Federal Register / Vol. 76, No. 43 / Friday, March 4, 2011 / Notices 12081 

suited for care by the PCM or in an 

urgent care setting. 

b. Implementation 

This demonstration will be effective 

60 days from the date of this notice for 

a period of twenty-four (24) months. 

c. Evaluation 

The results of this Demonstration will 

allow a focused study of the impact of 

this process on: (1) The reduction of ER 

utilization and resulting costs, (2) 

assessment of the availability and 

accessibility of less expensive acute care 

services such as UCCs, (3) reduction of 

administrative processes, and (4) impact 

on Coast Guard active duty service 

members and their families. The 

evaluation/analysis of the 

demonstration would use Fiscal Year 

2008 as the base line with follow-up 

data analysis conducted at each 6- 

month interval throughout the 24 month 

period to monitor of ER and TRICARE 

authorized UCC utilization workload 

and cost (claims data). Success of the 

demonstration would be determined by 

consistent shifts in health care 

utilization from ERs to a TRICARE 

authorized UCCs by 15–20%. A less 

than 5% shift in utilization from the ER 

to a TRICARE authorized UCCs would 

be considered insignificant. 

Dated: March 1, 2011. 

Morgan F. Park, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2011–4863 Filed 3–3–11; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

Notice of Two-Year Continuation of 

Disease Management Demonstration 

Project for TRICARE Standard 

Beneficiaries 

AGENCY: Department of Defense. 

ACTION: Notice of Two-Year 

Continuation of Disease Management 

Demonstration Project for TRICARE 

Standard Beneficiaries. 

SUMMARY: This notice is to advise 

interested parties of the continuation of 

a Military Health System (MHS) 

demonstration project entitled ‘‘Disease 

Management Demonstration Project for 

TRICARE Standard Beneficiaries’’. The 

original demonstration notice was 

published on June 13, 2007 (72 FR 

32628–32629) and described a 

demonstration project to provide 

disease management (DM) services to 

TRICARE Standard beneficiaries in 

addition to the TRICARE Prime 

beneficiaries who were already entitled 

to such services. TRICARE began the 

demonstration project in March 2007 for 

Standard beneficiaries and this 

demonstration project has enabled the 

MHS to provide uniform policies and 

practices on disease and chronic care 

management throughout the TRICARE 

network. Additionally, the 

demonstration has helped determine the 

effectiveness of DM programs in 

improving the health status of 

beneficiaries with targeted chronic 

diseases or conditions, and any 

associated cost savings. The TRICARE 

Management Activity (TMA) chose a 

phased approach to determine the 

efficacy and cost effectiveness of its 

disease management demonstration, 

beginning with beneficiaries identified 

with the disease states of asthma, heart 

failure, and diabetes. TMA now intends 

to continue the disease management 

services to TRICARE Standard 

beneficiaries until a permanent 

TRICARE disease management benefit 

(per the John Warner National Defense 

Authorization Act of 2007, section 734) 

is implemented. This continuation of 

the disease management demonstration 

project will be conducted under the 

authority provided in 10 U.S.C. 1092. 

DATES: Effective date: The extension of 

the demonstration will be effective 

April 1, 2011 and will continue for a 

period of two years until March 31, 

2013. 

ADDRESSES: TRICARE Management 

Activity (TMA), 5111 Leesburg Pike, 

Suite 810, Falls Church, VA 22041– 

3206. 

FOR FURTHER INFORMATION CONTACT: 

Robin Marzullo, Disease Management 

Nurse Consultant, Population Health 

and Medical Management—TRICARE 

Management Activity, telephone (703) 

681–6717 x 1214. 

SUPPLEMENTARY INFORMATION: 

A. Background 

For additional information on the 

TRICARE demonstration project for 

disease management, please see 72 FR 

32628–32629 and 74 FR 11089–11090. 

The original demonstration notice 

focused on explaining the differences 

between the disease management 

benefits available to TRICARE Standard 

and TRICARE Prime beneficiaries and 

the manner in which disease 

management services had been provided 

prior to the demonstration. The prior 

notice explained that for purposes of the 

demonstration, the Department of 

Defense (DoD) would waive, for these 

disease management services provided 

to Standard beneficiaries, the provisions 

of 10 U.S.C. 1079(a)(13) and 32 CFR 

199.4(g)(39) that expressly exclude 

clinical preventive services for 

TRICARE Standard beneficiaries. The 

prior notice also explained the 

enrollment process and cap on disease 

management costs. 

B. Description of Extension of 

Demonstration Project 

Under this demonstration, DoD has 

waived, for disease management 

services provided to TRICARE Standard 

beneficiaries, the provisions of 10 U.S.C. 

1079(a)(13) and 32 CFR 199.4(g)(39) that 

expressly exclude clinical preventive 

services for TRICARE Standard 

beneficiaries in the current benefit. The 

Military Health System (MHS) has 

enrolled TRICARE Standard 

beneficiaries in its disease management 

programs. Disease management services 

provided to Standard beneficiaries have 

included, but have not been limited to: 

Clinical preventive examinations, 

patient education and counseling 

services, and periodic screening exams. 

MHS disease management program 

costs have been capped not to exceed 

the amount approved by the contracting 

officer. The disease management 

program costs are total costs of disease 

management services provided to both 

Prime and Standard beneficiaries. Only 

those beneficiaries identified by the 

TRICARE Management Activity (TMA) 

for disease management of asthma, heart 

failure, diabetes, COPD, depression, 

anxiety, and cancer, have been included 

in the current program. Beneficiaries 

identified by TMA are included in the 

disease management program unless 

they choose to opt out. This action 

directly reduces variation across the 

system and results in improved 

consistency and quality for beneficiaries 

with targeted chronic illness, regardless 

of TRICARE classification. Furthermore, 

including TRICARE Standard 

beneficiaries in current disease 

management efforts informs the MHS 

about total potential savings and return 

on investment (ROI) associated with 

disease management, a stated 

requirement of the John Warner 

National Defense Authorization Act for 

Fiscal Year 2007. Continuing to provide 

disease management services to all 

TRICARE beneficiaries will continue to 

maintain our overall quality of care 

throughout the MHS program. By 

educating patients about their disease 

and helping them manage their 

symptoms, many of the complications of 

these diseases can be avoided, possibly 

slowing the progression of their chronic 

disease, thus resulting in significant cost 

savings. 


jlentini on DSKJ8SOYB1PROD with NOTICES
12082 Federal Register / Vol. 76, No. 43 / Friday, March 4, 2011 / Notices 

C. Implementation 

The extension of the demonstration 

will be effective on April 1, 2011. The 

terms and conditions of the original 

demonstration as provided in the Notice 

published at 72 FR 32368–32369 will 

continue on that date. 

D. Evaluation 

An independent evaluation of the 

demonstration will continue to be 

conducted. The evaluation is designed 

to use a combination of administrative 

and survey measures of health care 

outcomes (clinical, utilization, financial, 

and humanistic measures) to provide 

analyses and comment on meeting its 

goal of providing uniform disease 

management policies and practices 

across the MHS. 

Dated: March 1, 2011. 

Morgan F. Park, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2011–4865 Filed 3–3–11; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID DOD–2011–OS–0028] 

U.S. Court of Appeals for the Armed 

Forces Proposed Rules Changes 

AGENCY: Department of Defense. 

ACTION: Notice of Proposed Changes to 

the Rules of Practice and Procedure of 

the United States Court of Appeals for 

the Armed Forces. 

SUMMARY: This notice announces the 

following proposed changes to Rules 

9(e) and 41(b) of the Rules of Practice 

and Procedure, United States Court of 

Appeals for the Armed Forces. 

DATES: Comments on the proposed 

change must be received within 30 days 

of the date of this notice. 

ADDRESSES: You may submit comments, 

identified by docket number and/or 

Regulatory Information Number (RIN) 

and title by any of the following 

methods: 

• Federal eRulemaking Portal: 

http://www.regulations.gov. 

• Mail: Federal Docket Management 

System Office, 1160 Defense Pentagon, 

OSD Mailroom 3C843, Washington, DC 

20301–1160. 

Instructions: All submissions received 

must include the agency name and 

docket number for this Federal Register 

document. The general policy for 

comments and other submissions from 

members of the public is to make these 

submissions available for public 

viewing on the Internet at http:// 

www.regulations.gov as they are 

received without change, including 

personal identifiers or contact 

information. 

FOR FURTHER INFORMATION CONTACT: 

William A. DeCicco, Clerk of the Court, 

telephone (202) 761–1448. 

Dated: March 1, 2011. 

Morgan F. Park, 

Alternate OSD Federal Liaison Officer, 

Department of Defense. 

Rule 9(e) 

Rule 9(e) currently reads: 

(e) Hours. The Clerk’s office shall be 

open for the filing of pleadings and 

other papers from 8 a.m. to 5 p.m. every 

day except Saturdays, Sundays, and 

legal holidays, or as otherwise ordered 

by the Court. See Rule 36(a). The Court 

is always open for filing of pleadings 

and other papers. A pleading or other 

paper may be filed outside of normal 

operating hours of the Clerk’s office by 

delivery to the U.S. Marshal on duty in 

the front lobby of the courthouse. 

Pleadings will be deemed filed on the 

date and time delivered to the U.S. 

Marshal. The U.S. Marshal will notify 

the Clerk of the filing in accordance 

with procedures provided by the Clerk. 

The proposed change to Rule 9(e) 

would read: 

(e) Hours. The Clerk’s office shall be 

open for the filing of pleadings and 

other papers from 8 a.m. to 5 p.m. every 

day except Saturdays, Sundays, and 

legal holidays, or as otherwise ordered 

by the Court. See Rule 36(a). The Court 

is always open for filing of pleadings 

and other papers. A pleading or other 

paper may be filed outside of normal 

operating hours of the Clerk’s office by 

delivery to Court security personnel on 

duty in the front lobby of the 

courthouse. Pleadings will be deemed 

filed on the date and time delivered to 

Court security personnel. Court security 

personnel will notify the Clerk of the 

filing in accordance with procedures 

provided by the Clerk. 

Comment: The proposed change 

modifies the term ‘‘U.S. Marshal’’ in 

three places to ‘‘Court security 

personnel.’’ The reason for the change is 

that security for the Court is now 

provided by the Pentagon Force 

Protection Agency, and not the U.S. 

Marshals Service. The change will 

therefore more accurately describe the 

officers on duty. 

Rule 41(b) 

Rule 41(b) currently reads: 

(a) The photographing, televising, 

recording, or broadcasting of any 

session of the Court or other activity 

relating thereto is prohibited unless 

authorized by the Court. 

(b) Any violation of this rule will be 

deemed a contempt of this Court and, 

after due notice and hearing, may be 

punished accordingly. See 18 U.S.C. 

401. 

The proposed change to Rule 41(b) 

would read: 

(a) The photographing, televising, 

recording, or broadcasting of any 

session of the Court or other activity 

relating thereto is prohibited unless 

authorized by the Court. 

(b) Any violation of this rule will be 

deemed a contempt of this Court and, 

after due notice and hearing, may be 

punished accordingly. See Article 48, 

UCMJ. 

Comment: In the recent National 

Defense Authorization Act, Congress 

amended Article 48, Uniform Code of 

Military Justice, to give express 

contempt power to the United States 

Court of Appeals for the Armed Forces. 

The proposed change reflects this direct 

grant of authority to the Court. 

[FR Doc. 2011–4927 Filed 3–3–11; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Department of the Air Force 

[Docket ID USAF–2011–0007] 

Privacy Act of 1974; System of 

Records 

AGENCY: Department of the Air Force, 

DoD. 

ACTION: Notice To Add a System of 

Records. 

SUMMARY: The Department of the Air 

Force proposes to add a system of 

records to its inventory of record 

systems subject to the Privacy Act of 

1974 (5 U.S.C. 552a), as amended. 

DATES: This proposed action will be 

effective without further notice on April 

4, 2011 unless comments are received 

which result in a contrary 

determination. 

ADDRESSES: You may submit comments, 

identified by docket number and/RIN 

number and title, by any of the 

following methods: 

* Federal Rulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

* Mail: Federal Docket Management 

System Office, 1160 Defense Pentagon, 

OSD Mailroom 3C843, Washington, DC 

20301–1160. 

Instructions: All submissions received 

must include the agency name and 

docket number or Regulatory 


jlentini on DSKJ8SOYB1PROD with NOTICES