across the inpatient and post-acute care
and post-acute care providers to work authority will remain in effect until
December 31, 2019. spectrum spanning the episode of care.
together to improve the quality and The CMS CJR model will be
coordination of care from the initial ADDRESSES: Defense Health Agency,
implemented in 67 metropolitan
hospitalization through recovery. This Health Plan Execution and Operations, statistical areas (MSAs) beginning April
demonstration is being conducted in 7700 Arlington Boulevard, Suite 5101, 1, 2016. Under Medicare, this episode-
compliance with Section 726 of the Falls Church, Virginia 22042. based payment model is mandatory for
National Defense Authorization Act FOR FURTHER INFORMATION CONTACT: For all hospitals in the designated MSAs.
(NDAA) for 2016. This particular questions pertaining to this The Department of Defense elected to
TRICARE demonstration will be based demonstration, please contact Ms. Debra conduct a demonstration project to
on Centers for Medicare and Medicaid Hatzel at (303) 676–3572. adapt, in general, and test this value-
Services’ (CMS) Comprehensive Care for SUPPLEMENTARY INFORMATION: based incentive program to assess
Joint Replacement (CJR) Model, which whether a reduction in the rate of
A. Background
will be implemented in 67 metropolitan increase in health care spending can be
statistical areas (MSAs) beginning April Section 726 of the National Defense achieved while simultaneously
1, 2016. CMS’s CJR Model is designed Authorization Act (NDAA) for Fiscal improving the experience and quality of
to promote better and more efficient Year 2016 directed the Department of health care provided to our beneficiaries
care for beneficiaries undergoing LEJR Defense to conduct a demonstration by providing financial incentives for
surgery (DRG 469 (major joint project on incentives to improve health high-quality, efficient care. Consistent
replacement or reattachment of lower care provided under the TRICARE with the CJR model, TRICARE
extremity with major complications or program, also known as paying for value demonstration hospitals will be held
comorbidities) or 470 (major joint rather than for volume or value-based accountable for the costs and quality of
replacement or reattachment of lower reimbursement. Innovative health care the entire episode of care and will be
extremity without major complications payment models are being tested and afforded the opportunity to earn
or comorbidities)). Participant hospitals implemented by the CMS and a variety performance-based payments by
in the CMS model will be held of commercial health care programs and appropriately reducing expenditures
financially accountable for the quality insurers. This demonstration will assess and meeting certain quality metrics.
and cost of the entire episode of care, whether value-driven incentives will An analysis of LEJR surgeries in the
which begins with hospital admission of result in a reduction in the rate of TRICARE beneficiary population was
a beneficiary and ends 90 days post- increase in health care spending and conducted. This analysis revealed some
discharge in order to cover all related improvements in health care quality, of the Metropolitan Service Areas
costs for the complete recovery period. patient experience of care, and overall (MSAs) participating in the CMS
This ‘‘bundled’’ episode includes all health of TRICARE beneficiaries. Comprehensive Care for Joint
related items and services paid under This demonstration program is based Replacement (CJR) model have a
Medicare Part A and Part B for all on the Medicare Program for substantial number of TRICARE-eligible
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Medicare fee-for-service beneficiaries. Comprehensive Care for Joint beneficiaries. These locations include
The TRICARE demonstration project Replacement (CJR) Payment Model for the Killeen-Temple TX MSA, the
will test this value-based payment Acute Care Hospitals Furnishing Lower Seattle-Tacoma WA MSA, and the
model in the Tampa-St. Petersburg MSA Extremity Joint Replacement Services, Tampa-St. Petersburg FL MSA. Both the
for DRG 470 only (including 90 days of under the authority of the Center for Killeen-Temple MSA and the Seattle-
related post-operative care) to assess Medicare and Medicaid Innovation Tacoma MSA are associated with large
whether value-driven bundled payment (CMMI) pursuant to section 1115A of inpatient military treatment facilities
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Document Created: 2016-03-26 00:13:03
Document Modified: 2016-03-26 00:13:03
| 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 of Revised Non-Foreign Overseas Per Diem Rates. | |
| Contact | Ms. Sonia Malik, 571-372-1276. | |
| FR Citation | 81 FR 17147 |
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