Data

The Centers for Medicare & Medicaid Services (CMS) is deeply committed to ongoing data transparency and creating a patient-centered healthcare system, where clinicians are challenged to lower costs and increase the quality of care they provide. At the same time, we want to empower patients to make more informed healthcare decisions by providing meaningful information about their healthcare providers. The Quality Payment Program (QPP) is a key component of these efforts.

Earlier this year, we released preliminary participation data on clinicians eligible to participate in the Merit-based Incentive Payment System (MIPS) under the Quality Payment Program (QPP). This program was a big change for many clinicians, and this year we saw a high participation rate and an emphasis on working to improve outcomes for our beneficiaries.
Between 2013 and 2016, Federal spending on Medicaid grew by over $100 billion. The program is often the first or second largest line item in state budgets. Just recently, CMS’ independent Office of the Actuary released their Medicaid financial report, confirming what we have already known for quite some time – that our healthcare spending, particularly in Medicaid – is forecast to continue growing, averaging 5.7% annually over the next 10 years to reach over $1 trillion by 2026.
America’s journalists work hard every day to inform their audiences. At CMS, we recognize that the journalists who cover our agency—and our efforts to transform the healthcare system—need accurate, up-to-date information and they need it quickly.

Co-author:

Tim Engelhardt, Director of the Federal Coordinated Health Care Office at CMS


For long-term care facility residents, avoidable hospitalizations can be dangerous, disruptive, and disorienting. Keeping our most vulnerable citizens healthy when they are residents of long-term care facilities[1] and reducing potentially avoidable hospital stays has been a point of emphasis for the Centers for Medicare & Medicaid Services (CMS).

Co-author:

Pauline Lapin, MHS, Director, Seamless Care Models Group, Center for Medicare & Medicaid Innovation


Over the past few years, the Centers for Medicare & Medicaid Services (CMS) has committed to supporting clinicians by providing them with actionable data. This is part of the Administration-wide initiative to unlock government data to promote innovation and best practices. Today, we are highlighting one way we have reached this goal and sharing how we plan to use the lessons we’ve learned in future efforts.