Three Groups Start Getting Medicare Claims Data

The Affordable Care Act required Medicare to develop mechanisms to make its claims data available to stakeholders; three organizations have been tagged to be the first to get access to the data.


The Affordable Care Act required Medicare to develop mechanisms to make its claims data available to stakeholders; three organizations have been tagged to be the first to get access to the data.

The organizations are the Health Improvement Collaborative of Greater Cincinnati, the Kansas City Quality Improvement Consortium, and Oregon Health Care Quality Corporation.

The groups will combine the Medicare data with claims data from commercial insurers to analyze provider performance. Organizations seeking Medicare claims data must demonstrate the capability to manage and process consumer-focused data and prevent data breaches, and work with private payers to access their claims data to produce more comprehensive reports, according to CMS. The data does not identify specific patients.

More information on getting access to Medicare claims data is available at cms.gov/QEMedicareData/.

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