Client: Centers for Medicare & Medicaid Services (CMS)

Services: Budget and financial analysis, healthcare payment standardization analysis, quality assurance and data validation, data measurement and reporting, descriptive data analysis

Key Work Areas: Healthcare delivery, geographic assessments, value-based incentive payment programs, Medicare claims (Parts A, B, and D), database management, technical expertise in Medicare claims and coverage policy, technical assistance in price standardization, Integrated Data Repository management

Status: In Progress

The Centers for Medicare & Medicaid Services (CMS) engaged Econometrica for the Payment Standardization Calculation and Application project. Econometrica provides analysis of differences in healthcare delivery choices within the following parameters: healthcare setting (e.g., office vs. hospital care), level of provider (e.g., physician vs. physician assistant), number of services per encounter, and outlier cases.

Each of these factors are assessed based on their ability to impact healthcare costs and the standardization of healthcare payments. Additionally, Econometrica conducts regional and economic analyses to determine how costs vary throughout distinct treatment modalities. Data are managed in an Integrated Data Repository.