Centers for Medicare & Medicaid Services Opens Medicare Transparency Proposal for Comment

Under a proposed rule, Medicare and private sector claims data could be used to produce public reports that evaluate the performance of physicians, other healthcare providers, and suppliers.

The Centers for Medicare & Medicaid Services is proposing to allow organizations that meet certain qualifications -- including having the capacity to process the data accurately and safely -- to have access, for a fee, to patient-protected Medicare claims data from Parts A, B and D. The Medicare information would be combined with private-sector claims data to identify physicians and hospitals that provide the highest quality care at the most cost-effective rates.