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Medicare - Inpatient
Dataset
This file is derived from the calendar year inpatient claims data. This file contains summarized information by provider number and ZIP code of the Medicare beneficiary.
This file includes:
-number of discharges,
-length of stay, and
-total charges.
Tags hsaf
API Docs
Created
October 23 2020
Views
98

Medicare
Dataset
The MCBS COVID-19 Summer 2020 Supplement is a nationally representative, cross-sectional telephone survey of persons who were continuously enrolled in Medicare from the beginning of 2020 and alive and living in the community in Summer 2020, fielded from June 10, 2020 through July 15, 2020. These data are complemented by additional MCBS Community interview data already collected in Fall 2019 on beneficiaries’ health status and demographics as part of the in-person, nationally representative, longitudinal MCBS survey. The MCBS is sponsored by the Centers for Medicare & Medicaid Services (CMS) and directed by the Office of Enterprise Data and Analytics (OEDA).


ANALYTIC NOTE:
The Medicare Current Beneficiary Survey sample is designed to produce national estimates of the Medicare population. The use of the analytic weights in this PUF ensures that the estimates accurately reflect the Medicare population. Failure to use analytic weights provided in the PUF to analyze the data will result in estimates that may misrepresent characteristics of Medicare beneficiaries. For a full explanation of the use of survey weights on the Medicare Current Beneficiary Survey and analytic examples please see our tutorial on weighting and variance estimation located here: https://www.cms.gov/research-statistics-data-and-systemsresearchmcbsdata-briefs/mcbs-advanced-tutorial-weighting-and-variance-estimation. The PUF includes a full-sample weight (CPWSWGT) and a set of 100 replicate weights (CPWS001—CPWS100). The full-sample weight is the primary weight used to ensure that the Medicare population is appropriately represented when producing point estimates. The replicate weights are used for variance estimation under the Balanced Repeated Replication (BRR) method.

Tags mcbs survey covid-19
API Docs
Created
October 14 2020
Views
940

Special Programs/Initiatives - Medicare Shared Savings Program (MSSP)
Dataset
Assigned beneficiary person-year counts are based on certified ACO Participant Lists for Performance Year (PY) 2019A and based on the applicable assignment methodology.
Tags ssp performance-based payment value-based purchasing mssp aco
API Docs
Created
October 13 2020
Views
176

Special Programs/Initiatives - Medicare Shared Savings Program (MSSP)
Dataset
Assigned beneficiary person-year counts are based on certified ACO Participant Lists for Performance Year (PY) 2019 and based on the applicable assignment methodology.
Tags ssp aco performance-based payment value-based purchasing mssp
API Docs
Created
October 13 2020
Views
139

Special Programs/Initiatives - Medicare Shared Savings Program (MSSP)
Dataset
Aggregate data consisting of per capita Parts A and B fee-for-service expenditures, average CMS-HCC prospective risk scores and total person-years for assignable beneficiaries by Medicare enrollment type (End Stage Renal Disease (ESRD), disabled, aged/dual eligible, aged/non-dual eligible). The Centers for Medicare & Medicaid Services publishes this PUF annually, in the summer following the conclusion of the calendar year to which it relates.
Tags ssp aco performance-based payment value-based purchasing mssp
API Docs
Created
October 13 2020
Views
197

Medicare
Dataset
The POS file consists of two data files, one for CLIA labs and one for 18 other provider types. The file names are CLIA and OTHER. If downloading the file, note it is fairly large (156MB in CSV).
The POS Extract is created from the QIES (Quality Improvement Evaluation System) database. These data include provider number, name, and address and characterize the participating institutional providers. The data are collected through the Centers for Medicare & Medicaid Services (CMS) Regional Offices. The file contains an individual record for each Medicare-approved provider and is updated quarterly. For a list of provider types, layout files, and how to order previous annual files, please see the Source Link in the About tab.
Tags september 2020 provider of services other pos
API Docs
Created
October 13 2020
Views
355

Dataset
The 2018 Quality Payment Program (QPP) Experience Report Public Use File (PUF) will allow you to drill down into the details behind the data presented in the previously released 2018 Quality Payment Program (QPP) Experience Report. The QPP Experience Report and this PUF include data regarding participation and performance in the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs) tracks of QPP during the 2018 performance year. They cover eligibility and participation, performance categories, and final score and payment adjustments. The PUF provides additional details at the TIN/NPI level on what was published in the Experience Report. You can sort PUF data by variables like clinician type, practice size, scores, and payment adjustments.


Please note: Since the PUF provides data at the TIN/NPI level; we have suppressed information on TIN/NPIs with fewer than 11 beneficiaries in 2018 per CMS rules. For that reason, the numbers in the PUF will not match those in the QPP Experience Report.

Tags qpp mips
API Docs
Created
October 9 2020
Views
709

Medicare - Clinical Laboratory Improvement Amendments (CLIA/lab)
Dataset
The POS file consists of two data files, one for CLIA labs and one for 18 other provider types. The file names are CLIA and OTHER. If downloading the file, note it is fairly large (156MB in CSV).
The POS Extract is created from the QIES (Quality Improvement Evaluation System) database. These data include provider number, name, and address and characterize the participating institutional providers. The data are collected through the Centers for Medicare & Medicaid Services (CMS) Regional Offices. The file contains an individual record for each Medicare-approved provider and is updated quarterly. For a list of provider types, layout files, and how to order previous annual files, please see the Source Link in the About tab.
Tags september 2020 provider of services clia pos
API Docs
Created
October 9 2020
Views
351

Special Programs/Initiatives - Medicare Shared Savings Program (MSSP)
Dataset
2019A SSP ACO PUF - To address the increasing number of requests for SSP ACO data, the Centers for Medicare & Medicaid Services has created a standard analytical file. The ACO-level public-use file (PUF) contains ACO-specific metrics as well as summarized beneficiary and provider information for each performance year of the SSP program.
Tags mssp value-based purchasing performance-based payment aco ssp
API Docs
Created
September 1 2020
Views
4,275

Special Programs/Initiatives - Medicare Shared Savings Program (MSSP)
Dataset
2019 SSP ACO PUF - To address the increasing number of requests for SSP ACO data, the Centers for Medicare & Medicaid Services has created a standard analytical file. The ACO-level public-use file (PUF) contains ACO-specific metrics as well as summarized beneficiary and provider information for each performance year of the SSP program.
Tags mssp value-based purchasing performance-based payment aco ssp
API Docs
Created
September 1 2020
Views
7,802

Dataset
This data set presents hospital-level measures rates of four conditions included in the Deficit Reduction Act (DRA) Hospital-Acquired Condition (HAC) payment provision – foreign object retained after surgery, blood incompatibility, air embolism, and falls and trauma – for Medicare fee-for-service discharges from July 1, 2017 through June 30, 2019. The DRA HAC measures are solely reported for hospitals’ information and quality improvement purposes and are not a part of the HAC Reduction Program. An FAQ document that includes general information about the public reporting, measure methodology, and the calculation process for hospitals’ DRA HAC measure rates is located on the CMS website in the Downloads section at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/EducationalResources.html.
Tags No tags assigned
API Docs
Created
August 12 2020
Views
1,829

Special Programs/Initiatives - Long Term Care Facility Staffing Payroll-Based Journal
Dataset
Tags No tags assigned
API Docs
Created
July 14 2020
Views
661

Special Programs/Initiatives - Long Term Care Facility Staffing Payroll-Based Journal
Dataset
Tags No tags assigned
API Docs
Created
July 14 2020
Views
930

Medicare - Clinical Laboratory Improvement Amendments (CLIA/lab)
Dataset
The POS file consists of two data files, one for CLIA labs and one for 18 other provider types. The file names are CLIA and OTHER. If downloading the file, note it is fairly large (156MB in CSV).
The POS Extract is created from the QIES (Quality Improvement Evaluation System) database. These data include provider number, name, and address and characterize the participating institutional providers. The data are collected through the Centers for Medicare & Medicaid Services (CMS) Regional Offices. The file contains an individual record for each Medicare-approved provider and is updated quarterly. For a list of provider types, layout files, and how to order previous annual files, please see the Source Link in the About tab.
Tags clia pos
API Docs
Created
July 9 2020
Views
1,959

Medicare
Dataset
The POS file consists of two data files, one for CLIA labs and one for 18 other provider types. The file names are CLIA and OTHER. If downloading the file, note it is fairly large (156MB in CSV).
The POS Extract is created from the QIES (Quality Improvement Evaluation System) database. These data include provider number, name, and address and characterize the participating institutional providers. The data are collected through the Centers for Medicare & Medicaid Services (CMS) Regional Offices. The file contains an individual record for each Medicare-approved provider and is updated quarterly. For a list of provider types, layout files, and how to order previous annual files, please see the Source Link in the About tab.
Tags 2020 other provider of services pos
API Docs
Created
July 8 2020
Views
1,008

Dataset
Tags No tags assigned
API Docs
Created
June 11 2020
Views
231

Special Programs/Initiatives - COVID-19 Nursing Home Data
Dataset
The Nursing Home COVID-19 Public File includes data reported by nursing homes to the CDC’s National Healthcare Safety Network (NHSN) system COVID-19 Long Term Care Facility Module, including Resident Impact, Facility Capacity, Staff & Personnel, and Supplies & Personal Protective Equipment, and Ventilator Capacity and Supplies Data Elements.
For a list of Frequently Asked Questions, please click here.
For a detailed explanation of the CMS/CDC Nursing Home COVID-19 Data Quality Assurance Process, please click here.
For a full list of variables included in this Public Use File (PUF) and their descriptions, please see below. The file contains an individual record for each certified Medicare skilled nursing facility/Medicaid nursing facility and the ending date for each collection week, and is updated weekly. More information on CMS requirements for reporting COVID-19 information can be found here. We note that the presence of cases of COVID-19 in a nursing home does not automatically indicate noncompliance with federal requirements. This information is used to assist with national surveillance of COVID-19 in nursing homes, and support actions to protect the health and safety of nursing home residents.
NOTE: There are several limitations to this is preliminary data.
- The first deadline for reporting data was 11:59 p.m. Sunday, May 17, 2020. As the number of facilities reporting increases each week, it will increase the reported number of COVID-19 cases, suspected cases, and deaths each week.
- As with any new reporting program, some facilities will struggle with their first submissions, and therefore, some of the data from their early submissions may be inaccurate. Since facilities may correct data in future weeks, the data is subject to fluctuations as data for previously reported weeks may change when the website is updated.
- The availability of testing may impact the number of confirmed COVID-19 cases facilities report. For example, facilities that did not have the ability to test all residents a few weeks ago would not be able to report all residents with confirmed cases. Similarly, access to testing can vary by state, region, or facility.
- Facilities may opt to report cumulative data retrospectively back to January 1, 2020. Therefore, some facilities may be reporting higher numbers of cases/deaths compared to other facilities, due to their retrospective reporting. Numbers for Week Ending 05/24/2020 may include reporting for any time between 01/01/2020 through 05/24/2020. Reporting for subsequent weeks is on a weekly basis.
- Data Quality Assurance (QA) and Validation (QA Flags): Data quality checks were performed to identify instances where facilities may have entered incorrect data, such as entering cumulative counts over time instead of new cases, and other data entry errors. In these cases, we will display facilities as having submitted data, but will not include their data in our dataset or analyses to preserve the accuracy of the data presented. Facilities that have submitted erroneous data will have an “N” displayed in the column titled “Passed Quality Assurance Check.” For more detailed information about this process, please reference the CMS/CDC Nursing Home COVID-19 Data Quality Assurance Process.
Due to these factors, CMS cautions users to consider these factors when performing any analysis. For example, data reported over the first few weeks should not be used to perform trend analysis and longitudinal analyses. We expect the data to stabilize as nursing homes become more familiar with ho
Tags No tags assigned
API Docs
Created
June 10 2020
Views
437

Special Programs/Initiatives - COVID-19 Nursing Home Data
Dataset
The Nursing Home COVID-19 Public File includes data reported by nursing homes to the CDC’s National Healthcare Safety Network (NHSN) system COVID-19 Long Term Care Facility Module, including Resident Impact, Facility Capacity, Staff & Personnel, and Supplies & Personal Protective Equipment, and Ventilator Capacity and Supplies Data Elements.
For a list of Frequently Asked Questions, please click here.
For a detailed explanation of the CMS/CDC Nursing Home COVID-19 Data Quality Assurance Process, please click here.
For a full list of variables included in this Public Use File (PUF) and their descriptions, please see below. The file contains an individual record for each certified Medicare skilled nursing facility/Medicaid nursing facility and the ending date for each collection week, and is updated weekly. More information on CMS requirements for reporting COVID-19 information can be found here. We note that the presence of cases of COVID-19 in a nursing home does not automatically indicate noncompliance with federal requirements. This information is used to assist with national surveillance of COVID-19 in nursing homes, and support actions to protect the health and safety of nursing home residents.
NOTE: There are several limitations to this is preliminary data.
- The first deadline for reporting data was 11:59 p.m. Sunday, May 17, 2020. As the number of facilities reporting increases each week, it will increase the reported number of COVID-19 cases, suspected cases, and deaths each week.
- As with any new reporting program, some facilities will struggle with their first submissions, and therefore, some of the data from their early submissions may be inaccurate. Since facilities may correct data in future weeks, the data is subject to fluctuations as data for previously reported weeks may change when the website is updated.
- The availability of testing may impact the number of confirmed COVID-19 cases facilities report. For example, facilities that did not have the ability to test all residents a few weeks ago would not be able to report all residents with confirmed cases. Similarly, access to testing can vary by state, region, or facility.
- Facilities may opt to report cumulative data retrospectively back to January 1, 2020. Therefore, some facilities may be reporting higher numbers of cases/deaths compared to other facilities, due to their retrospective reporting. Numbers for Week Ending 05/24/2020 may include reporting for any time between 01/01/2020 through 05/24/2020. Reporting for subsequent weeks is on a weekly basis.
- Data Quality Assurance (QA) and Validation (QA Flags): Data quality checks were performed to identify instances where facilities may have entered incorrect data, such as entering cumulative counts over time instead of new cases, and other data entry errors. In these cases, we will display facilities as having submitted data, but will not include their data in our dataset or analyses to preserve the accuracy of the data presented. Facilities that have submitted erroneous data will have an “N” displayed in the column titled “Passed Quality Assurance Check.” For more detailed information about this process, please reference the CMS/CDC Nursing Home COVID-19 Data Quality Assurance Process.
Due to these factors, CMS cautions users to consider these factors when performing any analysis. For example, data reported over the first few weeks should not be used to perform trend analysis and longitudinal analyses. We expect the data to stabilize as nursing homes become more familiar with how to submit data via the NHSN Long Term Care Facility Module.
We also note that CMS has authority over Medicare/Medicaid Certified Long
Tags No tags assigned
API Docs
Created
May 26 2020
Views
237,566

Dataset
Tags No tags assigned
API Docs
Created
May 20 2020
Views
62

Dataset
Tags No tags assigned
API Docs
Created
May 20 2020
Views
31