CMS is pleased to announce the availability of Medicare Risk Score Research Identifiable Files (RIFs) for Payment Year 2014 (PY14). Risk scores are used to adjust payments to Medicare Advantage plans to account for differences in relative costs among plan enrollees.
This file will be released twice a year, to support the proposed and final rule publications for the HH Prospective Payment System. The file includes partitioning 60-day episodes into 30-day periods, as required by section 51001(a) of the Bipartisan Budget Act of 2018.
CMS is pleased to announce the availability of Medicare Advantage (Part C) Encounter Data RIFs. These files are created from data submitted to CMS by Medicare Advantage Organizations (MAOs) that provide services to beneficiaries under the Medicare Part C benefit.