FR 2021-02355

Overview

Title

Agency Information Collection Activities: Proposed Collection; Comment Request

Agencies

ELI5 AI

The Centers for Medicare & Medicaid Services (CMS) wants people to tell them what they think about some forms they use to check how good certain hospitals are and make sure all their records are right. They are giving everyone a chance to say what they think until April 5, 2021, so they can collect ideas and improve the forms.

Summary AI

The Centers for Medicare & Medicaid Services (CMS), part of the Department of Health and Human Services (HHS), is inviting public comments on their plan to gather information under the Paperwork Reduction Act of 1995. CMS intends to extend two information collections: the Business Proposal Forms for Quality Improvement Organizations (CMS-718-721) and the Medicare/Medicaid Psychiatric Hospital Survey Data (CMS-724). These forms help CMS evaluate contract proposals and maintain accurate databases for psychiatric hospitals. Public comments can be submitted until April 5, 2021, ensuring transparency and community involvement in CMS's information collection processes.

Abstract

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (the PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.

Type: Notice
Citation: 86 FR 8199
Document #: 2021-02355
Date:
Volume: 86
Pages: 8199-8200

AnalysisAI

The document from the Federal Register, issued by the Centers for Medicare & Medicaid Services (CMS), invites public comment on two significant information collection activities under the Paperwork Reduction Act of 1995. The CMS, which operates under the Department of Health and Human Services, is considering the extension of two collections: the Business Proposal Forms for Quality Improvement Organizations (QIOs) and the Medicare/Medicaid Psychiatric Hospital Survey Data. These extensions are aimed at ensuring the CMS has reliable data for evaluating contract proposals and maintaining accurate databases for psychiatric hospital operations.

General Summary

The CMS announcement outlines its plan to gather public feedback on its intention to collect information through two existing collection methods. The Business Proposal Forms for QIOs are used to evaluate contract proposals by providing a standardized format for cost reporting and pricing. Meanwhile, the Medicare/Medicaid Psychiatric Hospital Survey Data helps in maintaining an accurate database for program planning and evaluation. The public is encouraged to submit comments by April 5, 2021, to ensure inclusivity and transparency in the CMS's approach to information collection.

Significant Issues and Concerns

There are several notable issues and concerns related to this document. Firstly, it does not provide specific information on the costs associated with these information collections, leaving potential concerns regarding wasteful spending unaddressed. Additionally, the document lacks a detailed explanation of the necessity and utility of the data being collected, which could appear burdensome or redundant to some stakeholders. The requirement for QIOs to submit business proposal forms annually might also be seen as giving these organizations a competitive edge, as they may be better positioned to renew contracts.

The language used to describe the purpose of collecting information from QIOs is somewhat technical and could be challenging for stakeholders who are not familiar with contract evaluation terms. Lastly, while public comments are solicited, there is no clear explanation of how these comments will affect the decision-making process, possibly discouraging public input.

Impact on the Public

Broadly speaking, the CMS's proposed information collection activities could benefit the public by potentially improving the efficiency and effectiveness of Medicare and Medicaid services. By gathering consistent and reliable data, the CMS could make more informed decisions that enhance healthcare outcomes for beneficiaries. However, without a clear explanation of the costs and benefits, there may be skepticism about the program's efficiency and transparency.

Impact on Specific Stakeholders

For specific stakeholders, such as Quality Improvement Organizations and psychiatric hospitals, the impact of these information collections is more direct. QIOs might experience an administrative burden due to the annual requirement of submission forms, though this process aims to standardize and streamline proposal evaluation. Psychiatric hospitals could benefit from more accurate assessments and planning through enhanced data collection, yet they might also face challenges in data submission and compliance with the CMS's requirements.

The document emphasizes the importance of public engagement in federal agency processes. While it provides foundational information about the CMS's intentions, the listed concerns highlight areas where transparency and explanation could be improved to foster broader understanding and participation.

Issues

  • • The document does not provide specific information on the costs associated with the collection of information, making it difficult to assess potential wasteful spending.

  • • The document lacks detailed justification for the necessity and utility of collecting such data, which could be perceived as potentially burdensome or redundant.

  • • Some stakeholders might view the annually required submission of business proposal forms by QIOs as favoring these organizations, as they may have a competitive advantage in the renewal of contracts.

  • • The language used in the section regarding the 'Use' of information collected by QIOs may be considered complex due to the technical terms related to contract evaluation, which might not be easily understood by all stakeholders.

  • • The notice does not explain how public comments will influence the decision-making process or how they will be addressed, which could be concerning to commenters.

  • • Frequent references to federal regulations without explanation or context could make the document less accessible to individuals unfamiliar with these regulations (e.g., 44 U.S.C. 3501-3520, 5 CFR 1320.3(c)).

Statistics

Size

Pages: 2
Words: 1,192
Sentences: 40
Entities: 74

Language

Nouns: 421
Verbs: 96
Adjectives: 35
Adverbs: 10
Numbers: 55

Complexity

Average Token Length:
5.72
Average Sentence Length:
29.80
Token Entropy:
5.33
Readability (ARI):
23.77

Reading Time

about 4 minutes