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Data Analysis

Data available below were intended to provide stakeholders with additional resources to inform comments on priority clinical area proposals made in the CY 2017 Physician Fee Schedule Proposed Rule.

CMS finalized an initial list of priority clinical areas, based in part on public comment, in the CY 2017 Physician Fee Schedule Final Rule. The list is available at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Appropriate-Use-Criteria-Program/PCA.html.

Medicare Claims Data Methodology and Background


CMS also engaged the CMS Alliance to Modernize Healthcare (CAMH) Federally Funded Research and Development Center (FFRDC), the MITRE Corporation (MITRE), to begin developing efficient and effective processes for managing current and future health technology assessments. MITRE generated an independent report that presents a summary of findings from 2014 claims data from the Medicare population and their utilization of advanced imaging procedures, available at https://www.mitre.org/publications/technical-papers/claims-data-analysis-to-define-priority-clinical-areas-for-advanced.

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