Federal Register / Vol. 72, No. 128 / Thursday, July 5, 2007 / Notices 36711 

apply to participate in the Medicare 

Hospital Gainsharing Demonstration 

being implemented by CMS. The 

Medicare Hospital Gainsharing 

Demonstration authorized under section 

5007 of the Deficit Reduction Act (DRA) 

of 2005 was established to test and 

evaluate methodologies and 

arrangements between hospitals and 

physicians designed to govern the 

utilization of inpatient hospital 

resources and physician work. The 

purpose of this demonstration is to 

improve the quality and efficiency of 

care provided to Medicare beneficiaries 

and to develop improved operational 

and financial hospital performance with 

the sharing of remuneration payments 

between hospitals and physicians in six 

projects, each project consisting of one 

hospital. Two projects must be rural. 

Because we received a limited response 

from rural hospitals to our original 

solicitation in September 2006, we are 

re-issuing our solicitation for proposals 

from rural hospitals only. Rural 

hospitals that submitted proposals 

previously are eligible to reapply. The 

goals and objectives of the 

demonstration remain unaltered. This 

demonstration will be limited in scope: 

we intend to focus on the short-term 

impacts of gainsharing programs. 

DATES: Applications will be considered 

timely if we receive them on or before 

5 p.m., eastern standard time, on 

September 4, 2007. 

ADDRESSES: Mail or deliver applications 

to the following address: 

Centers for Medicare & Medicaid 

Services, Attention: Lisa Waters (CMS–

5042–N2), Mail Stop: C4–17–27, 7500 

Security Boulevard, Baltimore, 

Maryland 21244. 

Because of staff and resource 

limitations, we cannot accept 

applications by facsimile (FAX) 

transmission or by e-mail. 

FOR FURTHER INFORMATION CONTACT: Lisa 

Waters at (410) 786–6615 or 

GAINSHARING@cms.hhs.gov. 

Interested parties can obtain a complete 

solicitation, application, and supporting 

information on the following CMS Web 

site at http://www.cms.hhs.gov/

DemoProjectsEvalRpts/downloads/

2006_DRA_5007_Medicare_Hospital_

Gainsharing_Demonstration.pdf. 

Paper copies can be obtained by 

writing to Lisa Waters at the address 

listed in the ADDRESSES section of this 

notice. 

Eligible Organizations: CMS is 

seeking applications from rural 

inpatient hospitals that receive payment 

under section 1886(d) of the Social 

Security Act (the Act), which is the 

authority for the hospital inpatient 

prospective payment system. For 

purposes of this demonstration, a 

hospital will be considered rural if it is 

rural under the inpatient prospective 

payment system (see 42 CFR 

412.64(b)(1)). 

For the purpose of this demonstration, 

section 5007(g)(4) of the DRA provides 

that hospitals may provide gainsharing 

payments to physicians (as defined in 

section 1861(r)(1) or (r)(3) of the Act) 

and practitioners (as ‘‘described in 

section 1842(e)(18)(C) of the Act’’). The 

latter reference to ‘‘section 

1842(e)(18)(C)’’ of the Act, however, 

clearly is a typographical error, as there 

is no such section, and it is clear from 

the context and legislative history that 

the reference was intended to be to 

section 1842(b)(18)(C) of the Act. 

Section 5007(g) of DRA explicitly 

provides that the reference to physicians 

who are permitted to participate in the 

demonstration is deemed to include 

certain ‘‘practitioners.’’ Conference 

Report language also specifically refers 

to the inclusion of practitioners as part 

of the gainsharing arrangement. Since 

section 1842(e)(18)(C) of the Act does 

not exist, and since section 

1842(b)(18)(C) of the Act is, with the 

exception of substituting (b) for (e), 

identical to that section, and specifically 

defines practitioners, we believe that 

section 1842(b)(18)(C) of the Act is the 

intended reference. We do not believe 

this typographical error impedes any 

authority to otherwise implement this 

demonstration. Furthermore, a 

comprehensive list of all eligibility 

requirements can be found in the 

‘‘Eligible Organizations’’ section of the 

solicitation. 

SUPPLEMENTARY INFORMATION:

I. Background 

Section 5007 of the Deficit Reduction 

Act of 2005 (DRA) requires the 

establishment of a qualified gainsharing 

demonstration program that will test 

and evaluate methodologies and 

arrangements between hospitals and 

physicians designed to govern the 

utilization of inpatient hospital 

resources and physician work to 

improve the quality and efficiency of 

care provided to beneficiaries and to 

develop improved operational and 

financial hospital performance with the 

sharing of remuneration as specified in 

the project. It will have a short-term 

focus given the limited size of the 

demonstration. 

II. Provisions of the Notice 

This notice solicits applications to 

participate in the DRA section 5007 

Medicare Hospital Gainsharing 

Demonstration that will assist in 

determining if gainsharing can align 

incentives between hospitals and 

physicians to improve the quality and 

efficiency of care provided to 

beneficiaries, which will promote 

improved operational and financial 

performance of hospitals. The focus of 

each demonstration will be to link 

physician incentive payments to 

improvements in quality and efficiency. 

Each demonstration will provide 

measures to ensure that the quality and 

efficiency of care provided to 

beneficiaries is monitored and 

improved. 

Overall, we seek demonstration 

models that result in savings to 

Medicare. We will assure the 

demonstration is budget neutral. 

III. Collection of Information 

Requirements 

This information collection 

requirement is subject to the Paperwork 

Reduction Act of 1995; however, the 

collection is currently approved under 

OMB control number 0938–0880 

entitled ‘‘Medicare Demonstration 

Waiver Application.’’

Authority: Section 5007 of the Deficit 

Reduction Act of 2005, Pub. L. 109–171. 

(Catalog of Federal Domestic Assistance 

Program No. 93.778, Medical Assistance 

Program; No. 93.773 Medicare—Hospital 

Insurance Program; and No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: April 4, 2007. 

Leslie V. Norwalk, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

Editorial Note: This document was 

received at the Office of the Federal Register 

on June 29, 2007. 

[FR Doc. 07–3265 Filed 6–29–07; 4:00 pm] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Center for Complementary 

and Alternative Medicine; Notice of 

Closed Meeting 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended (5 U.S.C. Appendix 2), notice 

is hereby given of the following 

meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 


sroberts on PROD1PC70 with NOTICES
36712 Federal Register / Vol. 72, No. 128 / Thursday, July 5, 2007 / Notices 

confidential trade secrets or commercial 

property such as patentable materials, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National Center for 

Complementary and Alternative Medicine 

Special Emphasis Panel Tools and 

Technology to Measure Patient Adherence in 

CAM Research: Phase II. 

Date: July 23, 2007. 

Time: 10 a.m. to 5 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institutes of Health, Two 

Democracy Plaza, 6707 Democracy 

Boulevard, Bethesda, MD 20892 (Telephone 

Conference Call). 

Contact Person: Laurie Friedman Donze, 

PhD, Scientific Review Administrator, Office 

of Scientific Review, National Center for 

Complementary and Alternative Medicine, 

NIH, 6707 Democracy Blvd., Suite 401, 

Bethesda, MD 20892, 301–402–1030, 

donzel@mail.nih.gov. 

June 26, 2007. 

Anna Snouffer, 

Deputy Director, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 07–3245 Filed 7–3–07; 8:45 am] 

BILLING CODE 4140–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Eye Institute; Notice of Closed 

Meetings 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended (5 U.S.C. Appendix 2), notice 

is hereby given of the following 

meetings. 

The meetings will be closed to public 

in accordance with the provisions set 

forth in section 552b(c)(4) and 

552b(c)(6), Title 5 U.S.C., as amended. 

The grant applications and the 

discussions could disclose confidential 

trade secrets or commercial property 

such as patentable material, and 

personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National Eye Institute 

Special Emphasis Panel; National Eye 

Institute Review Panel. 

Date: July 12, 2007. 

Time: 9:30 a.m. to 3 p.m. 

Agenda: To review and evaluate 

cooperative agreement applications. 

Place: National Institutes of Health, 5635 

Fishers Lane, Rockville, MD 20852 

(Telephone Conference Call). 

Contact Person: Houmam H. Araj, Ph.D., 

Scientific Review Administrator, Division of 

Extramural Research, National Eye Institute, 

NIH, 5635 Fishers Lane, Suite 1300, 

Bethesda, MD 20892–9602, 301–451–2020, 

haraj@mail.nih.gov. 

This notice is being published less than 15 

days prior to the meeting due to the timing 

limitations imposed by the review and 

funding cycle. 

Name of Committee: National Eye Institute 

Special Emphasis Panel; National Eye 

Institute Training Grantst Ts and Ks. 

Date: July 31, 2007. 

Time: 8 a.m. to 5 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: Double Tree Hotel Bethesda, 8120 

Wisconsin Ave., Bethesda, MD 20814. 

Contact Person: Samuel Rawlings, Ph.D., 

Chief Scientific Review Branch, Division of 

Extramural Research, National Eye Institute, 

5635 Fishers Lane, Suite 1300, MSC 9300, 

Bethesda, MD 20892–9300, 301–451–2020, 

rawlings@nei.nih.gov. 

Name of Committee: National Eye Institute 

Special Emphasis Panel; NEI Cooperative 

Agreement Applications. 

Date: August 17, 2007. 

Time: 8:30 a.m. to 2 p.m. 

Agenda: To review and evaluate 

cooperative agreement applications. 

Place: Hyatt Regency Bethesda, One 

Bethesda Metro Center, 7400 Wisconsin 

Avenue, Bethesda, MD 20814. 

Contact Person: Anne E. Schaffner, Ph.D., 

Scientific Review Administrator, Division of 

Extramural Research, National Eye Institute, 

5635 Fishers Lane, Suite 1300, MSC 9300, 

Bethesda, MD 20892–9300, (301) 451–2020, 

aes@nei.nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.867, Vision Research, 

National Institutes of Health, HHS). 

Dated: June 26, 2007. 

Anna Snouffer, 

Deputy Director, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 07–3238 Filed 7–3–07; 8:45 am] 

BILLING CODE 4140–01–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Institute of Diabetes and 

Digestive and Kidney Diseases; Notice 

of Closed Meetings 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended (5 U.S.C. Appendix 2), notice 

is hereby given of the following 

meetings. 

The meetings will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National Institute of 

Diabetes and Digestive and Kidney Diseases 

Special Emphasis Panel; Review of Ancillary 

Study Grant Applications. 

Date: July 18, 2007. 

Time: 1 p.m. to 2 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institutes of Health, Two 

Democracy Plaza, 6707 Democracy 

Boulevard, Bethesda, MD 20892, (Telephone 

Conference Call). 

Contact Person: John F. Connaughton, PhD, 

Scientific Review Administrator, Review 

Branch, DEA, NIDDK, National Institutes of 

Health, Room 916, 6707 Democracy 

Boulevard, Bethesda, MD 20892–5452, (301) 

594–7797, 

connaughtonj@extra.niddk.nih.gov. 

This notice is being published less than 15 

days prior to the meeting due to the timing 

limitations imposed by the review and 

funding cycle. 

Name of Committee: National Institute of 

Diabetes and Digestive and Kidney Diseases 

Special Emphasis Panel; Urinary 

Incontinence Treatment Network Ancillary 

Study. 

Date: July 19, 2007. 

Time: 1 p.m. to 2 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institutes of Health, Two 

Democracy Plaza, 6707 Democracy 

Boulevard, Bethesda, MD 20892, (Telephone 

Conference Call). 

Contact Person: Michele L. Barnard, PhD, 

Scientific Review Administrator, Review 

Branch, DEA, NIDDK, National Institutes of 

Health, Room 753, Democracy Boulevard, 

Bethesda, MD 20892–5452, (301) 594–8898, 

barnardm@extra.niddk.nih.gov. 

This notice is being published less than 15 

days prior to the meeting due to the timing 

limitations imposed by the review and 

funding cycle. 

Name of Committee: National Institute of 

Diabetes and Digestive and Kidney Diseases 

Special Emphasis Panel; FAVORIT Trial 

Biomarkers Ancillary Studies. 

Date: July 25, 2007. 

Time: 3 p.m. to 4 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institutes of Health, Two 

Democracy Plaza, 6707 Democracy 

Boulevard, Bethesda, MD 20892, (Telephone 

Conference Call). 

Contact Person: Lakshmanan Sankaran, 

PhD, Scientific Review Administrator, 

Review Branch DEA, NIDDK, National 

Institutes of Health, Room 755, 6707 

Democracy Boulevard, Bethesda, MD 20892–

5452, (301) 594–7799, Is38oz@nih.gov 

Name of Committee: National Institute of 

Diabetes and Digestive and Kidney Diseases 

Special Emphasis Panel; CBT for IBS. 

Date: July 26, 2007 

Time: 3 p.m. to 4 p.m. 


sroberts on PROD1PC70 with NOTICES