Data transparency at CMS

From the Health Affairs blog:

Over time it has become very clear that health care today relies on sharing data to drive improvements in access and care delivery as well as control costs. The Centers for Medicare and Medicaid Services (CMS) has embraced the need for greater data transparency while recognizing the importance of appropriately protecting personally identifiable information (PII).

Five years ago, CMS began to actively explore opportunities to provide new avenues for accessing data in order to make data available to a broader group of users. We are proud to say that today we are routinely and safely sharing data to support the transformation of the delivery system

Sharing data with providers. We are developing a broader strategy for providing more data to providers for performance measurement and quality improvement. For example, CMS is:

    • helping to promote efficiency in performance measurement through the qualified entity (QE) program. This program creates a structure through which providers can receive a single, actionable report covering all or most of their practice. QEs combine Medicare claims data from CMS with claims data from other payers to create comprehensive reports on the performance of hospitals, physicians, and other health care providers.
    • providing Accountable Care Organizations (ACOs) with monthly claims feeds covering the almost 3 million beneficiaries being cared for by physicians participating in the ACOs. The monthly feeds include care the beneficiary receives from both providers participating in the ACO and those that do not participate. These data permit the ACO to coordinate care for beneficiaries and provide true patient-centered care in a fee-for-service system.
    • working to improve the performance reports that providers currently receive from CMS to ensure that they are as meaningful as possible. An example of such a report is the Quality and Resource Use Reports released to physicians and physician groups.
    • developing a strategy for providing more data to more providers for performance measurement and quality improvement as required by the American Taxpayer Relief Act of 2012.

Read the complete post here.

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