Measuring Health Care Utilization in Medicare Advantage Encounter Data: Methods, Estimates, and Considerations for Research
Guidance for the report that describes (1) analytical methodologies, (2) estimates, and (3) technical considerations related to the measurement of health care utilization in Medicare Part C encounter data (ED) submitted by
organizations offering Medicare Advantage (MA) plans to Medicare beneficiaries. The primary aim of the report is to provide technical details for researchers on the structure and scope of ED and on the methodological steps and analytical decisions necessary to assess utilization of health care services using ED.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 01, 2019
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.