CMS Data & Information Initiative

1. CMS Data & Information Initiative Niall Brennan, Director Office of Information Products & Data Analytics CMS

2. 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

3. Goal: Data as a Core Function of CMS 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 DATA DATA CMS is announcing a new office to make data and information a core function of the agency!

4. Office of Information Products & Data Analytics Policy Actions • Goal 1Clarify data use & dissemination authorities • Goal 5Leverage dataand information to maximize impact • Goal 4 • Develop more timely and relevant information products • Goal 2Improve data • content & organization • Goal 3Improve data access & user experience Data Actions

5. Medicare Geographic Variation Trend Data • 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

6. Change in ED Visits per 1,000 Beneficiaries (2007-2010)

7. Change in All-Cause Hospital Readmission Rates(2007-2010)

8. Change in Per-Capita Spending (2007-2010)

9. Medicare Data Sharing for Performance Measurement NOW FUTURE INSURANCE COMPANIES INSURANCE COMPANIES MEDICARE? MEDICARE? Qualified Entity COMPREHENSIVE CONSISTENT FAIRACTIONABLE

10. Blue Button Data • 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

11. Medicare & Medicaid Research Review CMS’s online, peer-reviewed journal that informs current and future directions of Medicare, Medicaid and CHIP! RecentArticles: • “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” • 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

12. Medicare Enrollment Dashboard • 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