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Sample HSI Medicare Claims Projects

Title: Develop a DVD episode of care database for urological procedures received by all males in the Medicare population.

Client: Triangle Urological Group

The in Pittsburgh purchased three years of claims data representing all of the services provided to men who received a selected group of surgical procedures. HSI worked with the Project HOPE Center for Health Affairs to create a DVD database based on over 180 mainframe tapes of Medicare claims data. The information was provided in an episode of care framework that could be completed on a PC with very little start-up costs by an analyst/programmer.

Title: Developing Maryland Medicare Public Use File .

Client: The Delmarva Foundation for Medical Care, Johns Hopkins University & Harvard University

This project generated public use claims databases for the Medicare services provided in the States of Maryland, Iowa and Alabama. These databases were enhanced with the creation of patient-level case-mix groupings, usual primary care sources for beneficiaries and standardized resource use measure to compare efficiencies among providers. Working with the Delmarva Foundation for Medical Care HSI adapted the databases for PC network use and demonstrated that Medicare analyses could be entirely PC-based if appropriate computer equipment was used.

Title: Development and Evaluation of Methods to Promote Ambulatory Care Quality (DEMPAQ)

Client: The Johns Hopkins University

This project was instrumental in highlighting the benefits and shortcomings of Medicare claims data for analysts and was one of the first applications of the Medicare National Claims History File outside of HCFA. HSI served as a research team member with participants from Harvard University, Johns Hopkins, the Park Nicolet foundation and Brandeis University.

Title: Designing the Maryland Medical Care Encounter Database

Client: The Delmarva Foundation for Medical Care

The Maryland Health Care Access and Cost Commission (HCACC) was authorized by the Maryland State legislature to create a statewide all payer claims database (including the entire state's Medicare records) for health policy analysis. Acting as a consultant to the Delmarva Foundation for Medical Care, HSI was given a leading role in designing the specifications of the Maryland's all-payer database based on earlier experience working with claims data. HSI continued its involvement with HCACC's Independent Verification and Validation of the Maryland Medical Care Database.