STRATEGIC PLAN - ASPE - U.S. Department of Health and Human ...

Appendix a: program evaluation effortsDivision Topic DescriptionStrategic Goal 1: Health CareCMSCMSCMSCMSCMSCMSCMSCMSCMSCMSCMSCMSCMSCMSHealth insurance flexibilityInformatics, Telemedicine, andEducation DemonstrationLife Masters DemonstrationLong-Term Care HospitalPayment System RefinementMaintaining independence andemploymentMedical Adult Day-Care ServicesDemonstrationAlternative models for deliveryof care to Medicare beneficiariesMedicare Lifestyle ModificationProgram DemonstrationMMA’s changes on dual eligiblebeneficiaries in demonstrationand other managed care andfee-for-service arrangementsMedicare Part DQuality of health careValue-based purchasingProgram of All-Inclusive Carefor the Elderly (PACE) as apermanent programRural Hospice DemonstrationEvaluate the strength of the relationship between the HealthInsurance Flexibility and Accountability initiative and the numberand rate of uninsured for health care.Evaluate the telemedicine diabetes demonstration.Evaluate the combination of the State’s Medicaid pharmacy benefitwith a disease management activity funded by Medicare.Evaluate the Long-Term Care Hospital Payment System Refinementand its effect on overall Medicare payments, and determine thefeasibility of CMS establishing facility- and patient-level criteria forLong-Term Care Hospital payments.Evaluate several demonstrations providing supplemental Medicaidbenefits to persons with HIV/AIDS.Evaluate the Medical Adult Day-Care Services Demonstration todetermine the impact on patient outcomes and costs of furnishingcare.Evaluate the implementation and operational experiences ofparticipating Medicare Advantage Special Needs Plans, MedicareCare Management participating medical practices, MedicarePreferred Provider Organizations, Medicare Coordinated CareDemonstration, Medicare Health Care Quality Demonstration,Medicare Health Support, and Medicare Savings Accounts.Evaluate the health outcomes and cost-effectiveness of the MedicareLifestyle Modification Program Demonstration for Medicarebeneficiaries with coronary artery disease.Evaluate the changes of the Medicare Prescription Drug,Improvement, and Modernization Act (MMA) of 2003 (Public Law108-173) on beneficiaries in dual eligible Medicare AdvantageSpecial Needs Plans demonstrations that also contract forcomprehensive Medicaid benefits.Evaluate the Medicare Part D payment demonstration thatrepresents an alternative payment approach for private plansoffering prescription drug coverage under Part D.Evaluate components of two CMS quality initiatives—Nursing HomeCompare and Home Health Compare.Evaluate the quality of care furnished to Medicare beneficiaries innursing facilities and, in a separate demonstration, physician grouppractice, as part of a value-based purchasing initiative.Evaluate PACE in terms of site attributes, patient characteristics,and utilization data statistically analyzed across sample sites andcompared to the prior demonstration data and other comparablepopulations.Evaluate the impact of the Rural Hospice Demonstration on changesin the access and cost of care and to assess the quality of care forMedicare beneficiaries.HHS Strategic Plan FY 2007-2012145