Presentation on theme: "CMS Data & Information Initiative Niall Brennan, Director Office of Information Products & Data Analytics CMS."— Presentation transcript:
CMS Data & Information Initiative Niall Brennan, Director Office of Information Products & Data Analytics CMS
CMS’s Wealth of Data ● CMS is the largest single payer for health care services in the US ● 1.3 billion Medicare claims processed annually ● Significant additional data sources on the way EHRs Medicare Advantage plan encounter data Health Insurance Exchange/Medicaid expansion data ● Receive billions of other “non-claim” data points ● Transition from a passive payer to active purchaser ● Expected to drive new innovation in health care ● Trusted to protect beneficiary privacy 2
Goal: Data as a Core Function of CMS 3 Without timely and relevant data and information, CMS cannot: Define or reward value Measure and evaluate programs Identify and spread innovation Provide providers data they need to transform health care delivery Support the health data ecosystem with CMS data and information resources to accelerate system transformation DATA CMS is announcing a new office to make data and information a core function of the agency!
Office of Information Products & Data Analytics 4 Goal 1 Clarify data use & dissemination authorities Goal 2 Improve data content & organization Goal 3 Improve data access & user experience Goal 4 Develop more timely and relevant information products Goal 5 Leverage data and information to maximize impact Policy Actions Data Actions
● Aggregate Medicare data in an easy-to-use format for key metrics at the State and Hospital Referral Region levels ● Include demographic, spending, utilization, and quality of care indicators for Medicare across four years ( ) ● Available online on the Institute of Medicine website and will be available in the Health Indicators Warehouse in July 2012 Medicare Geographic Variation Trend Data 5
Change in ED Visits per 1,000 Beneficiaries ( ) 6
Change in All-Cause Hospital Readmission Rates ( ) 7
Change in Per-Capita Spending ( ) 8
Medicare Data Sharing for Performance Measurement 9 Qualified Entity INSURANCE COMPANIES MEDICARE? NOW FUTURE COMPREHENSIVE CONSISTENT FAIR ACTIONABLE INSURANCE COMPANIES MEDICARE?
● VA, DoD and CMS effort to give patients access to their own data (FEHB plans beginning to also offer blue button) ● 300,000 CMS beneficiaries have downloaded their data to date ● 2012 enhancements Moving from 1 year of data to 3 years of data Moving from Parts A and B data to Parts A, B and D data Blue Button Data 10
Recent Articles : ● “Physician Willingness and Resources to Serve More Medicaid Patients: Perspectives from Primary Care Physicians” ● “Noncompliance in the Use of Cardiovascular Medications in the Medicare Part D Population” ● “Flu shots and the characteristics of unvaccinated elderly Medicare beneficiaries” 11 Medicare & Medicaid Research Review CMS’s online, peer-reviewed journal that informs current and future directions of Medicare, Medicaid and CHIP! Why authors should publish in MMRR? Highly Visible - on CMS web, indexed in PubMed, reaches key policy makers Accessible - research is freely available to anyone with an internet connection No Use Restrictions - in the public domain, so it can be copied and used freely Ease Of Publication - publishes continuously; online submission & peer review
● Single location with comprehensive statistics on Medicare enrollment (Parts A, B, and D and Medicare Advantage) ● Information at national and state level for recent years and historical Medicare enrollment trends beginning in 1966 Medicare Enrollment Dashboard 12