OPM uses the CAHPS results as part of the FEHB Plan Performance Assessment (PPA). The PPA enables a consistent, objective evaluation of carrier performance and also provides more transparency for enrollees. This assessment uses a discrete set of quantifiable measures to examine key aspects of performance in the areas of clinical quality, customer service and resource use. Eight CAHPS measures are part of this discrete set of quantifiable measures.
Taken together with more traditional assessments of contract administration, these measures help ensure that enrollees receive high quality affordable healthcare and a positive customer experience. The PPA is linked to carrier profit and premium adjustment factors. FEHB contracts include language to incorporate the PPA as a determinant of the Service Charge or Performance Adjustment.
OPM is concerned that this PRA will not be completed in time to meet our schedule for the survey. Our timeline for completing our annual regulatory performance assessment of FEHB Program plans requires that OPM provide our carriers with a handbook in October and the carriers must distribute the survey to members in the first quarter of next year. Also, the Plan Performance Assessment (PPA) is linked to carrier profit and premium adjustment factors. FEHB contracts include language to incorporate the PPA as a determinant of the Service Charge or Performance Adjustment. Therefore, any further delay could affect carrier profit and the overall premium rates charged to the government and federal enrollees.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form 3206-XXXX Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey
CAHPS Supporting Statement A 2019.docx
CAHPS_60 Day FRN.pdf
Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey