[Federal Register Volume 78, Number 96 (Friday, May 17, 2013)]
[Notices]
[Pages 29139-29140]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-11819]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-5504-N3]
Medicare Program; Bundled Payments for Care Improvement Model 1
Open Period
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
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SUMMARY: This notice announces an open period for additional
organizations to be considered for participation in Model 1 of the
Bundled Payments for Care Improvement initiative.
DATES: Model 1 of the Bundled Payments for Care Improvement Deadline:
Interested organizations must submit a Model 1 Open Period Information
Intake form by July 31, 2013.
FOR FURTHER INFORMATION CONTACT:
[email protected] for questions regarding Model 1 of the Bundled
Payments for Care Improvement initiative. For additional information on
this initiative go to the CMS Center for Medicare and Medicaid
Innovation Web site at http://innovation.cms.gov/initiatives/BPCI-Model-1/index.html.
SUPPLEMENTARY INFORMATION:
I. Background
We are committed to achieving better health, better care, and lower
costs through continuous improvement for Medicare, Medicaid and
Children's Health Insurance Program (CHIP) beneficiaries. Beneficiaries
can experience improved health outcomes and encounters in the health
care system when providers work in a coordinated and person-centered
manner. To this end, we are interested in partnering with providers
that are working to redesign care to meet these goals. Payment
approaches that reward providers that assume payment accountability at
the individual level for a particular ``episode'' of care are potential
mechanisms for developing these partnerships.
The CMS Center for Medicare and Medicaid Innovation (Innovation
Center) is testing four episode payment models. Testing of the first
model, Model 1 of the Bundled Payments for Care Improvement initiative,
began in April 2013 following a review of applications submitted in
response to a Request for Application released by the Innovation Center
in August 2011. For additional information about Model 1 of the Bundled
Payments for Care Improvement initiative that began in April 2013,
please visit the Innovation Center Web site as specified in the FOR
FURTHER INFORMATION CONTACT section of this notice.
The Innovation Center is announcing an open period for additional
organizations to be considered for participation in Model 1 of the
Bundled Payments for Care Improvement initiative. Interested
organizations can find information about the intake process, eligible
organizations, and model requirements on the Web site as specified in
the FOR FURTHER INFORMATION CONTACT section of this notice.
II. Provisions of the Notice
We seek to achieve the following goals through implementation,
consistent with the authority under section 1115A of the Social
Security Act (the Act), as added by section 3021 of the Affordable Care
Act, to test innovative payment and service delivery models that reduce
spending under Medicare, Medicaid, or CHIP, while preserving or
enhancing the quality of care:
Improve care coordination, beneficiary experience, and
accountability in a person-centered manner.
Support and encourage providers that are interested in
continuously reengineering care to deliver better care and better
health at lower costs through continuous improvement.
Create a cycle that leads to continually decreasing the
cost of an acute or chronic episode of care while fostering quality
improvement.
Develop and test payment models that create extended
accountability for better care, better health at lower costs for the
full range of health care services.
Shorten the cycle time for adoption of evidence-based
care.
Create environments that stimulate rapid development of
new evidence-based knowledge.
We are announcing an open period for additional organizations to be
considered for participation in Model 1 of the Bundled Payments for
Care Improvement initiative. Acute care hospitals paid under the
inpatient prospective payment systems (IPPS) and organizations that
wish to convene acute care hospitals in a facilitator convener role are
eligible to be considered for participation in Model 1. Interested
organizations must submit a Model 1 Open Period Information Intake form
for a copy of the form go to the CMS Web site as specified in the FOR
FURTHER INFORMATION CONTACT section of this notice. Once organizations
submit the intake form to [email protected], we will review the
information provided and screen organizations for suitability for
participation in Model 1. For information on the screening process go
to the CMS Center for Medicare and Medicaid Innovation Web site as
specified in the FOR FURTHER INFORMATION CONTACT section. We expect to
offer Model 1 participation agreements to those organizations that
demonstrate their fitness for participation in Model 1. More
information about the participation process and model requirements can
be found on the Web site as specified in the FOR FURTHER INFORMATION
CONTACT section of this notice.
III. Collection of Information Requirements
Section 1115A(d) of the Act waives the requirements of the
Paperwork Reduction Act of 1995 for purposes of testing and evaluation
of new models or expansion of such models under section 1115A under
this section.
Authority: Section 1115A of the Social Security Act (42 U.S.C.
1315a)
(Catalog of Federal Domestic Assistance No. 93.773 Medicare--
Hospital Insurance Program; and No. 93.774, Medicare--Supplementary
Medical Insurance Program)
[[Page 29140]]
Dated: May 3, 2013.
Marilyn Tavenner,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2013-11819 Filed 5-16-13; 8:45 am]
BILLING CODE 4120-01-P