Data & Reports

HealthData.gov

A public resource designed to bring together high-value datasets, tools, and applications using data about health and health care to support your need for better knowledge and to help you to solve problems. These datasets and tools have been gathered from agencies across the Federal government with the goal of improving health for all Americans.

 

CMS Data Compendium

The CMS Center for Strategic Planning produces an annual CMS Data Compendium to provide key statistics about CMS programs and national health care expenditures. The CMS Data Compendium contains historic, current, and projected data on Medicare enrollment and Medicaid recipients, expenditures, and utilization. Data pertaining to budget, administrative and operating costs, individual income, financing, and health care providers and suppliers are also included. National health expenditure data not specific to the Medicare or Medicaid programs is also included making the CMS Data Compendium one of the most comprehensive sources of information available on U.S. health care finance. This CMS report is published annually in electronic form and is available for each year from 2002 through present.

 

CMS Research Reports

Reports from the Centers for Medicare & Medicaid Services sponsored research available on a broad range of health care issues. Recent documents include: 2nd Report to Congress on the Evaluation of Cancer Prevention and Treatment for Ethnic and Racial Minorities; A Comparison of the Explanatory Power of Two Approaches to the Prediction of Post Acute Care Resources Use; A Comparison of the PACE Capitation Rates to Projected Costs in the First Year of Enrollment; A Study of Charge Compression in Calculating DRG Relative Weights.

 

One Year of Innovation: Taking Action to Improve Care and Reduce Costs (PDF)

In the year since opening its doors, the Innovation Center’s work is well underway. It has introduced 16 initiatives (see Table at end of report) involving over 50,000 health care providers that will touch the lives of Medicare and Medicaid beneficiaries in all 50 states and will continue to expand its partnerships and reach in the years to come. These initial efforts are focused on improving patient safety, promoting care that is coordinated across health care settings, investing in primary care transformation, creating new bundled payments for care episodes, and meeting the complex needs of those dually eligible for Medicare and Medicaid.

 

Innovators Guide to Navigating Medicare (PDF)

With a Medicare budget of approximately $460 billion and serving nearly 46 million beneficiaries, the Centers for Medicare & Medicaid Services (CMS) plays a key role in the overall direction of the health care system. CMS has developed the Innovators’ Guide to Navigating Medicare to assist stakeholders in understanding the processes used to determine coverage, coding, and payment for new technologies under the Medicare fee-for-service program. 

(Note: this document does not address the provision of the Affordable Care Act)

 

Beneficiary Alignment Guidance for Medicare Fee For Service Models (PDF)

Because multiple new initiatives involving shared savings may be operating within a State implementing a managed fee-for-service (MFFS) Financial Alignment Demonstration, the Centers for Medicare & Medicaid Services (CMS) is providing this guidance on how beneficiaries will be aligned with different models for purposes of calculating shared savings. In all of these Medicare fee-for-service initiatives, beneficiaries will continue to have the freedom to receive care from any provider of their choosing.