CMS Episode Grouper for Medicare - Approach B

Dynamic List Information
Dynamic List Data
Title
CMS Episode Grouper for Medicare - Approach B
Project Officer(s)
Jesse Levy
Start Date
End Date
Award
Contract
Description
The goal of this contract is to construct a comprehensive public use episode grouper. The grouping processes and logic shall be readily understandable, transparent, and comprehensible to the intended audience of physicians, policy makers, and health care administrators. It shall be valid and reliable, and have a reasonable number of homogenous episode groupings. Conceptually, episode grouping is comprised of three sub-systems or modules: clinical logic, episode construction logic, and the risk adjustment method. Each of these subsystems can stand on its own, or be integrated with the other components into a software program that groups claims into episodes. The Approach B is organized by these components. This contract is for only episode grouping software and its components. Elements of a profiling system, e.g., attribution rules, benchmarking, standardized costs, etc., may be considered in the design of data systems that will be part of the grouper software's output (with input from CMS).
Funding
$1,462,637.00
Principal Investigator(s)
Carol Simon
Project Number
HHSM-500-2010-00063C
Status
The project is underway.
Awardee Address

3130 Fairview Park Drive, Suite 800
Falls, Church, VA
Estados Unidos

Awardee Name
Lewin Group