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Medicare Post-Acute Care Utilization - Home Health Agency by Geography/Provider and Case-Mix Grouping
The Medicare Post-Acute Care Utilization - Home Health Agency (HHA) by Geography/Provider and Case-Mix Grouping (CMG) supplemental dataset offers payment and utilization data for HHAs, organized by provider and Home Health Resource Group (HHRG) CMGs. It reflects the 153-group HHRG model for Calendar Years (CYs) 2014 - 2019 and the expanded 432-group model for CYs 2020 - 2023 under the Home Health Prospective Payment System (HH PPS). Low Utilization Payment Adjustment (LUPA) claims are excluded from all years, as they are not assigned an HHRG and are reimbursed per visit rather than through standardized payments.
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Medicare Post-Acute Care Utilization - Home Health Agency
공공데이터포털
The Medicare Post-Acute Care (PAC) Utilization - Home Health Agency (HHA) dataset contains data summarized at the provider, state, and national levels. Payment information includes provider charges, Medicare allowed amount (if applicable), Medicare payment, and the standardized payment for care provided in the HHA setting.
Medicare Post-Acute Care Utilization - Long-Term Care Hospital
공공데이터포털
The Medicare Post-Acute Care (PAC) Utilization - Long-Term Care Hospital (LTCH) dataset contains data summarized at the provider, state, and national levels. Payment information includes provider charges, Medicare allowed amount (if applicable), Medicare payment, and the standardized payment for care provided in the LTCH setting.
Medicare Post-Acute Care Utilization - Skilled Nursing Facility by Geography/Provider and Case-Mix Grouping
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The Medicare Post-Acute Care (PAC) Utilization - Skilled Nursing Facility (SNF) by Geography/Provider and Case-Mix Grouping (CMG) supplemental dataset provides detailed information on payments and utilization for SNFs. For Fiscal Years (FY)s 2014–2019, data is organized by provider and Resource Utilization Group (RUG) type. Starting in FY 2020, following the shift to the Patient-Driven Payment Model (PDPM), the dataset no longer includes RUG-level data. Instead, it features therapy minutes by discipline, stays by clinical category, and the percentage of stays involving depression or swallowing disorders.
Medicare Post-Acute Care Utilization - Inpatient Rehabilitation Facility by Geography/Provider and Case-Mix Grouping
공공데이터포털
The Medicare Post-Acute Care (PAC) Utilization - Inpatient Rehabilitation Facility (IRF) by Geography/Provider and Case-Mix Grouping (CMG) supplemental dataset provides payment and utilization information for IRFs under the IRF Prospective Payment System (PPS), organized by provider and CMG.
Home Health Agency Enrollments
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The Home Health Agency (HHA) Enrollments dataset provides enrollment information on all HHAs currently enrolled in Medicare. This data includes information on the HHA's legal business name, doing business as name, organization type and address.
CMS Program Statistics - Medicare Home Health Agency
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The Medicare Home Health Agency tables provide use and payment data for home health agencies. The tables include use and expenditure data from home health Part A (Hospital Insurance) and Part B (Medical Insurance) claims. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data. Below is the list of tables: MDCR HHA 1. Medicare Home Health Agencies: Utilization and Program Payments for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend MDCR HHA 2. Medicare Home Health Agencies: Utilization and Program Payments for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR HHA 3. Medicare Home Health Agencies: Utilization and Program Payments for Original Medicare Beneficiaries, by Area of Residence MDCR HHA 4. Medicare Home Health Agencies: Persons with Utilization and Total Service Visits for Original Medicare Beneficiaries, Type of Agency and Type of Service Visit MDCR HHA 5. Medicare Home Health Agencies: Persons with Utilization and Total Service Visits for Original Medicare Beneficiaries, by Type of Control and Type of Service Visit MDCR HHA 6. Medicare Home Health Agencies: Persons with Utilization, Total Service Visits, and Program Payments for Original Medicare Beneficiaries, by Number of Service Visits and Number of Episodes
CMS Program Statistics - Medicare Home Health Agency
공공데이터포털
The Medicare Home Health Agency tables provide use and payment data for home health agencies. The tables include use and expenditure data from home health Part A (Hospital Insurance) and Part B (Medical Insurance) claims. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. Below is the list of tables: MDCR HHA 1. Medicare Home Health Agencies: Utilization and Program Payments for Original Medicare Beneficiaries, by Type of Entitlement, Yearly Trend MDCR HHA 2. Medicare Home Health Agencies: Utilization and Program Payments for Original Medicare Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR HHA 3. Medicare Home Health Agencies: Utilization and Program Payments for Original Medicare Beneficiaries, by Area of Residence MDCR HHA 4. Medicare Home Health Agencies: Persons with Utilization and Total Service Visits for Original Medicare Beneficiaries, Type of Agency and Type of Service Visit MDCR HHA 5. Medicare Home Health Agencies: Persons with Utilization and Total Service Visits for Original Medicare Beneficiaries, by Type of Control and Type of Service Visit MDCR HHA 6. Medicare Home Health Agencies: Persons with Utilization, Total Service Visits, and Program Payments for Original Medicare Beneficiaries, by Number of Service Visits and Number of Episodes
Medicare Post-Acute Care Utilization - Skilled Nursing Facility
공공데이터포털
The Medicare Post-Acute Care (PAC) Utilization - Skilled Nursing Facility (SNF) dataset contains data summarized at the provider, state, and national levels. Payment information includes provider charges, Medicare allowed amount (if applicable), Medicare payment, and the standardized payment for care provided in the SNF setting.
Home Health Agency All Owners
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The Home Health Agency (HHA) All Owners dataset provides ownership information on all HHAs currently enrolled in Medicare. This data includes ownership information such as ownership name, ownership type, ownership address and ownership effective date.