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Strong Start for Mothers and Newborns Initiative Filtered View
data.cms.gov | Last Updated 2019-10-03T16:52:59.000Z[Data Formatted for Mapping] The Innovation Center develops new payment and service delivery models in accordance with the requirements of section 1115A of the Social Security Act. Additionally, Congress has defined – both through the Affordable Care Act and previous legislation – a number of specific demonstrations to be conducted by CMS.
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Provider Outpatient Hospital Charge Data by APC, CY2016
data.cms.gov | Last Updated 2019-08-28T17:43:37.000ZThe Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of beneficiaries, number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 35 C-APC Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2016 by hospital provider. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
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Part D Prescriber State Summary Report, Calendar Year 2015
data.cms.gov | Last Updated 2018-11-14T16:26:56.000ZThe Part D Prescriber State Summary Report, Calendar Year 2015 provides information on prescription drugs prescribed by individual physicians and other health care providers and paid for under the Medicare Part D Prescription Drug Program. The Part D Prescriber PUF is based on information from CMS’s Chronic Conditions Data Warehouse, which contains Prescription Drug Event records submitted by Medicare Advantage Prescription Drug (MAPD) plans and by stand-alone Prescription Drug Plans (PDP). The dataset identifies providers by their National Provider Identifier (NPI) and the specific prescriptions that were dispensed at their direction, listed by brand name (if applicable) and generic name. For each prescriber and drug, the dataset includes the total number of prescriptions that were dispensed, which include original prescriptions and any refills, and the total drug cost. The total drug cost includes the ingredient cost of the medication, dispensing fees, sales tax, and any applicable administration fees and is based on the amount paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers.
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State Innovation Model Initiative: All Awardees
data.cms.gov | Last Updated 2019-10-04T17:42:08.000Z[Data Formatted for Mapping] The Innovation Center develops new payment and service delivery models in accordance with the requirements of section 1115A of the Social Security Act. Additionally, Congress has defined – both through the Affordable Care Act and previous legislation – a number of specific demonstrations to be conducted by CMS.
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Part D Prescriber National Summary Report, Calendar Year 2016
data.cms.gov | Last Updated 2018-11-30T14:54:11.000ZThe Part D Prescriber National Summary Report, Calendar Year 2016 provides information on prescription drugs prescribed by individual physicians and other health care providers and paid for under the Medicare Part D Prescription Drug Program. The Part D Prescriber National Summary Report is based on information from CMS’s Chronic Conditions Data Warehouse, which contains Prescription Drug Event records submitted by Medicare Advantage Prescription Drug (MAPD) plans and by stand-alone Prescription Drug Plans (PDP). For each drug, the dataset includes the total number of prescriptions that were dispensed, which include original prescriptions and any refills, and the total drug cost. The total drug cost includes the ingredient cost of the medication, dispensing fees, sales tax, and any applicable administration fees and is based on the amount paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers.
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Medicare Provider Utilization and Payment Data: Part D Prescriber Summary Table CY2014
data.cms.gov | Last Updated 2018-11-14T16:45:20.000ZThe Centers for Medicare & Medicaid Services (CMS) has prepared a public data set, the Medicare Provider Utilization and Payment Data: Part D Prescriber Public Use File (PUF), with information on prescription drugs prescribed by individual physicians and other health care providers and paid for under the Medicare Part D Prescription Drug Program. The Part D Prescriber PUF is based on information from CMS’s Chronic Conditions Data Warehouse, which contains Prescription Drug Event records submitted by Medicare Advantage Prescription Drug (MAPD) plans and by stand-alone Prescription Drug Plans (PDP). The dataset identifies providers by their National Provider Identifier (NPI) and the specific prescriptions that were dispensed at their direction, listed by brand name (if applicable) and generic name. For each prescriber and drug, the dataset includes the total number of prescriptions that were dispensed, which include original prescriptions and any refills, and the total drug cost. The total drug cost includes the ingredient cost of the medication, dispensing fees, sales tax, and any applicable administration fees and is based on the amount paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. Although the Part D Prescriber PUF has a wealth of information on payment and utilization for Medicare Part D prescriptions, the dataset has a number of limitations. Of particular importance is the fact that the data may not be representative of a physician’s entire practice or all of Medicare as it only includes information on beneficiaries enrolled in the Medicare Part D prescription drug program (i.e., approximately two-thirds of all Medicare beneficiaries). In addition, the data are not intended to indicate the quality of care provided. For additional limitations, please review the methodology document in the About tab.
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Utah: 2012-2015 Change in AIAN Health Insurance Coverage
data.cms.gov | Last Updated 2017-07-27T22:29:49.000Z2012 and 2015 data by Insurance, IHS access, sex, and medicaid coverage
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North Dakota: 2012-2015 Change in AIAN Health Insurance Coverage
data.cms.gov | Last Updated 2017-07-27T22:20:13.000Z2012 and 2015 data by Insurance, IHS access, sex, and medicaid coverage
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New Hampshire: 2012-2015 Change in AIAN Health Insurance Coverage
data.cms.gov | Last Updated 2017-07-27T22:17:56.000Z2012 and 2015 data by Insurance, IHS access, sex, and medicaid coverage
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Indiana: 2012-2015 Change in AIAN Health Insurance Coverage
data.cms.gov | Last Updated 2017-07-27T22:29:56.000Z2012 and 2015 data by Insurance, IHS access, sex, and medicaid coverage