CMS Data & Information InitiativeNiall Brennan, Director
Office of Information Products & Data AnalyticsCMS
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
DATADATADATA
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 1Clarify data use &
dissemination authorities
Goal 2Improve data
content & organization
Goal 3Improve data access & user
experience
Goal 4 Develop more timely
and relevant information products
Goal 5Leverage 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 (2007-2010)
●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 (2007-2010)
6
National ED Visits per 1,000 Beneficiaries
2007 622 2008 636 2009 645 2010 658
Change in All-Cause Hospital Readmission Rates(2007-2010)
7
National Readmission Rate
2007 19.2% 2008 19.3% 2009 19.4% 2010 19.2%
2011 (prelim.) 19.0%
Change in Per-Capita Spending (2007-2010)
8
National Per-capita Spending
2007 $8,586 2008 $9,058 2009 $9,527 2010 $9,732
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