HCCI Gets Full Access to Medicare Claims Data

Published
  • July 08 2014, 8:50am EDT

The Centers for Medicare and Medicaid Services has certified the Health Care Cost Institute as the first national "Qualified Entity" to have full access to national Medicare claims data for reporting on the costs and quality of healthcare services. 

Under the Affordable Care Act, the Qualified Entity Program permits select organizations to combine Medicare Parts A, B, and D claims data from CMS with other payer data to evaluate the performance of providers, services, and suppliers. As a Qualified Entity, HCCI will have access to 100 percent of the nation's traditional Medicare claims data and about 40 percent of Medicare Part D prescription drug claims data. Currently, HCCI also holds data on roughly 40 percent of the Medicare Part C managed care population.

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