cross-read section II.E (care-management reconsideration) of CMS-1848-P; extract pincites for RFI part (d) #649

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opened 2026-08-18 14:14:59 +00:00 by kert · 1 comment
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RFI part (d) explicitly ties to section II.E of the same rule, where CMS reconsiders the future of care management services. Close-read II.E in data/fr_downloads/2026-14327.txt, extract what is actually proposed vs merely discussed, and build the pincite list (page + paragraph refs resolvable via stack bib fr-jump) so P44 answers to part (d) align with — and cite — the rule's own proposals rather than restating them from memory.

RFI part (d) explicitly ties to section II.E of the same rule, where CMS reconsiders the future of care management services. Close-read II.E in data/fr_downloads/2026-14327.txt, extract what is actually proposed vs merely discussed, and build the pincite list (page + paragraph refs resolvable via stack bib fr-jump) so P44 answers to part (d) align with — and cite — the rule's own proposals rather than restating them from memory.
kert added this to the P43: Palliative Care RFI — data analysis & notebook milestone 2026-08-18 14:14:59 +00:00
kert added the bibpfs labels 2026-08-18 14:14:59 +00:00
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Close read done (2026-08-20). Full pincite analysis: docs/spec/2026-08-20-cy2027-iie-crossread-palliative-rfi.md; condensed as notebook Section 6 with live fr-jump links. Headline findings: (1) nothing in II.E is proposed — the only operative care-management-adjacent text is II.D's G2211 changes (cross-referenced 91 FR 43937 ¶3), so part (d) must answer II.E's questions, not endorse proposals; (2) three CMS concessions anchor the response — limited care-management uptake (91 FR 43938 ¶5), APCM's FFS residue (43941 ¶11), ACO infrastructure driving adoption (43942 ¶1); (3) the part-(d) question cluster is 91 FR 43938-43939 (two-track, consolidation, supervision, initiating triggers, plus the open data invitation at 43939 ¶2); (4) vocabulary: II.E never says 'serious illness' — mirror 'chronic conditions'/'high-risk beneficiaries' when drafting.

Close read done (2026-08-20). Full pincite analysis: `docs/spec/2026-08-20-cy2027-iie-crossread-palliative-rfi.md`; condensed as notebook Section 6 with live fr-jump links. Headline findings: (1) **nothing in II.E is proposed** — the only operative care-management-adjacent text is II.D's G2211 changes (cross-referenced 91 FR 43937 ¶3), so part (d) must answer II.E's questions, not endorse proposals; (2) three CMS concessions anchor the response — limited care-management uptake (91 FR 43938 ¶5), APCM's FFS residue (43941 ¶11), ACO infrastructure driving adoption (43942 ¶1); (3) the part-(d) question cluster is 91 FR 43938-43939 (two-track, consolidation, supervision, initiating triggers, plus the open data invitation at 43939 ¶2); (4) vocabulary: II.E never says 'serious illness' — mirror 'chronic conditions'/'high-risk beneficiaries' when drafting.
kert closed this issue 2026-08-20 13:54:20 +00:00
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Reference: homelab/stack#649