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Medicare Advantage: CMS Should Fully Develop Plans for Encounter Data and Assets Data Quality before Use
Medicare Advantage: CMS Should Fully Develop Plans for Encounter Data and Assets Data Quality before Use
 
Our Price: $20.00
By James Cosgrove (au)
Year: 2014
Pages: 39
Binding Paperback
ISBN 978-1-4578-5726-3

Product Code: 145785726X

Description
 
Medicare Advantage (MA) -- the private plan alternative to the traditional Medicare program -- provides health care for nearly 15.5 million enrollees, about 30% of all Medicare beneficiaries. After a multiyear rollout, the Centers for Medicare & Medicaid Services (CMS) began collecting encounter data in January 2012. This report reviewed CMS's plans for using MA encounter data and its efforts to validate the data's quality. It examines (1) how the scope of MA encounter data compare with CMS's current risk adjustment data; (2) the extent to which CMS has specified plans and time frames to use encounter data for risk adjustment and other purposes; and (3) the extent to which CMS has taken appropriate steps to ensure MA encounter data's completeness and accuracy. Table and figures. This is a print on demand report.

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