{"database": "openregs", "table": "federal_register", "rows": [["05-19904", "Privacy Act of 1974; Report of a New System of Records", "Notice", "In accordance with the requirements of the Privacy Act of 1974, we are proposing to establish a new system titled \"Medicare Physician Group Practice Demonstration (PGPD),\" System No. 09-70-0559. The PGPD tests a payment methodology for physician practices that combines Medicare fee-for-service payments with performance-based payments for improvements in patient management and quality of care. Improvements in these areas are expected to generate savings to the Medicare program to offset the costs of the performance payments. Mandated by Section 412 of the Benefits Improvement & Protection Act of 2000, the PGPD seeks to provide incentives for physicians to adopt care management strategies and to improve quality as defined by key measurable processes and outcomes. The primary purpose of the system is to establish a pay-for- performance three year pilot with physicians to encourage the coordination of care, promote investment in administrative structure and process, and reward physicians for improving health care processes and outcomes. Information retrieved from this system will also be disclosed to: (1) Support regulatory, reimbursement, and policy functions performed within the agency or by a contractor or consultant; (2) assist another Federal or state agency with information to enable such agency to administer a Federal health benefits program, or to enable such agency to fulfill a requirement of Federal statute or regulation that implements a health benefits program funded in whole or in part with Federal funds; (3) assist an individual or organization for a research project or in support of an evaluation project related to the prevention of disease or disability, the restoration or maintenance of health, or payment related projects; (4) support constituent requests made to a congressional representative; (5) support litigation involving the agency; and (6) combat fraud and abuse in certain health benefits programs. We have provided background information about the new system in the \"Supplementary Information\" section below. Although the Privacy Act requires only that CMS provide an opportunity for interested persons to comment on the proposed routine uses, CMS invites comments on all portions of this notice. See Effective Dates section for comment period.", "2005-10-06", 2005, 10, "https://www.federalregister.gov/documents/2005/10/06/05-19904/privacy-act-of-1974-report-of-a-new-system-of-records", "https://www.govinfo.gov/content/pkg/FR-2005-10-06/pdf/05-19904.pdf", "Health and Human Services Department; Centers for Medicare & Medicaid Services", "221,45", "In accordance with the requirements of the Privacy Act of 1974, we are proposing to establish a new system titled \"Medicare Physician Group Practice Demonstration (PGPD),\" System No. 09-70-0559. The PGPD tests a payment methodology for physician...", null]], "columns": ["document_number", "title", "type", "abstract", "publication_date", "pub_year", "pub_month", "html_url", "pdf_url", "agency_names", "agency_ids", "excerpts", "regulation_id_numbers"], "primary_keys": ["document_number"], "primary_key_values": ["05-19904"], "units": {}, "query_ms": 0.48419018276035786, "source": "Federal Register API & Regulations.gov API", "source_url": "https://www.federalregister.gov/developers/api/v1", "license": "Public Domain (U.S. Government data)", "license_url": "https://www.regulations.gov/faq"}