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Sample HSI Medicare Claims Projects

Title: Develop a CD-ROM episode of care database for urological procedures received by all males in the Medicare population.

Client: The Project HOPE Center for Health Affairs

Dates: January 1, 1997 - February 28, 1997

The Triangle Urological Group in Pittsburgh purchased three years of claims data representing all of the services provided to men who received a selected group of surgical procedures. HSI worked with the Project HOPE Center for Health Affairs to create a CD-ROM database based on over 180 9-track tapes of Medicare claims data. The information was provided in an episode of care framework that could be completed on a PC with very little start-up costs by an analyst/programmer.

Title: Developing Maryland Medicare Public Use File from the DEMPAQ Project.

Client: The Delmarva Foundation for Medical Care, Johns Hopkins University & Harvard University

Dates: November 1, 1993 - June 30, 1995

The DEMPAQ project generated public use claims databases for the Medicare services provided in the States of Maryland, Iowa and Alabama for date of service 7/1/90 to 6/30/91. These databases were enhanced with the creation of patient-level case-mix groupings, usual primary care sources for beneficiaries and standardized resource use measure to compare efficiencies among providers. Working with the Delmarva Foundation for Medical Care HSI adapted the databases for PC network use and demonstrated that Medicare analyses could be entirely PC-based if appropriate computer equipment was used.

Title: Development and Evaluation of Methods to Promote Ambulatory Care Quality (DEMPAQ)

Client: The Johns Hopkins University

Dates: September 1, 1990 - March 31, 1994

The DEMPAQ project's objective was to explore the methods that could best identify ambulatory quality of care utilization in the Medicare population. This project was instrumental in highlighting the benefits and shortcomings of Medicare claims data for analysts and was one of the first applications of the Medicare National Claims History File outside of HCFA. HSI served as a research team member with participants from Harvard University, Johns Hopkins, the Park Nicolet foundation and Brandeis University.

Title: Technology Transfer of Claims Data analysis for the DEMPAQ Project

Client: The Delmarva Foundation for Medical Care

Dates: October 1, 1993 - April 1, 1994

At the conclusion of the DEMPAQ project, HSI completed a technology transfer project with the Delmarva Foundation for Medical Care (DFMC). During the course of the project, fifteen one day tutorials were conducted with the DFMC health policy analyst team. These projects culminated in DFMC successfully replication of their own provider profiles using their own software and analysts.

Title: Designing the Maryland Medical Care Encounter Database

Client: The Delmarva Foundation for Medical Care

Dates: August 15, 1994 - December 1, 1994

The Maryland Health Care Access and Cost Commission (HCACC) was authorized by the Maryland State legislature to create a statewide all payer claims database (including the entire state's Medicare records) for health policy analysis. Acting as a consultant to the Delmarva Foundation for Medical Care, HSI was given a leading role in designing the specifications of the Maryland's all-payer database based on earlier experience working with claims data. HSI continued its involvement with HCACC's Independent Verification and Validation of the Maryland Medical Care Database.

medicare claims project details

sample data projects
sample software projects
sample medicare claims projects

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