Federal Employees Health Benefit Program - Data Request ...
|Federal Employees Health Benefit Program - Data Request for Plan Medical Directors |
|Patient Management Practices |
| |
|FEHBP Plan Name: ___________________________ Plan Number: _______________ |
| |
|Medical Director’s Name: ______________________ Phone Number: ______________ |
|Purpose: The purpose of this data request is to obtain information about the types of patient management practices used in FEHBP plans, and their |
|effectiveness in reducing costs. This data is being collected as part of a U.S. Office of Personnel Management-sponsored study of the cost of Federal and |
|state mandates on the FEHBP program. |
|Instructions: Indicate those patient management practices used in your plan by checking the appropriate boxes below (double click on the box). Where |
|appropriate, indicate the year in which the practice became effective, and your judgement about its impacts on cost reduction. |
| |
|Please respond to this data request by emailing or faxing the completed form to your contract specialist at the U.S. Office of Personnel Management no |
|later than October 4, 2002. |
| |
|Patient Management Activity |Not Used|Used |Effective Date|Effectiveness in Cost |
| | | |(YYYY) |Reduction |
| | | | |None Low Med High |
| | | | |( ................
................
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