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