Medicare Program; Availability of Medicare Data for Performance Measurement


DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Part 401
CMS-5059-F
RIN 0938-AQ17
Medicare Program; Availability of Medicare Data for Performance Measurement
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Final rule.
SUMMARY: This final rule implements Section 10332 of the Affordable Care Act regarding
the release and use of standardized extracts of Medicare claims data for qualified entities to
measure the performance of providers of services (referred to as providers) and suppliers. This
rule explains how entities can become qualified by CMS to receive standardized extracts of
claims data under Medicare Parts A, B, and D for the purpose of evaluation of the performance
of providers and suppliers. This rule also lays out the criteria qualified entities must follow to
protect the privacy of Medicare beneficiaries.
EFFECTIVE DATE: These regulations are effective [OFR insert date 30 days after the date of
publication in the Federal Register].
FOR FURTHER INFORMATION CONTACT:
Colleen Bruce, (410) 786-5529.

www.ofr.gov/OFRUpload/OFRData/2011-31232_PI.pdf.

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