tci Medicare Compliance & Reimbursement - 2018 Issue 8

Industry Note: CMS Market Saturation Tool Helps Determine Provider Density

If your town is overrun by specialists in your field, you may find the latest market update from CMS helpful. The new Market Saturation and Utilization Data Tool "includes interactive maps and a dataset that shows national-, state-, and county-level provider services and utilization data for selected health service areas," notes CMS in a press release on the subject. The agency defines market saturation as "the density of providers of a particular service within a defined geographic area relative to the number of the beneficiaries receiving that service in the area." The handy template allows providers to...

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