SPECIAL NOTICE
R -- Accounting for Socioeconomic Status in Medicare Payment Programs
- Notice Date
- 3/23/2015
- Notice Type
- Special Notice
- NAICS
- 541690
— Other Scientific and Technical Consulting Services
- Contracting Office
- Department of Health and Human Services, Program Support Center, Division of Acquisition Management, 12501 Ardennes Avenue, Suite 400, Rockville, Maryland, 20857, United States
- ZIP Code
- 20857
- Solicitation Number
- 15-233-SOL-00166
- Archive Date
- 4/21/2015
- Point of Contact
- Peter D. Preston, Phone: 3014435100
- E-Mail Address
-
Peter.Preston@psc.hhs.gov
(Peter.Preston@psc.hhs.gov)
- Small Business Set-Aside
- N/A
- Description
- Notice Type: Intent to Sole Source Intended Awardee: The National Academy of Science Institute of Medicine / National Research Council 500 Fifth Street, NW, Keck 753 Washington, DC 20001 Ph: 202-334-1230 www.iom.edu/bcyf Title: Accounting for Socioeconomic Status in Medicare Payment Programs Notice of Intent: The Department of Health and Human Service (DHHS), Office of the Secretary (OS), Office of the Assistant Secretary for Planning and Evaluation (ASPE), Office of Health Policy request the development of a consensus report by the Institute of Medicine (IOM) of the National Academy of Sciences on "Accounting for Socioeconomic Status in Medicare Payment Programs" to meet the requirements for the Secretary of Health and Human Services associated with the "Improving Medicare Post-Acute Care Transformation Act of 2014." Established in 1970, the IOM is the health arm of the National Academy of Sciences, which was chartered under President Abraham Lincoln in 1863 establishing the Act which sets out an obligation for the Academy to provide scientific and technical advice to any department of the Government, whenever requested, with the Academy receiving no compensation for its services. Further, the IOM recently convened the Consensus Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records at the request of the National Institutes of Health, the Centers for Disease Control and Prevention, the Centers for Medicare and Medicaid Services, the Substance Abuse and Mental Health Services Administration, the Department of Veterans Affairs, and a group of private-sector partners. For this study, the IOM was charged with convening a committee to identify domains and measures that capture the social determinants of health to inform the development of recommendations for stage 3 meaningful uses of electronic health records. The committee: 1) identified specific domains to be used by the Office of the National Coordinator, 2) specified criteria that should be used in deciding which domains should be included, 3) identified core social and behavioral domains to be included in all EHRs, and 4) identified any domains that should be included for specific populations or settings. Findings were reported in two consensus reports: "Capturing Social and Behavioral Domains and Measures in Electronic Health Records, Parts 1 and 2." In accordance with FAR 6.302-1 (2) (ii) (A) competition is being restricted because the services required by the OS/ASPE are available only from IOM because they have a unique and solid foundation of knowledge that can inform and facilitate an evaluation of how to account for socioeconomic factors in Medicare payment programs. Building on this pre-existing work will enable the IOM to produce the deliverables needed in a very time- and cost-saving manner under the guidance of a unique national body of experts. Award to any other source would result in unacceptable delays in fulfilling the agency's requirement. In addition, for the following reasons the two IOM leadership Boards: the Board on Health Care Services and the Board on Population Health and Public Health Practice possess unique expertise needed to perform the study. The two leadership boards maintain essential development capability on the consideration of socioeconomic status (SES) adjustment for Medicare payment programs that could not be obtained elsewhere. For instance, the Board on Health Care Services has authored numerous reports on provider performance, quality measurement, and health care quality (including the landmark Quality Chasm series); the Board on Population Health most recently authored the above mentioned report on accounting for socioeconomic status in electronic health records and has also extensively studied health care disparities and social determinants of health. Background: The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) calls for the Secretary of the Department of Health and Human Services (HHS), acting through the Assistant Secretary for Planning and Evaluation (ASPE), to conduct several studies to examine the effect of individuals' socioeconomic status on Medicare quality and other measures of health care as they pertain to Medicare payment programs. The Act charges the Secretary with conducting four activities to assess the effect of SES on Medicare payment programs: 1) "Study A" to examine (using SES data already collected by Medicare) the effect of SES on Medicare quality and other measures. Report to Congress due by 10/5/16. 2) "Study B" to examine (using SES data from new data sources) the impact on Medicare measures of additional SES factors such as health literacy, limited English proficiency, and beneficiary activation. Report to Congress due by 10/5/19. 3) "Study C" to examine what non-Medicare data sets can be useful in conducting such studies and how those data sets might be coordinated with Medicare administrative data. 4) Development of recommendations on how CMS should (1) obtain access to necessary data on SES and (2) account for Socioeconomic status (SES) factors in Medicare quality measures and resource use and other measures that pertain to Medicare payment programs. Description: The purpose of this project is to (1) define "socioeconomic status" for the purpose of application to Medicare payment programs, (2) identify best practices of high-quality providers serving disproportionate shares of low-SES patient populations, (3) identify SES factors that impact health outcomes of Medicare beneficiaries, (4) establish a set of criteria that may be used to determine whether an SES factor should be accounted for in Medicare payment programs, and (5) suggest strategies to access needed data on SES factors. To address the objectives of "Study A" and "Study B," ASPE will analyze SES effects in nine Medicare programs where payment is or may be determined by performance on quality and resource use measures: • Hospital Readmission Reduction Program • Hospital Value-Based Purchasing Program • Hospital Acquired Condition Payment Reduction • Medicare Advantage • Medicare Part D • Physician Value-Based Modifier Program • Medicare Shared Savings Program • End-Stage Renal Disease Quality Incentive Program • Post-Acute Care Value-Based Purchasing Program The work required under this project will not only address the objectives of "Study C," but will complement and provide a conceptual foundation for the series of quantitative analyses ASPE will conduct to 1) address Study A and Study B requirements and 2) develop recommendations on how SES might be accounted for in Medicare payment programs. Research Questions: The following research questions will be addressed: 1) How should socioeconomic status be defined for the purpose of considering application of socioeconomic status factors to measures used in Medicare payment programs? 2) What are best practices of hospitals, health plans and other providers that serve disproportionately higher shares of patients of low socioeconomic status, but have achieved high performance on measures of healthcare quality and outcomes? How are those practices the same as or different from practices utilized by low-performing providers serving similar populations? 3) What SES factors have been shown to impact health outcomes relevant to Medicare beneficiaries? 4) What criteria should be used to determine whether an SES factor should be accounted for in Medicare quality measures, resource use measures, or other measures used in Medicare payment programs? 5) Using specified criteria, what SES factors could be incorporated into quality measures used for Medicare payment programs? 6) For the identified SES factors, what are existing or new data sources and/or strategies for data collection to facilitate incorporation into Medicare payment programs? This notice of intent is not a request for competitive proposals. Interested parties may identify their interest and capabilities in response to this synopsis. The determination by the Government not to compete the proposed contract based on responses to this notice is solely within the discretion of the Government. Comments regarding this announcement, referencing synopsis number may be submitted to the Program Support Center, Acquisition Management Services, U.S. Department of Health and Human Services, 12501 Ardennes Ave., Suite 400, Rockville, MD 20852, attention Peter Preston, Contract Specialist (Peter.Preston@psc.hhs.gov). Vendors possessing equal capability to conduct the required study are encouraged to respond in writing no later than April 6th, 2015. All responses shall provide at a minimum: 1. Cover Letter/Capability Statement illustrating organizations' technical capabilities, business size, and expertise, as it relates to the requirements presented in this notice. 2. List of at least 3-5 Past Performance references to include: a. Description of previous work efforts b. Contract number c. Point of contact
- Web Link
-
FBO.gov Permalink
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- Place of Performance
- Address: United States
- Record
- SN03675590-W 20150325/150323234836-d174361472d2028eeb28e5eb330f2db7 (fbodaily.com)
- Source
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