Appendix D- Review Types 07-01-22.xlsx
XLSX spreadsheet 13 KB Posted
- Solicitation number
- 75FCMC23R0006
About this file
This document contains a definition of task order types that could be issued under a contract to provide coverage review support to the Centers for Medicare and Medicaid Services (CMS). It outlines twelve different task order types that vary in scope of work, timing, number of clinical hours required, and total cost. Task order types include environmental scans, evidence previews, literature reviews, clinical outcome reviews, technology assessments, and policy assessments. They require work products like background sections, evidence syntheses, risk of bias assessments, summary text, and standardized tables. Task order durations range from two to eight weeks, and clinical hours required range from zero to 160 hours. Total costs per task order range from $0 to $320.
The related federal contract opportunity is a solicitation from CMS to establish external support for completing up to 30 environmental scans over a period of performance to inform timely policymaking. The contractor will be selected to provide coverage review support and complete high priority environmental scans identified by CMS.
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Task Order
| Type | Definition | Publications | Time | Timing | Number | Clinical | Hours | Total |
| Mature Environmental Scan [Support National Coverage Analyses] | Write background section. Research CMS coverage history. Conduct systematic literature review. Create standardized tables. Complete risk of bias and applicability assessments. Comment on strengths and weaknesses of reviewed studies. Conduct commercial payer survey. A same-specialty physician specialist should incorporate clinical context, particularly in the background section and in incorporating perspective around the clinical importance of the outcomes achieved. | 20 < 50 | 4 weeks | Ad Hoc | 5 | Yes | 20 | 100 |
| Mature Environmental Scan with Evidence Synthesis [Support NCD reconsideration] | Write background section. Research CMS coverage history. Review existing NCD. Conduct refreshed systematic literature review. Confirm completion and publication of approved CED studies. Risk of bias, applicability, and evidence GRADE assessments. Written summary of the evidence and standardized tables. Conduct commercial payer survey. A same-specialty physician specialist should incorporate clinical context, particularly in the background section and in incorporating perspective around the clinical importance of the outcomes achieved. The commentary should put the technology in the context of the current standard of care. | 20 < 50 | 8 weeks | Ad Hoc | 2 | Yes | 40 | 80 |
| New Technology Add-on Payment (NTAP) Reviews [Support CMS Medical Officer reviews] | Abstract and distill applicant-submitted materials and FDA materials into NTAP review template. Review submitted publications. Conduct supplmental literature search. Create summary text and standardized tables. Assess risk of bias and applicability of individual studies. | < 20 | 2 weeks | October (Batched) | 5 | No | 0 | 0 |
| Evidence Previews [Support CMS preliminary review of emerging technologies] | Write background section. Abstract SSED document. Verify current FDA labelling. Research CMS coverage history. Review publications submitted by applicant and perform supplemental literature review. Assess risk of bias and applicability of individual studies. Create summary text and standardized tables. Includes single, limited revision for material inaccuracies. A same-specialty physician specialist should incorporate clinical context, particularly in the background section and in incorporating perspective around the clinical importance of the outcomes achieved. | < 20 | 3 weeks | Ad Hoc | 5 | Yes | 20 | 100 |
| Emerging Environmental Scan with Evidence Synthesis [Support NCD reconsiderations] | Write background section. Research CMS coverage history. Review existing NCD. Conduct refreshed systematic literature review. Confirm completion and publication of approved CED studies. Risk of bias, applicability, and evidence GRADE assessments. Written summary of the evidence and standardized tables. Conduct commercial payer survey. A same-specialty physician specialist should incorporate clinical context, particularly in the background section and in incorporating perspective around the clinical importance of the outcomes achieved. The commentary should put the technology in the context of the current standard of care. | < 20 | 6 weeks | Ad Hoc | 1 | Yes | 40 | 40 |
| Focused Literature Reviews / Ad hoc supplemental searches [Support ongoing National Coverage Analysis development] | Focused supplemental literature review to address specific aspects of already-completed systematic literature review. Examples include: assess evidence of access or care delivery disparities; focused review of outcomes of interest and clinically meaningful differences; evidence of volume-outcome relationship. The review includes summary text that is publication-ready and may be directly incorporated into a National Coveage Analysis. | < 20 | 2 weeks | Ad Hoc | 3 | No | 0 | 0 |
| Policy Reviews [Support CSG in review of ad-hoc policy topics] | Write background section. Conduct systematic or targeted literature review as appropriate to the question. Summarize evidence of healthcare disparities, if applicable. | < 50 | 4 weeks | Ad Hoc | 3 | No | 40 | 120 |
| Clinical Outcome Reviews [Support development of focused MEDCAC panels] | Write background section. Conduct focused review of outcomes of interest and clinically meaningful differences for clinical topics identified by CAG. Create summary text and standardized tables. Formal report, generally not exceeding 25 pages. | < 50 | 8 weeks | Ad Hoc | 4 | No | 20 | 80 |
| Technology Assessment / Policy Assessment [Support ad-hoc review of clinical topics] | Write background section. Research CMS coverage history. Conduct systematic literature review with evidence synthesis. Formal report, generally not exceeding 25 pages. Policy Assessment: Focused research project on topic of interest, with formal report , generally not exceeding 25 pages. A same-specialty physician specialist should incorporate clinical context, particularly in the background section and in incorporating perspective around the clinical importance of the outcomes achieved. The commentary should put the technology in the context of the current standard of care. | < 50 | 8 weeks | Ad Hoc | 2 | Yes | 160 | 320 |
| 30 | 840 |
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