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Doctor Reports Will Soon Be Available on Medicare Claims Database



Doctor report cards will soon be available through the Medicare claims database. On December 5, 2011, the federal government announced that its extensive Medicare claims database will be available to employers, consumer groups and insurance companies by late 2012.


The Medicare claims database includes comprehensive information on individual physicians, but does not include information regarding the patients that a doctor has treated. Medicare will allow individual doctors to see the information on their performance before it is publicly released and will also allow doctors 60 days to challenge any information included in the database.


Medicare acting administrator Marilyn Tavenner called the new policy “a giant step forward in making our health care system more transparent and promoting increased competition, accountability, quality and lower costs.”

The American Medical Association has expressed concerns that the information included in the database may be misleading in certain circumstances. Medicare plans to screen the analytical methods of groups that request access to the Medicare claims data, by requiring requesting organizations to pay for access to the Medicare claims information and requiring them to meet certain qualifications, such as access to their own claims data of their own.



Steinberg Goodman & Kalish (www.sgklawyers.com) is dedicated to protecting victims and their families. We handle medical malpractice, product liability, personal injury, wrongful death, auto accidents, professional negligence, birth trauma, and railroad law matters. Contact us at (800) 784-0150 or (312) 782-1386.

Source: "Medicare to open database for ratings of doctors, hospitals," Chicago Tribune

Doctor report cards will soon be available through the Medicare claims database. On December 5, 2011, the federal government announced that its extensive Medicare claims database will be available to employers, consumer groups and insurance companies by late 2012.

The Medicare claims database includes comprehensive information on individual physicians [http://www.sgklawyers.com/Personal-Injury-Overview/Medical-Malpractice.shtml], but does not include information regarding the patients that a doctor has treated. Medicare will allow individual doctors to see the information on their performance [http://www.sgklawyers.com/Personal-Injury-Overview/Medical-Malpractice.shtml] before it is publicly released and will also allow doctors 60 days to challenge any information included in the database.

Medicare acting administrator Marilyn Tavenner called the new policy “a giant step forward in making our health care system more transparent and promoting increased competition, accountability, quality and lower costs.”

The American Medical Association [http://www.ama-assn.org/] has expressed concerns that the information included in the database may be misleading in certain circumstances. Medicare plans to screen the analytical methods of groups that request access to the Medicare claims data, by requiring requesting organizations to pay for access to the Medicare claims information and requiring them to meet certain qualifications, such as access to their own claims data of their own.

Source: “Medicare to open database for ratings of doctors, hospitals,” Chicago Tribune [http://www.chicagotribune.com/business/breaking/chi-medicare-to-open-data-for-ratings-of-doctors-hospitals-20111205,0,5577580.story]

Steinberg Goodman & Kalish (www.sgklawyers.com) is dedicated to protecting victims and their families. We handle medical malpractice, product liability, personal injury, wrongful death, auto accidents, professional negligence, birth trauma, and railroad law matters. Contact us at (800) 784-0150 or (312) 782-1386.