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The Health Sector Cybersecurity Coordination Center released a threat briefing about LockBit, a ransomware group that has recently buy kamagra now debuted a new variant.The hackers were behind the widely publicized attack on Accenture this summer, in which the company reportedly faced $50 million in ransom. "Threat actors continue to view unpatched systems as an easy, if not preferred, method of intrusion," wrote officials from the cybersecurity arm of the U.S. Department of Health and Human Services in its buy kamagra now brief. WHY IT MATTERS As outlined by HC3, LockBit launched in September 2019, before beginning to advertise its "ransomware as a service" affiliate program in January 2020. It began working with Maze, another ransomware gang, in May 2020 and created its own leak site in buy kamagra now September of that year.

Then, in June of this year, LockBit v2.0 emerged. Now, said HC3, it uses a double extortion buy kamagra now technique via StealBit malware. It includes faster encryption and bypasses user account control mechanisms. It also restarted its affiliate program, in which affiliates set buy kamagra now the ransom, choose the method of payment and collect the lion's share of the ransom before paying the gang. The program doesn't work in Commonwealth of Independent States countries.

Armenia, Azerbaijan, Belarus, Kazakhstan, Kyrgyzstan, Moldova, Russia, Tajikistan or Uzbekistan.The agency observed, based on an interview with a LockBit ransomware operator, that the bad actors appeared to have a buy kamagra now "contradictory code of ethics." Hospitals are considered easy targets, said HC3, but the LockBit affiliate portrayed "a strong disdain for those who attack healthcare entities, while displaying conflicting evidence about whether he targets them himself." "The U.S. Also has lucrative targets, but with data privacy laws requiring victim companies to report all breaches, the incentive for such entities to pay the ransom is likely somewhat reduced," said HC3. The agency also noted that many cybercriminals buy kamagra now rely on open-source tools readily available online. "Cybercriminals are avid consumers of security news and remain up to date on the latest research and vulnerabilities, weaponizing that information to use in future attacks," it wrote. THE LARGER TRENDThe federal government has published threat briefings about several ransomware gangs as buy kamagra now of late, including BlackMatter, Conti and Hive.

But the alerts haven't stemmed the tide of ransomware news. Just this past month Hive attacked a Missouri health center and posted patient names, Social Security numbers and medical information on buy kamagra now its blog. ON THE RECORD "While threat actors may state publicly that their personal ethics influence their target selection, many adversaries go after the easiest victims regardless of any moral obligation, based on our experience," said HC3. Kat Jercich is buy kamagra now senior editor of Healthcare IT News.Twitter. @kjercichEmail.

Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.Last year, M Health Fairview, a health system based in Minneapolis, was awarded $598,000 by the FCC telehealth funding program for connected tablets to assigned patients in the inpatient setting for video visit capabilities with buy kamagra now medical staff and family members. Other tablets would be mobile and used to monitor patients from the nursing station to provide palliative care services to avoid prolonged potential exposure to erectile dysfunction treatment.Prior to having telemedicine technology in place, M Health Fairview was only able to provide specialty care and other services like hospice or diabetes education to patients throughout its 10 hospitals if it had someone who could "round" (come in person to see a patient) at that hospital.Without the technologyOtherwise, those patients would need to get that care after discharge from the hospital or through a transfer to a hospital with that specialty offering if emergent."If a patient has a neurologic issue such as a stroke and arrives in a hospital that does not have a neurologist, they are not able to get certain types of emergent care that needs specialized assessment," explained Dr. Susan Pleasants, M Health buy kamagra now Fairview's chief medical informatics officer. "Those treatments can prevent disability and even death leading to avoidance of extremely sad outcomes that are avoidable with access to more advanced care," she said."Additionally, patients usually prefer to stay at a hospital close to home if that is an option because their family or friends are able to provide support that we know leads to improved engagement in care planning while in the hospital, faster discharge to home, and better adherence to post-hospital care at home because the family was there for the discussions about what they will need to do," she added."We were able to spread our ability to provide primary team, specialty physician and other services such as educators across all of our hospitals."Dr. Susan Pleasants, M Health FairviewDuring the ongoing erectile dysfunction treatment buy kamagra now kamagra, the health system's specialty physicians as well as some of the non-specialty doctors (such as hospitalists) have had to limit the amount of time they spend in close quarters with patients who have erectile dysfunction treatment.Working in quarantine"We also have had potential risks of not having coverage for critical specialties in hospitals if a provider was exposed to erectile dysfunction treatment – for example, a child at home tests positive – and was not allowed to come on-site but could 'work from home' because they were just in quarantine – not actually sick," Pleasants said."Through the use of iPads purchased with our FCC grant, we deployed 1,500 devices using Cisco's Polycom application," she continued.

"We were able to spread our ability to provide primary team, specialty physician and other services such as educators across all of our hospitals. "A physician or other healthcare buy kamagra now worker – hospice, pastoral care, diabetes educators, pharmacists, nurses, etc. €“ could look in a patient's chart to find a unique code that would allow them to connect virtually to a patient in their room after the local team turned it on and set it up to face the patient."They could complete assessments of the patient's condition with or without the local nursing team helping with the exam and even invite a family member at home to hear the updates to their care when they were not present."Additionally, we used those same unique patient codes to allow a family member or anyone the patient chose to provide their code to connect with their loved one while in the hospital – especially while we limited visitors," Pleasants noted. "Through that erectile dysfunction treatment experience, we found there are family members who may be out of town or unable to come to the hospital due to their own medical conditions or who can't come at buy kamagra now the right time to talk to the doctor or hear the discharge instructions provided by nurses that are critical to successfully getting home and staying home after a hospital stay."Using this technology, staff can bring family members into the hospital without having them come into the building, she added.When the kamagra endsThe kamagra kick-started this work and enabled M Health Fairview to test it in ways that pre-kamagra insurance payment models did not allow (for example, one could only provide these services in extremely rural hospitals). The health system plans to continue to develop best practices and learn how it can sustain this kind of practice when the public health emergency ends."We have many 'not the big city but not truly rural' hospitals that are not large enough to support even a small subset of the 100-plus specialties our organization has to offer," Pleasants explained.

"Even if buy kamagra now they have a specialist, they may not have a subspecialist that specializes in an unusual condition. So continuing to provide access to specialty care across all of our facilities is an important strategy we continue to advance and embed into our everyday practices."Outside of the FCC funding, the health system also has expanded telehealth services to its ambulatory clinics, with massive expansion from very few virtual visits to 30,000 ambulatory video visits per month. It also has been adding in remote patient monitoring to let patients go home safely with buy kamagra now close monitoring, as well as other virtual care tools.Twitter. @SiwickiHealthITEmail the writer. Bsiwicki@himss.orgHealthcare IT News is a HIMSS Media buy kamagra now publication.Mike Murray is founder and CEO of Scope Security.

Previously a security leader at GE Healthcare, Murray founded Scope to focus on protecting medical devices and networks. He spoke at HIMSS21 on the subject, and also organized a panel with the FDA at the recent DefCon hacking event on the contentious issue of patching medical devices.Healthcare IT News spoke with Murray recently to discuss the healthcare security environment – medical device security in particular – and what 2022 holds in store for buy kamagra now cybersecurity.Q. Please describe how you see the hospital and health system IT environment today, especially with regard to the security of computers and medical devices. A. Traditional IT-oriented businesses (for example, banks, payers, startups) have a single-technology environment.

All of their systems are general multi-purpose computers that perform traditional IT functions.However, while a hospital or health system has to manage a traditional IT environment like any other business, they face additional difficulty with two more environments. Clinical technologies involved in delivering care and the modern electronic health records system and its associated technologies. Each presents its own unique security challenges for the modern healthcare-provider organization.Hospitals have the same traditional IT technologies (for example, laptops, switches, routers, servers, etc.) that other verticals have, and securing those assets is similar to how that happens everywhere. But Scope's research shows that, for a given revenue level, healthcare organizations have about 10 times fewer security staff members than a traditional financial services organization.So, if you have a security tool that sends out 100 alerts a week, a hospital's team will be overwhelmed at the tenth alert.Clinical technologies – medical devices and all of the technologies involved in delivering care – have well-known challenges. Regulations and manufacturer contracts restrict the ability to deploy IT-style security controls on these devices.And these devices' long useful life (up to 25 years in some cases) leads to a significant population of legacy equipment (more than 75% of devices in use today are on operating systems like Windows XP and Windows 7 that no longer receive patches).

No regulation requires that these devices are easily monitored by traditional security technologies, which leaves them as fertile targets for hackers to hide in a healthcare environment while they perform reconnaissance and evade detection.The third environment encompasses massive EHR systems that hospitals have come to depend on and all of the infrastructure involved in using them (for example, patient portals, interface engines, etc.). These technologies hold the key information assets of the hospital, and, because of a lack of regulation, publish no information about vulnerabilities or how to detect attacks against them. Consequently, most modern security products have no way of understanding how to protect these systems.These challenges are unique to healthcare environments and create headwinds that have led to the security issues we see in modern hospital and care delivery environments today.Q. You believe healthcare does not invest enough to secure medical devices versus computers. What is the problem here, from your point of view?.

How can it be resolved?. A. It's not that healthcare doesn't invest enough in security. Given the profit margins and budgets in healthcare delivery, the industry spends what it is able to. Unfortunately, that spending is misaligned with the actual challenge.When I look at a health system network, more than 50% of devices are either clinical technology or related to the storage and movement of EHRs.

And yet, nearly 100% of security spending is on the IT systems and infrastructure.Unfortunately, it's not the health systems' fault. Even if they wanted to align their spend to better protect clinical and EHR systems, they are hampered from the start with generalist security solutions that focus exclusively on IT systems and ignore all of the medical infrastructure. That leaves them unprotected on more than half of their infrastructure, because the security industry simply doesn't build to solve their problems.As a simple illustration, the leading EHR vendors have released numerous security patches and upgrades over the past few years. Because those vendors haven't worked with the security community (and the security community doesn't focus on them), most security products know nothing about the vulnerabilities and security patches in those vendors' products.This means that if an attacker is going after your Epic, Cerner, etc. System, none of the major security vendors on the market today will be able to detect and stop those attacks.And it's not going to get better.

I recently was talking to a leader at a major security vendor, and when I asked about their future plans for coverage of attacks against medical technologies, his response was. "Mike, I don't have the time and resources to get Windows right. We're never going to get around to GE, Phillips, Epic and Cerner."It's an old cliché in security that you can't stop the attacks you can't see. When their security controls cover less than half of the systems in the network, the hospital security team is fighting with one hand tied behind its back.Q. How should healthcare CISOs and CIOs go about tackling the big issue of medical device patching?.

A. The short answer from everyone I've talked to is. They're not. We could talk forever about the challenges of patching and FDA regulation, but I just don't believe we're ever going to patch our way out of the problem.One of the main reasons for this is the statistic I quoted earlier, that more than 75% of medical devices in use today are running outdated operating systems (for example, Windows XP, Windows 7, old versions of Linux) that vendors no longer patch – even if you're a medical device manufacturer that wants to be responsible and put out patches for everything, and often you can't patch Microsoft's products unless Microsoft gives you the patch.This leads to hospitals and health systems either taking the risk with these devices, limiting their functionality or availability, or undertaking incredible amounts of capital expenditures to replace the devices.There's a better way. A strong security-monitoring program designed specifically to understand how to monitor those devices can extend the useful life, while maintaining risk, even in the absence of patching.

Use this suite of tools to protect the 75% of medical devices that aren't patchable to complement patching. An effective monitoring program can also reduce the urgency of applying patches to thousands of devices, which can keep the biomedical team happy as well.To use an analogy, suppose you had a door that you couldn't lock on your house. Today, most health system security solutions involve either tearing down and rebuilding the house or locking the door by putting up concrete in front of it. I'm suggesting that a strong burglar alarm system on that door will let you live with an acceptable level of risk rather than replacing the entire house.Q. What are the top couple of healthcare cybersecurity issues going forward into 2022?.

A. The common theme in healthcare security is the lack of system-wide visibility, which has made hospitals the perfect place for attackers of all types to hide, whether for ransomware, theft of data and patient records, or anything else.Ransomware has been the most discussed threat, but that is often because ransomware is one of the very few attack patterns that detects itself. You only pay a ransom once the attackers shut down your systems and announce themselves.While it is important to build a security strategy to deter and stop ransomware, the far scarier attacks are the ones that stay quiet forever. Security leaders in healthcare need specialized tools to detect all of those invisible attackers hiding inside of their EHR system or on legacy medical devices as they steal patient data and other important information assets. If they do a good job of that, they will detect ransomware attackers in the process.While hospital ransomware has captured headlines this past year, healthcare IT leaders should avoid focusing only on these attacks.

Tunnel vision leads to a security strategy that relies on that specific attack pattern. A strong detection and response program designed to detect all attackers early and often is the real goal.Twitter. @SiwickiHealthITEmail the writer. Bsiwicki@himss.orgHealthcare IT News is a HIMSS Media publication.Apervita, which once claimed to be the first health analytics marketplace, has ceased operations as of October 1. Chief Informatics and Innovation Officer Blackford Middleton wrote in a post on LinkedIn that the company had failed to drum up enough resources in its second round of funding.

"It has been a great ride full of innovation and impact," he said. WHY IT MATTERS As an analytics startup, Apervita had struck up partnerships with major health systems including the Cleveland Clinic and Mayo. Just this June, it had acquired Carta Healthcare's AI-powered data abstraction technology for its platform's interoperability layer.As outlined by Middleton in his LinkedIn post, the vendor had also been the first organization to develop an electronic health record-agnostic "algorithm and application marketplace" and the first organization to support digital quality measure execution at scale. It had, said Middleton, also created an industry-first cloud-native build-test-run environment for CQL digital measure authoring and execution. The team had deployed the Joint Commission’s Direct Data Submission Platform to more than 3,500 healthcare organizations in the United States, and had developed software for embedding cognitive support in disparate EHRs and tools to support practice-based research.Apervita had also launched its clinical intelligence tools via strategic joint development relationships, aiming to demonstrate the convergence of computable clinical guidelines, and quality measurement.

Middleton also touted the vendor's VitalTM platform, which he said represented advancements toward a learning health system. "Even with this market momentum, however, we ran into challenges with our second round of funding and have simply run out of runway," he wrote. "As a result, we ceased operations as of October 1, 2021." As of Wednesday, Apervita's website was still up, with no notice posted about the closure. THE LARGER TREND Middleton had frequently spoken about Apervita's role in advancing a learning health system. In a recent Q&A with Healthcare IT News he described "the technology-enabled system of health and care delivery that creates and uses interoperable healthcare data, monitors and measures all important aspects of care, uses shareable computable knowledge, and has built-in feedback loops to improve care and fine-tune computable practice guidelines, and machine learning algorithms that create cognitive assistants in care delivery." Middleton, who is a member of the advisory council to the standards body HL7, also noted the importance of interoperability – for which Apervita had released a tool in 2020 – toward realizing this goal.

"The interoperability of data and of knowledge ... Are cornerstones of this vision," he said. ON THE RECORD "We want to thank the many organizations and individuals who have dedicated themselves to our mission – our partners, our clients, our investors and – most of all – our employees," Middleton wrote. We are truly grateful." Kat Jercich is senior editor of Healthcare IT News.Twitter. @kjercichEmail.

Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication..

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It may feel like you are going through all of this alone or that no one could possibly understand. I have buy kamagra now had many people say similar statements to me when they first start this program. But the truth is, there are many people who have gone through and are going through what you are experiencing right now.

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Check for Wounds on Your Feet and Legs Every Day This is especially important for people living with diabetes, vascular disease or other coexisting health conditions that may affect the body’s ability to heal. A small blister can quickly buy kamagra now develop into a non-healing wound. Puncture wounds have a high rate of .

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Watch for signs of an allergic reaction. Seek emergency care if you are experiencing chest pain, difficulty swallowing or buy kamagra now breathing, nausea, cramps, vomiting or severe swelling. Protect Against Sunburn and Skin Cancer Skin cancer is more common than all other types of cancer combined.

You can help prevent cancer and buy kamagra now sunburn with the right sunscreen, clothing and shade. Mild sunburns can be treated with over-the-counter remedies. Seek medical attention if you experience chills, dizziness, rapid breathing, nausea, extreme thirst, faintness or a rash.

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The longer a chronic wound goes without proper care, the greater the risk of , hospitalization and amputation. This article was originally published by Healogics, Inc. Through a partnership with Healogics, buy kamagra now MidMichigan Health is able to offer expanded specialized wound care and hyperbaric oxygen therapy.

Healogics is the nation’s leading wound care management company, providing high-quality wound care and consulting services to more than 500 hospitals across the United States. Member hospitals have access to advanced healing technologies including hyperbaric oxygen therapy (HBOT) management..

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Background In FR Doc. 2022-00117 of January 12, 2022 (87 FR 1842), there were several technical errors that are identified and corrected in this correcting document. II. Summary of Errors On page 1899, in discussion of the proposed regulations text changes for the assessment of past performance, we made an error in a regulatory citation.

On page 1925, in our discussion of the information collection requirements for limiting certain Medicare Advantage contracts to dual special needs plans (D-SNPs), we inadvertently omitted language regarding when we will submit information on the number of respondents and the time estimates to the public and OMB. III. Correction of Errors In FR Doc. 2022-00117 of January 12, 2022 (87 FR 1842), make the following corrections.

1. On page 1899, first column, first full paragraph, line 3, the reference “§ 422.505(n)” is corrected to read “§ 423.505(n)”. 2. On page 1925, first column, after the first full paragraph that begins with the phrase “The burden for an initial Part D”, the text is corrected by adding the following paragraph to read as follows.

Start Printed Page 10762 “While we anticipate changes to the number of respondents and our active time estimates for the Part C and Part D applications, if this proposal is finalized we would revise control numbers 0938-0935 (CMS-10237) and 0938-0936 (CMS-10137) for the 2025 plan year application and prior to the effective date of the requirement. The CMS-10237 and CMS-10137 collection of information materials would be made available to the public for review/comment under the standard PRA process which includes the publication of 60- and 30-day Federal Register notices and the posting of the collection of information documents on our PRA website.” Start Signature Karuna Seshasai, Executive Secretary to the Department, Department of Health and Human Services. End Signature End Supplemental Information [FR Doc. 2022-03966 Filed 2-24-22.

8:45 am]BILLING CODE 4120-01-PStart Preamble Centers for Medicare &. Medicaid Services, Health and Human Services (HHS). Notice. 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 (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 Start Printed Page 9626 a second opportunity for public comment on the notice. Interested persons are invited to send comments regarding the burden estimate 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. Comments on the collection(s) of information must be received by the OMB desk officer by March 24, 2022.

Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/​public/​do/​PRAMain. Find this particular information collection by selecting “Currently under 30-day Review—Open for Public Comments” or by using the search function. To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice, you may make your request using one of following. 1.

Access CMS' website address at website address at. Https://www.cms.gov/​Regulations-and-Guidance/​Legislation/​PaperworkReductionActof1995/​PRA-Listing.html. Start Further Info William Parham at (410) 786-4669. End Further Info End Preamble Start Supplemental Information Under the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C.

3501-3520), federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. The term “collection of information” is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and includes agency requests or requirements that members of the public submit reports, keep records, or provide information to a third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C.

3506(c)(2)(A)) requires federal agencies to publish a 30-day notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, before submitting the collection to OMB for approval. To comply with this requirement, CMS is publishing this notice that summarizes the following proposed collection(s) of information for public comment. 1. Type of Information Collection Request.

New collection (Request for a new OMB Control Number). Title of Information Collection. Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act Section 1003 Demonstration Evaluation. Use.

Section 1003 of the SUPPORT Act authorizes the Secretary of HHS, in consultation with the Director of the Agency for Healthcare Research and Quality (AHRQ) and the Assistant Secretary for Mental Health and Substance Use from the Substance Abuse and Mental Health Services Administration (SAMHSA), to conduct a 54-month demonstration project (hereinafter, “the Demonstration”) which is designed to increase the capacity of Medicaid providers to deliver substance use disorder (SUD) treatment and recovery services. Section 1003 also requires an evaluation of the demonstration. The evaluation is designed to assess. The effectiveness of the Demonstration in increasing the capacity of providers participating under the Medicaid state plan (or a waiver of such plan) to provide substance use disorder treatment or recovery services under such plan (or waiver).

The activities carried out under the planning grants and demonstration project. The extent to which participating states have achieved the stated goals. And The strengths and limitations of the planning grants and demonstration project. This collection of information request is intended to satisfy the reporting requirements, defined in the statute, regarding the impact of the Demonstration.

The evaluation of the Demonstration will assess the extent to which the participating states achieved the goals they established to increase substance use treatment or recovery provider capacity under the Medicaid program. This includes both the planning and post-planning periods of the demonstration, as evaluation during both phases will enable CMS and stakeholders to assess the effects of the additional support provided to states during the post-planning period, relative to the planning period only. Primary data collection will occur in two rounds in year two and year four of the evaluation. In both rounds, data collection will consist of.

(1) A survey of providers in all 15 Planning Grant states who are eligible to prescribe and/or administer either buprenorphine or methadone medication for opioid use disorder (OUD), and (2) focus groups of providers in five post-planning period states (two focus groups per state, with six to eight participants in each group) who treat SUD, including OUD. The survey will gather information on provider experiences related to Medicaid provider enrollment, SUD service delivery, and changes in OUD medication treatment, including barriers and enablers of prescribing and dispensing. The focus groups will examine the impact of key aspects of implementation, such as perceived burdens associated with Medicaid enrollment or MAT delivery, access to referral placements, value of state-provided TA, and benefits and unanticipated outcomes experienced by providers during the Demonstration. Form Number.

CMS-10786 (OMB control number. 0938-NEW). Frequency. Biennial.

Affected Public. Private sector (Business or other for-profits and Not-for-profit institutions). Number of Respondents. 28,810.

Total Annual Responses. 14,405. Total Annual Hours. 3,689.

(For policy questions regarding this collection contact Melanie Brown at 410-786-1095.) 2. Type of Information Collection Request. New collection (Request for a new OMB control number). Title of Information Collection.

Patient-Reported Indicator Survey (PaRIS). Use. The Centers for Medicare and Medicaid Services (CMS) invites comments on a proposed new Information Collection Request (ICR) to conduct the International Survey of People Living with Chronic Conditions (hereafter referred to as the PaRIS Survey). This survey has been developed by a collaborative workgroup under the auspices of the Organization for Economic Cooperation and Development (OECD), an international organization that works with governments, policy makers, and citizens to shape policies that foster prosperity, equality, opportunity, and well-being for all.

The OECD launched the PaRIS initiative in 2017 to address gaps in health outcomes measures, particularly regarding user experiences with health care services. OECD member countries, including the U.S., are working together to develop, standardize, and implement indicators that measure outcomes and experiences of health care that matter most to people. The PaRIS Survey will provide a common set of measures that support policy makers across participating countries to improve health care delivery. On behalf of the Start Printed Page 9627 Department of Health and Human Services (DHHS) Assistant Secretary for Planning and Evaluation (ASPE), the Office of Enterprise Data and Analytics (OEDA) in CMS has been designated as the lead participant for the U.S.

The PaRIS Survey will help to close critical policy gaps by focusing on. (1) Patient Reported Experience Measures (PREMS) which measure how patients experience health care, and (2) Patient Reported Outcome Measures (PROMS) which measure how patients assess the results of the care they receive. The PaRIS survey includes both PREMS and PROMS items and aims to collect vital information about primary health care, by asking about topics such as the respondent's health, health behaviors, patient activation and confidence in managing their health care, experiences with health care and health providers including access to health care, quality of life, physical functioning, and psychological well-being. OECD and its member countries will use data collected by the PaRIS Survey to shed light on key questions about how well care in each country is organized around the needs of patients.

Results from the survey will show how key outcomes and experiences vary across and within countries. This will allow countries to benchmark and learn from each other's approaches. The survey will also help policy makers in OECD member countries understand how health systems are addressing the needs of persons with chronic health conditions. Findings will foster a dialogue with service providers about how to further improve the performance and people-centeredness of primary health care services.

To facilitate U.S. Participation in this important initiative, CMS will leverage the existing sample for the Medicare Current Beneficiary Survey (MCBS). The MCBS is a continuous, multi-purpose survey of a representative national sample of the Medicare population. It is conducted under OMB clearance number 0938-0568.

While the MCBS sample includes the population of beneficiaries aged 65 and over and beneficiaries aged 64 and below with certain disabling conditions residing in the U.S., selection for the PaRIS Survey will be limited to beneficiaries aged 65 and over who have seen a medical provider in the last six months to provide a comparable population to survey respondents selected in other participating OECD countries. Interviewers will telephone MCBS respondents and administer the PaRIS Survey by phone as a one-time standalone survey during January through April 2023. Non-response follow-up will be conducted by telephone and in-person as needed. It is estimated that 5,144 Medicare beneficiaries will participate in this 40-minute survey.

CMS plans to release a disclosure protected public use file with accompanying methodological documentation. This public use file will also be made available to OECD for analysis and released with data from other participating countries. Form Number. CMS-10792 (OMB.

Access CMS' http://www.peter-berne.at/biography/ website buy kamagra now address at website address at. Https://www.cms.gov/​Regulations-and-Guidance/​Legislation/​PaperworkReductionActof1995/​PRA-Listing.html. Start Further Info William Parham at (410) 786-4669. End Further Info End Preamble Start Supplemental Information Under the buy kamagra now Paperwork Reduction Act of 1995 (PRA) (44 U.S.C.

3501-3520), federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. The term “collection of information” is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and includes agency requests or requirements buy kamagra now that members of the public submit reports, keep records, or provide information to a third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C.

3506(c)(2)(A)) requires federal agencies to publish a 30-day notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, before submitting the collection to OMB for approval. To comply with this requirement, CMS is publishing this notice that summarizes the buy kamagra now following proposed collection(s) of information for public comment. 1. Type of Information Collection Request.

New collection buy kamagra now (Request for a new OMB Control Number). Title of Information Collection. Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act Section 1003 Demonstration Evaluation. Use.

Section 1003 of the SUPPORT Act authorizes the Secretary of HHS, in consultation with the Director of the Agency for Healthcare Research and Quality (AHRQ) and the Assistant Secretary for Mental Health and Substance Use from the Substance Abuse and Mental Health Services Administration (SAMHSA), to conduct a 54-month demonstration project (hereinafter, “the Demonstration”) which is designed to increase the capacity of Medicaid providers to deliver substance use disorder (SUD) treatment and recovery services. Section 1003 also requires an evaluation of the demonstration. The evaluation is designed to assess. The effectiveness of the Demonstration in increasing the capacity of providers participating under the Medicaid state plan (or a waiver of such plan) to provide substance use disorder treatment or recovery services under such plan (or waiver).

The activities carried out under the planning grants and demonstration project. The extent to which participating states have achieved the stated goals. And The strengths and limitations of the planning grants and demonstration project. This collection of information request is intended to satisfy the reporting requirements, defined in the statute, regarding the impact of the Demonstration.

The evaluation of the Demonstration will assess the extent to which the participating states achieved the goals they established to increase substance use treatment or recovery provider capacity under the Medicaid program. This includes both the planning and post-planning periods of the demonstration, as evaluation during both phases will enable CMS and stakeholders to assess the effects of the additional support provided to states during the post-planning period, relative to the planning period only. Primary data collection will occur in two rounds in year two and year four of the evaluation. In both rounds, data collection will consist of.

(1) A survey of providers in all 15 Planning Grant states who are eligible to prescribe and/or administer either buprenorphine or methadone medication for opioid use disorder (OUD), and (2) focus groups of providers in five post-planning period states (two focus groups per state, with six to eight participants in each group) who treat SUD, including OUD. The survey will gather information on provider experiences related to Medicaid provider enrollment, SUD service delivery, and changes in OUD medication treatment, including barriers and enablers of prescribing and dispensing. The focus groups will examine the impact of key aspects of implementation, such as perceived burdens associated with Medicaid enrollment or MAT delivery, access to referral placements, value of state-provided TA, and benefits and unanticipated outcomes experienced by providers during the Demonstration. Form Number.

CMS-10786 (OMB control number. 0938-NEW). Frequency. Biennial.

Affected Public. Private sector (Business or other for-profits and Not-for-profit institutions). Number of Respondents. 28,810.

Total Annual Responses. 14,405. Total Annual Hours. 3,689.

(For policy questions regarding this collection contact Melanie Brown at 410-786-1095.) 2. Type of Information Collection Request. New collection (Request for a new OMB control number). Title of Information Collection.

Patient-Reported Indicator Survey (PaRIS). Use. The Centers for Medicare and Medicaid Services (CMS) invites comments on a proposed new Information Collection Request (ICR) to conduct the International Survey of People Living with Chronic Conditions (hereafter referred to as the PaRIS Survey). This survey has been developed by a collaborative workgroup under the auspices of the Organization for Economic Cooperation and Development (OECD), an international organization that works with governments, policy makers, and citizens to shape policies that foster prosperity, equality, opportunity, and well-being for all.

The OECD launched the PaRIS initiative in 2017 to address gaps in health outcomes measures, particularly regarding user experiences with health care services. OECD member countries, including the U.S., are working together to develop, standardize, and implement indicators that measure outcomes and experiences of health care that matter most to people. The PaRIS Survey will provide a common set of measures that support policy makers across participating countries to improve health care delivery. On behalf of the Start Printed Page 9627 Department of Health and Human Services (DHHS) Assistant Secretary for Planning and Evaluation (ASPE), the Office of Enterprise Data and Analytics (OEDA) in CMS has been designated as the lead participant for the U.S.

The PaRIS Survey will help to close critical policy gaps by focusing on. (1) Patient Reported Experience Measures (PREMS) which measure how patients experience health care, and (2) Patient Reported Outcome Measures (PROMS) which measure how patients assess the results of the care they receive. The PaRIS survey includes both PREMS and PROMS items and aims to collect vital information about primary health care, by asking about topics such as the respondent's health, health behaviors, patient activation and confidence in managing their health care, experiences with health care and health providers including access to health care, quality of life, physical functioning, and psychological well-being. OECD and its member countries will use data collected by the PaRIS Survey to shed light on key questions about how well care in each country is organized around the needs of patients.

Results from the survey will show how key outcomes and experiences vary across and within countries. This will allow countries to benchmark and learn from each other's approaches. The survey will also help policy makers in OECD member countries understand how health systems are addressing the needs of persons with chronic health conditions. Findings will foster a dialogue with service providers about how to further improve the performance and people-centeredness of primary health care services.

To facilitate U.S. Participation in this important initiative, CMS will leverage the existing sample for the Medicare Current Beneficiary Survey (MCBS). The MCBS is a continuous, multi-purpose survey of a representative national sample of the Medicare population. It is conducted under OMB clearance number 0938-0568.

While the MCBS sample includes the population of beneficiaries aged 65 and over and beneficiaries aged 64 and below with certain disabling conditions residing in the U.S., selection for the PaRIS Survey will be limited to beneficiaries aged 65 and over who have seen a medical provider in the last six months to provide a comparable population to survey respondents selected in other participating OECD countries. Interviewers will telephone MCBS respondents and administer the PaRIS Survey by phone as a one-time standalone survey during January through April 2023. Non-response follow-up will be conducted by telephone and in-person as needed. It is estimated that 5,144 Medicare beneficiaries will participate in this 40-minute survey.

CMS plans to release a disclosure protected public use file with accompanying methodological documentation. This public use file will also be made available to OECD for analysis and released with data from other participating countries. Form Number. CMS-10792 (OMB.

0938-New). Frequency. One-time collection. Affected Public.

Individuals residing in households. Total Number of Respondents. 10,498. Total Number of Responses.

10,498. Total Hours. 3,814 (For policy questions regarding this collection contact William Long at 410-786-7927.) 3. Type of Information Collection Request.

Extension of a currently approved collection. Title of Information Collection. Generic Clearance for the Health Care Payment Learning and Action Network. Use.

The Center for Medicare and Medicaid Services (CMS), through the Center for Medicare and Medicaid Innovation, develops and tests innovative new payment and service delivery models in accordance with the requirements of section 1115A and in consideration of the opportunities and factors set forth in section 1115A(b)(2) of the Act. To date, CMS has built a portfolio of models (in operation or recently announced) that have attracted participation from a broad array of health care providers, states, payers, and other stakeholders. To more effectively partner with stakeholders across the health care system and accelerate system transformation, CMS launched the Health Care Payment Learning and Action Network (LAN) to accelerate the transition to Medicare and non-Medicare alternative payment models by collaborating with a broad array of health care delivery stakeholders, identifying best practices in their implementation, and monitoring the adoption of value-based alternative payment models across the U.S. Health care system—to include the percentage of Medicare, Medicaid, and non-Medicare payments tied to (and U.S.

Lives covered by) alternative payment models that reward the quality of care delivered. Form Number. CMS-10575 (OMB control number. 0938-1297).

Frequency. Occasionally. Affected Public. Individuals and Households, State, Local, or Tribal Governments, Federal Government, Private Sector (Business or other for-profits and Not-for-profits).

Number of Respondents. 30,110. Number of Responses. 23,110.