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Data & Research Topics CMS information technology Computer data & systems Files for order Monitoring programs Research Statistics, trends & reports Archives Data & Research Topics CMS information technology Computer data & systems Files for order Monitoring programs Research Statistics, trends & reports Archives CMS information technology Access to CMS Data & ApplicationCMS Contractor Data Communications Support Policysee more Data Architecture & Engineering Data Administration's Data Architecture & Engineering Overview Page.see more CIO Resource Library OverviewThis webpage provides an overview of CIO documents, including policies, standards, directives, guidelines, and procedures.see more Database AdministrationCMS Database Administration.see more CMS' Identity Management CMS' Identity Management CMS' Identity Management (IDM) system is an established, enterprise-wide, identity management solution. IDM is leveraged by CMS business…see more Enterprise ArchitectureCMS Enterprise Architecture Strategy Group. EA definition and HHS workgroups that CMS participates.see more Enterprise IT Investment ManagementThe CMS Integrated IT Investment & System Life Cycle Framework can be viewed as a hierarchy.see more HIPAA Eligibility Transaction System (HETS)The HIPAA (Health Insurance Portability and Accountability Act) Eligibility Transaction System (HETS) allows you to check Medicare beneficiary eligibility data in real-time. Use HETS to prepare…see more CMS Information Security and Privacy Overview"Holding Ourselves to a Higher Standard"What is the Information Security and Privacy Group (ISPG)?The Information Security and Privacy Group (ISPG) is within the CMS Office of Information Technology …see more Section 508 and CMSoverview of section 508see more SPARC Home The Strategic Partners Acquisition Readiness Contract (SPARC) is a cost-effective, innovative solution for procuring information technology (IT) professional services from a pool of CMS…see more TLC Overview Welcome to the Target Life Cycle! TLC Overview The TLC is CMS's system development life cycle governance framework that promotes business flexibility and replaces point-in-time…see more See more () See all (12) See less Computer data & systems Electronic Submission of Medical Documentation (esMD) The Medicare Fee-for-Service (FFS) Compliance programs prevent, reduce, and measure improper payments through medical review. We provide a number of programs to educate and support Medicare…see more Medicaid Data Sources - General InformationMedicaid Data Sources - General Informationsee more EMDI Overview Electronic Medical Documentation Interoperability (EMDI) Program The Centers for Medicare & Medicaid Services (CMS) Electronic Medical Documentation Interoperability (EMDI) Initiative…see more Medicaid Information Technology Architecture (MITA) The Medicaid Information Technology Architecture (MITA) pages are currently being migrated to the Medicaid.gov website. In the interim, please use the following links from the CMS.gov Archive…see more Minimum Data Set 3.0 Public ReportsMinimum Data Set 3.0 Public Reportssee more Transformed Medicaid Statistical Information System See more () See all (6) See less Files for order Data Disclosures and Data Use Agreements (DUAs)Centers for Medicare & Medicaid Services (CMS) Data Use Agreementssee more Files for Order - General Information The Centers for Medicare & Medicaid Services (CMS) makes certain data files available for order. These data files include information collected through the operation of the Medicare and…see more Identifiable Data FilesIdentifiable data files overviewsee more Limited Data Set (LDS) FilesThe Centers for Medicare & Medicaid Services (CMS) makes Limited Data Set (LDS) files available to researchers as allowed by federal laws and regulations as well as CMS policy. LDS files contain…see more See more () See all (4) See less Monitoring programs Improper Payments Measurement ProgramsBackground The Payment Integrity Information Act of 2019 (PIIA) (Public Law No. 116-117) requires government agencies to identify, report, and reduce improper payments in the government's programs…see more Medicare Fee-for-Service Compliance ProgramsCMS recognizes that it is important for stakeholders to understand how CMS anticipates performing medical review after the Public Health Emergency (PHE) has ended. Below is an FAQ that addresses how…see more Medicare Advantage Risk Adjustment Data Validation ProgramAbout the ProgramProtecting our programs' sustainability for future generations by serving as a responsible steward of public funds is a CMS Strategic pillar. The Medicare Advantage Risk Adjustment…see more Medicare Part C and Part D Program IntegrityMedicare Part C and Part D Program Integrity overview.see more UNPUBLISHED Parts C and D Recovery Audit Program About the ProgramThe Medicare Parts C and D Recovery Audit Program was created to identify and correct past improper payments to Medicare providers and implement procedures to help the Centers…see more Qualified Entity ProgramQualified Entity Programsee more See more () See all (6) See less Research Actuarial StudiesActuarial Studiessee more Welcome to CMS' Alliance to Modernize Healthcare FFRDCThe "Alliance to Modernize Healthcare" Federally Funded Research and Development Center (Health FFRDC).see more Consumer Assessment of Healthcare Providers & Systems (CAHPS)The Centers for Medicare & Medicaid Services (CMS) develop, implement and administer several different patient experience surveys. These surveys ask patients (or in some cases their…see more Health Outcomes Survey (HOS)Health Outcomes Survey (HOS)see more Medicare Current Beneficiary Survey (MCBS)If you have been contacted to participate in the Medicare Current Beneficiary Survey (MCBS) and would like to verify your selection in this study, please visit our MCBS Respondent Page or contact…see more Research - General InformationResearch - General Informationsee more Data & Statistical ResourcesSPOTLIGHT & RELEASES04/08/2024: (MMCO Statistical & Analytic Reports page)CMS released a revised resource, "Quarterly Enrollment Snapshot (06/2015-06/2023)". The CMS…see more CMS Plan to Enhance Public Access to the Results of CMS-Supported Research The Centers for Medicare & Medicaid Services (CMS) Plan to Enhance Public Access to the Results of CMS-Supported Research (CMS Public Access Plan) describes how CMS will take steps to…see more See more () See all (8) See less Statistics, trends & reports Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model Public Use FilesThe Comprehensive ESRD Care (CEC) Model was designed to identify, test, and evaluate new ways to improve care for Medicare beneficiaries with End-Stage Renal Disease (ESRD). Through the CEC…see more Marketplace ProductsMarketplace productssee more Medicare Advantage/Part D Contract and Enrollment DataThe Medicare Advantage (MA) / Part D Contract and Enrollment Data section serves as a centralized repository for publicly available data on contracts and plans, enrollment numbers, service area data,…see more NCH and MEDPAR Data DictionaryNCH and MEDPAR Data Dictionarysee more Next Generation ACO Model (NGACO) Public Use FilesThe Next Generation ACO Model is an initiative for ACOs that are experienced in coordinating care for populations of patients. The goal of the Model is to test whether strong financial incentives for…see more Part B Carrier Summary Data FilePart B Carrier Summary Data Filesee more Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information Files for DownloadATTENTION: Beginning in January 2021, these files are available as free downloads. Please note that these are large files and can take time to download. The last two years of files (contract years…see more Trustees Report & Trust FundsAnnual Reports of the Boards of Trustees of the Medicare Trust Fundssee more Chief Financial Officer (CFO) ReportCFO Reportsee more CMS Drug Spending Main CMS Drug Spending CMS has released several information products that provide greater transparency on spending for drugs in the Medicare and Medicaid programs. These products and associated data…see more Medicare Provider Utilization and Payment DataMedicare Provider Charge Datasee more CMS Statistics Reference Booklet The CMS Statistics reference booklet provides quick summary information about enrollment and expenditures within the Medicare and Medicaid programs. The reference booklets are available for…see more Cost ReportsHCRIS Data DisclaimerThe Centers for Medicare & Medicaid Services (CMS) has made a reasonable effort to ensure that the provided data/records/reports are up-to-date, accurate, complete, and…see more EDI Performance StatisticsStatistical information and reports related to Medicare's implementation of HIPsee more Health Plans, Reports, Files and DataOverview page for 8 Medicare Advantage files which contain enrollment and eligible countssee more Health Care Information System (HCIS) Data FileHealth Care Information System (HCIS) Data Filesee more Insight BriefsMedicare and Medicaid Insight Briefssee more MCBS Public Use FileMCBS Public Use Files (PUFs)The Medicare Current Beneficiary Survey (MCBS), sponsored by the Centers for Medicare & Medicaid Services Office of Enterprise Data and Analytics (OEDA) through a…see more Medicare Claims Synthetic Public Use Files (SynPUFs)Medicare Claims Synthetic Public Use Files (PUFs)see more Medicare Fee for Service for Parts A & BMedicare Fee for Service for Parts A & Bsee more Medicare Program Rates & StatisticsMedicare, Medicaid, health care rates and statisticssee more National Health Expenditure DataNational Health Expenditures home pagesee more Part B National Summary Data File (Previously known as BESS)Part B National Summary Data File - previously known as BESSsee more Provider Statistical & Reimbursement ReportExplanation of Provider Statistical & Reimbursement System, including links to manuals and instructionssee more Report on Conferences Sponsored by CMSReport On Conferences Sponsored By CMSsee more Medicare Beneficiaries at a Glance Medicare Beneficiaries at a Glance see more Medicare Geographic VariationFederal policymakers and health researchers have long recognized that the amount and quality of the health care services that Medicare beneficiaries receive vary substantially across different…see more Medicare Enrollment ReportsMedicare Enrollment Tables: National, State & Countysee more CMS Fast FactsCMS has developed a new quick reference statistical summary on annual CMS program and financial data. CMS Fast Facts includes summary information on total program enrollment, utilization,…see more CMS Program Statistics Medicare Provider Cost Report Public Use Files See more () See all (31) See less Archives Active Projects ReportActive Project Reportsee more Data Compendium This page serves as an archive of the CMS Data Compendium which was published in 2002 and 2003 as well as from 2006 through 2011. The CMS Data Compendium provides key statistics about CMS programs…see more Health Care Financing ReviewThis page serves as an archive of the Centers for Medicare & Medicaid Services’ (CMS) Health Care Financing Review (HCFR) journal. The HCFR was released from 1979 and 2009 with the goal of presenting…see more List of Past ArticlesHCFR archivesee more Medicare & Medicaid Research Review (MMRR)This page serves as an archive of the Medicare & Medicaid Research Review (MMRR). Between 2011 and 2014, the MMRR published articles and briefs that examined and evaluated health care coverage,…see more Medicare & Medicaid Statistical Supplement This page serves as an archive for the Medicare & Medicaid Statistical Supplement which was published annually from 2001 to 2013. The Medicare & Medicaid Statistical Supplement provides…see more Research ReportsResearch Reports Listsee more Chart SeriesChart Series overviewsee more Basic Stand Alone (BSA) Medicare Claims Public Use Files (PUFs) CMS is committed to increasing access to its Medicare claims data through the release of de-identified data files available for public use. These files are available to researchers as free…see more See more () See all (9) See less Popular for students and researchers Data.CMS.gov Access data that helps you better understand our programs. Get data COVID-19 Analyze transparent data on the impacts of COVID-19. Learn more People with Medicare Understand Medicare beneficiaries through data. View summary Recent Articles Visit the newsroom 19 Jul Press Releases 07/19/2024 CMS Statement on System Changes to Stop Unauthorized Agent and Broker Marketplace Activity 16 Jul Press Releases 07/16/2024 The Biden-Harris Administration Releases Final Part Two Guidance to Help People with Medicare Prescription Drug Coverage Manage Prescription Drug Costs 15 Jul Press Releases 07/15/2024 Statement Attributable to CMS Administrator, Chiquita Brooks-LaSure 12 Jul News Alert 07/12/2024 CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in the State of Texas Visit the newsroom
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