The Master Data Management (MDM) system is a CMS enterprise shared service application with a focus on eliminating redundancy, inconsistency and fragmentation of CMS data and increasing efficiencies. MDM provides a single point of access to a singular, synchronized, comprehensive, and ID-resolved authoritative source of Beneficiary, Provider, Organization, Program and Relationship data for use within CMS and by external organizations and agencies.
MDM ingests data from various source systems within CMS and performs identity (ID) resolution, using sophisticated probabilistic algorithms to match and link records for corresponding entities using a unique Enterprise Identifier (EID). Integrating information from multiple sources helps to provide more robust information about any one entity. Thus, using the EID to uniquely identify Providers across CMS, MDM produces consolidated, id-resolved datasets to exchange Provider data with data trading partners using modern health information technology tools, services, and standards.
Integration patterns exist for batch data and near-real-time web services, as well as business intelligence (BI) tools and application access to data profiles in each of the mastered data domains. The consolidated master indexes provide entity matching and resolution for the data user, data scientist and business intelligence communities to make better business decisions, prevent fraud, waste and abuse, and improve health outcomes.
The MDM cloud-based application takes advantage of cloud scalability, and includes the Hive metastore, which promotes actionable intelligence at speed and scale. The MDM application also contributes to the Enterprise Data Mesh (EDM) to provide CMS users a centralized, singular schema-less data store with raw, as well as curated, data. The cloud-based MDM application provides the user community ease of access to MDM data and can potentially keep up to date with the data sources.Due to the scalability of its processing power, it also allows users to meet their data needs more efficiently, thereby improving the quality of business intelligence and data analytics functionality.
The primary Master Data domains at CMS are:
- Beneficiary: Beneficiary in the Cloud: Common Medicare Environment (CME), Transformed Medicaid Statistical Information System (T-MSIS)]
- Provider: Provider Enrollment, Chain & Ownership System (PECOS), National Plan and Provider Enumeration System (NPPES), Quality Improvement Evaluation System(QIES), T-MSIS, Healthcare Provider Cost Reporting Information System (HCRIS) for Hospitals and Skilled Nursing Facilities
- Program: Independence at Home Demonstration (IAH), Medicare Shared Savings Program (SSP), Medicare-Medicaid Coordination Office Financial Alignment Demonstration (Duals), End-Stage Renal Disease (ESRD), Comprehensive ESRD Care (CEC), Million Hearts (MH), Comprehensive Care for Joint Replacement (CJR), Principal Care Management (PCM), ESRD Treatment Choices (ETC), Bundled Payments for Care Improvement (BPCI), Maryland Total Cost of Care (TCOC), Maryland Primary Care Program (MDPCP), Comprehensive Primary Care Plus (CPC+), Direct Contracting (DC) aka Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, Kidney Care Choices (KCC), Vermont All-Payer Model (VT APM), Value in Treatment (VT),Making Care Primary (MCP).
- Non-Provider Organization/ Plan: Next Generation Accountable Care Organization (NGACO) Model
MDM provides:
- Trusted Identity Resolution capability for CMS’s expanding catalog of Master Data sources
- Integration and consolidation of Master Data from numerous disparate data sources to create a consolidated, authoritative view of each entity
- Flexible and easy access to Master Data (e.g., near real-time web services, extracts for batch processing and analytic capabilities)
Some MDM Data Access methods may include:
- Enterprise Data Mesh (EDM)
- Data Shares to EDM Snowflake and Integrated Data Repository (IDR) Snowflake
- MDM Data Extracts
- Business Intelligence (BI) Tools
- Finder file Provider Look-up
Some of the available MDM Data Services include the following functionality:
- Retrieve current and relevant historical provider information for an Individual or Organization Provider
- Retrieve a single Provider, including any association with multiple Accountable Care Organization (ACO) / Call Center Operations (CCO) Programs
- Verify that a submitted Medicare Provider is current and approved in PECOS
MDM’s migration to the CMS AWS Cloud in 2020 brought MDM 3.0 to the forefront by offering a Data-as-a-Service (DaaS) cloud-based model, granting users easy access to data without managing infrastructure or storage.
For more information about MDM services, contact Office of Information Technology (OIT) / Enterprise Architecture Data Group (EADG) / Division of Data Enterprise Services (DDES) at MDMTeam@cms.hhs.gov.