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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
CMS ID: [CMS-1490-N]
NOTICE: NOTICES
ACTION: Meetings:
DOCUMENT ACTION: Notice of meeting.
SUBJECT CATEGORY: Medicare Program; Town Hall Meeting on the Fiscal Year 2009 Applications for New Medical Services and Technologies Add-on Payments Under the Hospital Inpatient Prospective Payment System, February 21, 2008
DATES: Meeting Date: The Town Hall meeting announced in this notice
will be held on Thursday, February 21, 2008 at 1:30 p.m., e.s.t. and checkin will begin at 1 p.m. e.s.t.
[[Page 73846]]
Deadline for Registration of Presenters of the Town Hall Meeting: All presenters for the Town Hall Meeting, whether attending in person or by phone, must register and submit their agenda item(s) by February 7, 2008.
Deadline for Submission of Comments on the Town Hall Meeting: Written comments for discussion at the Town Hall Meeting must be received by February 7, 2008. All other written comments on whether the service or technology represents a substantial clinical improvement must be received by March 10, 2008 for consideration before publication of the FY 2009 IPPS proposed rule.
Deadline for Registration of All Other Participants and Submitting Requests for Special Accommodations: All other participants must register by February 14, 2008. Requests for special accommodations must be received no later than 5 p.m., e.s.t. on February 14, 2008.
DOCUMENT SUMMARY: This notice announces a Town Hall meeting in accordance with section 503 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) to discuss fiscal year (FY) 2009 applications for addon payments for new medical services and technologies under the hospital inpatient prospective payment system (IPPS). Interested parties are invited to this meeting to present their comments, recommendations, and data regarding whether the FY 2009 new medical services and technologies applications meet the substantial clinical improvement criterion.
SUMMARY: Applications for new medical services and technologies add-on payments under the Hospital Inpatient Prospective Payment System; FY 2009,
SUPPLEMENTAL INFORMATION
I. BackgroundSections 1886(d)(5)(K) and (L) of the Social Security Act (the Act) require the Secretary to establish a process of identifying and ensuring adequate payments to acute inpatient hospitals for new medical services and technologies under Medicare. Effective for discharges beginning on or after October 1, 2001, section 1886(d)(5)(K)(i) required the Secretary to establish (after notice and opportunity for public comment) a mechanism to recognize the costs of new services and technologies under the inpatient hospital prospective payment system (IPPS). In addition, section 1886(d)(5)(K)(vi) of the Act specifies that a medical service or technology will be considered ``new'' if it meets criteria established by the Secretary (after notice and opportunity for public comment). (See the FY 2002 proposed rule (66 FR 22693, May 4, 2001) and the final rule (66 FR 46912, September 7, 2001) for a more detailed discussion.)
In the September 7, 2001 final rule (66 FR 46914), we noted that we evaluate a request for special payment for a new medical service or technology against the following criteria in order to determine if the new technology meets the substantial clinical improvement requirement:
++ Reduced mortality rate with use of the device.
++ Reduced rate of devicerelated complications.
++ Decreased rate of subsequent diagnostic or therapeutic interventions (for example, due to reduced rate of recurrence of the disease process).
++ Decreased number of future hospitalizations or physician visits. ++ More rapid beneficial resolution of the disease process treatment because of the use of the device.
++ Decreased pain, bleeding, or other quantifiable symptoms. ++ Reduced recovery time.
In addition, we indicated that the requester is required to submit evidence that the technology meets one or more of these criteria.
Section 503 of the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA) revised the process for evaluating new
medical services and technology applications by requiring the Secretary to do the following:
The opinions and alternatives provided during this meeting will assist us as we evaluate the new medical services and technology applications for FY 2009. In addition, they will help us to evaluate our policy on the IPPS new technology addon payment process before the publication of the FY 2009 IPPS proposed rule.
II. Meeting Format
As noted in section I. of this notice, we are required to provide
for a meeting at which organizations representing hospitals,
physicians, manufacturers and any other interested party may present
comments, recommendations, and data to the clinical staff of CMS
concerning whether the service or technology represents a substantial improvement. This meeting will allow
[[Page 73847]]
for a discussion of the substantial clinical improvement criteria on
each of the FY 2009 new medical services and technology addon payment
applications. Information regarding the applications can be found on
our Web site at http://www.cms.hhs.gov/AcuteInpatientPPS/08_newtech.asp#TopOfPage .
The majority of the meeting will be reserved for presentations of comments, recommendations, and data from registered presenters. The time for each presenter's comments will be approximately 10 to 15 minutes and will be based on the number of registered presenters. Presenters will be scheduled to speak in the order in which they register and grouped by new technology applicant. Therefore, individuals who would like to present must register and submit their agenda item(s) to the address specified in the ADDRESSES section of this notice by the date specified in the DATES section of this notice. Comments from participants will be heard after scheduled statements if time permits. Once the agenda is completed, it will be posted on the CMS IPPS Web site at http://www.cms.hhs.gov/AcuteInpatientPPS/08_newtech.asp#TopOfPage .
For presenters or participants unable to attend the CMS for the meeting, an open tollfree phone line, (888) 9704128, is available. Persons who call in will be asked for the conference code by the conference operator. The conference code is ``New Tech.''
In addition, written comments will also be accepted and presented at the meeting if they are received at the address specified in the ADDRESSES section of this notice by the date specified in the DATES section of this notice. Written comments may also be submitted after the meeting. If the comments are to be considered before the publication of the proposed rule, the comments must be received at the address specified in the ADDRESSES section of this notice by the date specified in the DATES section of this notice.
III. Registration Instructions
The Division of Acute Care in CMS is coordinating the meeting registration for the Town Hall Meeting. While there is no registration fee, individuals must register to attend the Town Hall Meeting.
Registration may be completed online at the following Web address: http://www.cms.hhs.gov/AcuteInpatientPPS/08_newtech.asp#TopOfPage. Select the link at the bottom of the page ``New Technology Town Hall Meeting'' to complete the online registration. After completing the registration, online registrants should print the confirmation page and bring it with them to the meeting.
If you are unable to register online, you may register by sending an email to the contacts listed in the FOR FURTHER INFORMATION CONTACT section of this notice. Please include your name, address, telephone number, email address and fax number. If seating capacity has been reached, you will be notified that the meeting has reached capacity. IV. Security, Building, and Parking Guidelines
Because this meeting will be located on Federal property, for
security reasons, any persons wishing to attend this meeting must
register by close of business by the date listed in the DATES section
of this notice. Please allow sufficient time to go through the security
checkpoints. It is suggested that you arrive at 7500 Security Boulevard
no later than 1 p.m., e.s.t. so that you will be able to arrive promptly at the meeting by 1:30 p.m., e.s.t.
Security measures include the following:
Note: Individuals who are not registered in advance will not be permitted to enter the building and will be unable to attend the meeting. The public may not enter the building earlier than 30 to 45 minutes prior to the convening of the meeting.
All visitors must be escorted in areas other than the lower and
first floor levels in the Central Building. Seating capacity is limited to the first 250 registrants.
Authority: Section 503 of Public Law 108173.
(Catalog of Federal Domestic Assistance Program No. 93.773,
MedicareHospital Insurance; and Program No. 93.774, Medicare Supplementary Medical Insurance Program)
Dated: December 6, 2007.
Kerry Weems,
Acting Administrator, Centers for Medicare and Medicaid Services. [FR Doc. E724267 Filed 122707; 8:45 am]
BILLING CODE 412001P
FOR FURTHER INFORMATION CONTACT Tiffany Swygert, (410) 786-4642,
tiffany.swygert@cms.hhs.gov, or Michael Treitel, (410) 7864552,
michael.treitel@cms.hhs.gov or you may forward regular mail to the
address listed in the ADDRESSES section of this notice.
Common CFR Searches
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