Federal Register / Vol. 76, No. 192 / Tuesday, October 4, 2011 / Notices 61365 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5504–N2] 

Bundled Payments for Care 

Improvement Initiative 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice of extension of 

deadlines. 

SUMMARY: This notice extends the 

deadlines for the submission of the 

Bundled Payments for Care 

Improvement ‘‘Model 1’’ letters of intent 

and applications. 

DATES: Letter of Intent Submission 

Deadline: For Model 1 of this initiative, 

interested organizations must submit a 

nonbinding letter of intent by October 6, 

2011 as described on the CMS 

Innovation Center Web site http:// 

www.innovations.cms.gov/areas-offocus/patient-care-models/bundledpayments-for-care-improvement.html. 

Application Submission Deadline: For 

Model 1 of this initiative, applications 

must be received on or before November 

18, 2011. 

ADDRESSES: Letter of Intents and 

Applications should be submitted 

electronically in searchable PDF format 

via encrypted e-mail to the following email address by the date specified in the 

DATES section of this notice: 

BundledPayments@cms.hhs.gov. 

Applications and appendices will only 

be accepted via e-mail. 

FOR FURTHER INFORMATION CONTACT: 

BundledPayments@cms.hhs.gov for 

questions regarding the application 

process of the Bundled Payments for 

Care Improvement initiative. 

SUPPLEMENTARY INFORMATION: 

I. Background 

We are committed to achieving the 

three-part aim of better health, better 

health care, and reduced expenditures 

through continuous improvement for 

Medicare, Medicaid and Children’s 

Health Insurance Program beneficiaries. 

Beneficiaries can experience improved 

health outcomes and patient experience 

when health care providers work in a 

coordinated and patient-centered 

manner. To this end, CMS is interested 

in partnering with providers who are 

working to redesign patient care to 

deliver these aims. Episode payment 

approaches that reward providers who 

take accountability for the three-part 

aim at the level of individual patient 

care for an episode are potential 

mechanisms for developing these 

partnerships. 

On August 23, 2011 we posted a 

request for applications (RFA) on the 

Innovation Center Web site. In addition, 

on August 25, 2011 we published a 

notice requesting applications in the 

Federal Register [76 FR 53137] to 

participate in the Bundled Payment for 

Care Improvement initiative. This 

initiative seeks proposals from health 

care providers who wish to align 

incentives between hospitals, 

physicians and nonphysician 

practitioners in order to better 

coordinate care throughout an episode 

of care. RFAs will test episode-based 

payment for acute care and associated 

post-acute care, using both retrospective 

and prospective bundled payment 

methods. The RFA requests applications 

to test models centered around acute 

care; these models will inform the 

design of future models, including care 

improvement for chronic conditions. 

For more details, see the RFA, which is 

available on the Innovation Center Web 

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

areas-of-focus/patient-care-models/ 

bundled-payments-for-careimprovement.html. 

II. Provisions of the Notice 

The CMS Innovation Center has 

received much interest and a large 

number of inquiries about the BPCI 

initiative announced on the CMS Web 

site and in the Federal Register. There 

have also been many requests to allow 

for some additional time to prepare 

applications for Model 1 of the BPCI 

initiative. Based on the feedback from 

the community of potential applicants 

and our continued commitment to work 

in partnership with our stakeholders, 

the Innovation Center has modified the 

deadlines relating to Model 1 of the 

initiative: (1) The letter of intent will be 

due on or before October 6, 2011; and 

(2) the application will be due on or 

before November 18, 2011. 

We have announced the deadline 

extensions via the CMS Web site and via 

listserv. Therefore we also wanted to 

announce the extensions of the 

deadlines via the Federal Register. 

III. Collection of Information 

Requirements 

Section 1115A(d)(3) of the Act 

specifies that the requirements of the 

Paperwork Reduction Act of 1995 do 

not apply with respect to the testing and 

evaluation of payment and service 

delivery models, or the expansion of 

these models. 

Authority: Section 1115A of the Social 

Security Act. 

Dated: September 28, 2011. 

Donald M. Berwick, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2011–25531 Filed 9–30–11; 4:15 pm] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–7022–N] 

Medicare, Medicaid, and Children’s 

Health Insurance Programs; Meeting of 

the Advisory Panel on Outreach and 

Education (APOE), November 17, 2011 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice of meeting. 

SUMMARY: This notice announces a 

meeting of the Advisory Panel on 

Outreach and Education (APOE) (the 

Panel) in accordance with the Federal 

Advisory Committee Act. The Panel 

advises and makes recommendations to 

the Secretary of Health and Human 

Services and the Administrator of the 

Centers for Medicare & Medicaid 

Services on opportunities to enhance 

the effectiveness of consumer education 

strategies concerning Medicare, 

Medicaid, and the Children’s Health 

Insurance Program (CHIP). This meeting 

is open to the public. 

DATES: Meeting Date: Thursday, 

November 17, 2011 from 8:30 a.m. to 

4 p.m., Eastern Standard Time (EST). 

Deadline for Meeting Registration, 

Presentations and Comments: Thursday, 

November 3, 2011, 5 p.m., Eastern 

Daylight Time (EDT). 

Deadline for Requesting Special 

Accommodations: Thursday, November 

3, 2011, 5 p.m., EDT. 

ADDRESSES: Meeting Location: The 

Embassy Row Hotel, 2015 

Massachusetts Avenue, NW., 

Washington, DC 20036. 

Meeting Registration, Presentations, 

and Written Comments: Jennifer 

Kordonski, Designated Federal Official 

(DFO), Division of Forum and 

Conference Development, Office of 

Communications, Centers for Medicare 

& Medicaid Services, 7500 Security 

Boulevard, Mailstop S1–13–05, 

Baltimore, MD 21244–1850 or contact 

Ms. Kordonski via e-mail at mailto: 

Jennifer.Kordonski@cms.hhs.gov. 

REGISTRATION: The meeting is open to 

the public, but attendance is limited to 

the space available. Persons wishing to 

attend this meeting must register by 


pmangrum on DSK3VPTVN1PROD with NOTICES
61366 Federal Register / Vol. 76, No. 192 / Tuesday, October 4, 2011 / Notices 

contacting the DFO at the address listed 

in the ADDRESSES section of this notice 

or by telephone at number listed in the 

FOR FURTHER INFORMATION CONTACT

section of this notice, by the date listed 

in the DATES section of this notice. 

Individuals requiring sign language 

interpretation or other special 

accommodations should contact the 

DFO at the address listed in the 

ADDRESSES section of this notice by the 

date listed in the DATES section of this 

notice. 

FOR FURTHER INFORMATION CONTACT: 

Jennifer Kordonski, (410) 786–1840, or 

on the Internet at http://www.cms.gov/ 

FACA/04_APOE.asp for additional 

information. Press inquiries are handled 

through the CMS Press Office at (202) 

690–6145. 

SUPPLEMENTARY INFORMATION: 

In accordance with section 10(a) of 

the Federal Advisory Committee Act 

(FACA), this notice announces a 

meeting of the Advisory Panel on 

Outreach and Education (APOE) (the 

Panel). Section 9(a)(2) of the Federal 

Advisory Committee Act authorizes the 

Secretary of Health and Human Services 

(the Secretary) to establish an advisory 

panel if the Secretary determines that 

the panel is ‘‘in the public interest in 

connection with the performance of 

duties imposed * * * by law.’’ Such 

duties are imposed by section 1804 of 

the Social Security Act (the Act), 

requiring the Secretary to provide 

informational materials to Medicare 

beneficiaries about the Medicare 

program, and section 1851(d) of the Act, 

requiring the Secretary to provide for 

‘‘activities * * * to broadly disseminate 

information to [M]edicare beneficiaries 

* * * on the coverage options provided 

under [Medicare Advantage] in order to 

promote an active, informed selection 

among such options.’’ 

The Panel is also authorized by 

section 1114(f) of the Act (42 U.S.C. 

1314(f)) and section 222 of the Public 

Health Service Act (42 U.S.C. 217a). The 

Secretary signed the charter establishing 

this Panel on January 21, 1999 (64 FR 

7899, February 17, 1999) and approved 

the renewal of the charter on January 21, 

2011 (76 FR 11782, March 3, 2011). 

Pursuant to the amended charter, the 

Panel advises and makes 

recommendations to the Secretary of 

Health and Human Services and the 

Administrator of the Centers for 

Medicare & Medicaid Services (CMS) 

concerning optimal strategies for the 

following: 

• Developing and implementing 

education and outreach programs for 

individuals enrolled in, or eligible for, 

Medicare, Medicaid and the Children’s 

Health Insurance Program (CHIP). 

• Enhancing the Federal 

government’s effectiveness in informing 

Medicare, Medicaid, and CHIP 

consumers, providers and stakeholders 

pursuant to education and outreach 

programs of issues regarding these and 

other health coverage programs, 

including the appropriate use of publicprivate partnerships to leverage the 

resources of the private sector in 

educating beneficiaries, providers and 

stakeholders. 

• Expanding outreach to vulnerable 

and underserved communities, 

including racial and ethnic minorities, 

in the context of Medicare, Medicaid, 

and CHIP education programs. 

• Assembling and sharing an 

information base of ‘‘best practices’’ for 

helping consumers evaluate health plan 

options. 

• Building and leveraging existing 

community infrastructures for 

information, counseling and assistance. 

• Drawing the program link between 

outreach and education, promoting 

consumer understanding of health care 

coverage choices and facilitating 

consumer selection/enrollment, which 

in turn support the overarching goal of 

improved access to quality care, 

including prevention services, 

envisioned under health care reform. 

The current members of the Panel are: 

Samantha Artiga, Principal Policy 

Analyst, Kaiser Family Foundation; 

Joseph Baker, President, Medicare 

Rights Center; Philip Bergquist, 

Manager, Health Center Operations, 

CHIPRA Outreach & Enrollment Project 

and Director, Michigan Primary Care 

Association, Marjorie Cadogan, 

Executive Deputy Commissioner, 

Department of Social Services; Jonathan 

Dauphine, Senior Vice President, AARP; 

Barbara Ferrer, Executive Director, 

Boston Public Health Commission; 

Shelby Gonzales, Senior Health 

Outreach Associate, Center on Budget & 

Policy Priorities; Jan Henning, Benefits 

Counseling & Special Projects 

Coordinator, North Central Texas 

Council of Governments’ Area Agency 

on Aging; Warren Jones, Executive 

Director, Mississippi Institute for 

Improvement of Geographic Minority 

Health; Cathy Kaufmann, Administrator, 

Oregon Health Authority; Sandy 

Markwood, Chief Executive Officer, 

National Association of Area Agencies 

on Aging; Miriam Mobley-Smith, Dean, 

Chicago State University, College of 

Pharmacy; Ana Natal-Pereira, Associate 

Professor of Medicine, University of 

Medicine & Dentistry of New Jersey; 

Megan Padden, Vice President, Sentara 

Health Plans; David W. Roberts, VicePresident, Healthcare Information and 

Management System Society; Julie 

Bode ̈n Schmidt, Associate Vice 

President, National Association of 

Community Health Centers; Alan 

Spielman, President & Chief Executive 

Officer, URAC; Winston Wong, Medical 

Director, Community Benefit Director, 

Kaiser Permanente and Darlene YeeMelichar, Professor & Coordinator, San 

Francisco State University. 

The agenda for the November 17, 

2011 meeting will include the 

following: 

• Recap of the Previous (July 28, 

2011) Meeting 

• Listening Session with CMS 

Leadership 

• Affordable Care Act Initiatives 

• An opportunity for public comment 

• Next Steps 

Individuals or organizations that wish 

to make a 5-minute oral presentation on 

an agenda topic should submit a written 

copy of the oral presentation to the DFO 

at the address listed in the ADDRESSES

section of this notice by the date listed 

in the DATES section of this notice. The 

number of oral presentations may be 

limited by the time available. 

Individuals not wishing to make a 

presentation may submit written 

comments to the DFO at the address 

listed in the ADDRESSES section of this 

notice by the date listed in the DATES

section of this notice. 

Authority: Section 222 of the Public Health 

Service Act (42 U.S.C. 217a) and section 

10(a) of Pub. L. 92–463 (5 U.S.C. App. 2, sec. 

10(a) and 41 CFR 102–3). 

(Catalog of Federal Domestic Assistance 

Program No. 93.733, Medicare—Hospital 

Insurance Program; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: September 28, 2011. 

Donald M. Berwick, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2011–25544 Filed 10–3–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No. FDA–2009–N–0247] 

Food and Drug Administration 

Transparency Initiative: Draft 

Proposals for Public Comment to 

Increase Transparency By Promoting 

Greater Access to the Agency’s 

Compliance and Enforcement Data; 

Availability 

AGENCY: Food and Drug Administration, 

HHS. 


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