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Open Payments Program Analytics

Open Payments Program Analytics

Client: Centers for Medicare & Medicaid Services (CMS)

Status: In progress

Services: Database Management and Organization, Healthcare Analysis, Compliance and Integrity Analysis, Managerial and Analytic Support 

Key Work Areas: Compliance and Generally Accepted Government Auditing Standards (GAGAS) audits, healthcare industry and provider assessments, fraud and waste research and analytics, artificial intelligence/machine learning, database compilation, civil monetary penalty models, regulatory support, cross-contractor collaboration

The Centers for Medicare & Medicaid Services (CMS) engaged Econometrica to support Open Payments Program Analytics in providing transparency regarding financial relationships in healthcare. By conducting database collection, analysis, and audits, the Econometrica Team was able to analyze the relationships between pharmaceutical and medical device manufacturers/distributers and their healthcare provider counterparts (e.g., physicians, non-physician providers, and teaching hospitals).