Medicare claims data could be used to judge provider performance

Article Overview

This article covers a CMS proposed rule that would allow qualified third parties to use Medicare claims data for provider performance measurement under specified privacy and security safeguards. It is relevant to clinicians, compliance staff, and healthcare organizations that rely on Medicare billing data and want to understand the broader policy, review, and comment process. The discussion also touches on concerns about the limits of claims-based evaluation and the role of supplemental clinical information.