Claims for a Medicare beneficiary enrolled in Medicare Advantage (also known as “Part C”) are paid through private health insurance companies. The Centers for Medicare and Medicaid Services (CMS) has recently released healthcare utilization data (or “encounter data”) for Medicare beneficiaries enrolled in these plans to researchers.
This one-day workshop is a primer designed to provide researchers with an overview of the Medicare Advantage program, a comparison of the encounter data and FFS claims data, and strategies for using the encounter data in combination with FFS data.