HEALTH CARE FINANCING ADMINISTRATION

TITLE: Enrollment DataBase

ACRONYM: EDB

AGENCY/PROGRAM: Office of Informational Services, Health Care Financing Administration

DESCRIPTION: The Enrollment DataBase (EDB) is the Health Care Financing Administration's database of record for Medicare Beneficiary enrollment information. It is the authoritative source for Medicare beneficiary information, entitlement, etc. The EDB has information on all Medicare beneficiaries, including Social Security Retirement and Disability insurance Beneficiaries, End Stage Renal Disease (ESRD) beneficiaries, and Railroad Retirement Board (RRB) beneficiaries.

The EDB represents information on the beneficiaries from the beginning of Medicare (1966) to the present and is updated daily. It is not a sample, but a 5% sample of the EDB is maintained.

The primary source for beneficiary information is the Social Security Administration (SSA) Master Beneficiary Record (MBR). Information on race is updated from SSA's Numerical identification File (NUMIDENT).

The record unit is the individual beneficiary. Data collected include Functional/Health Status; Service Expenditure and Financing; Age/Gender; Other Demographic/ Sociocultural

RACE/ETHNICITY: American Indian/Alaskan Native; Asian or Pacific Islander; Black, Not of Hispanic Origin; White, Not of Hispanic Origin; Hispanic; Other

DATA LIMITATIONS: Standard Limitations

STATUS: Starting in June 1966, the data collection is active (continuous data collection with data transferred for SSA, and intermittent activities to fill certain data gaps--primarily those concerning race/ethnicity data).

HOW TO ACCESS DATA: Upon request, with special agreement with the user.

Within the Health Care Financing Administration (HCFA), data can be released based on a user's "need to know." If requester plans to release the data to HCFA contractor or grantee, both must sign an Agreement for Release of Data with Individual Identifiers that bind the user to protect Confidentiality of data.

Other Federal agencies or outside requesters can receive identifiable data when they are needed for a project. HCFA requires that appropriate data release agreements must be signed, fees paid, and research protocols submitted. Study protocols will be reviewed by HCFA/Office of Strategic Planning.

WEB SITE: http://www.hcfa.gov

CONTACT PERSON: Roger Hicks
Business Systems Operations Group
Office of Informational Services
Health Care Financing Administration
7500 Security Blvd., N2-11-24
Baltimore, Maryland 21244-1850
410-786-6302;
rhicks1a@hcfa.gov


TITLE: Health Insurance Skeleton Eligibility Write-Off (HISKEW) File

ACRONYM: HISKEW

AGENCY/PROGRAM: Office of Informational Services, Health Care Financing Administration

DESCRIPTION: The Health Insurance Skeleton Eligibility Write-Off (HISKEW) File, like the Enrollment Database, contains data for all beneficiaries ever enrolled in Medicare. The HISKEW File contains a subset of data elements from the Enrollment Database and is extracted quarterly from the Unloaded Enrollment Database. (The Unloaded Enrollment Database is a flat file version of the Enrollment Database). Among these elements are information on beneficiary demographics (e.g age, gender), residence, entitlement, and coverage. The scope of information for each of the elements is less on the HISKEW than on the Enrollment Database. For example, health insurance claim numbers are present, but not names; and State, county, and ZIP Code of residence are included, but not street address. The information included, however, is normally sufficient for statistical and demographic research. The file is available from 1985 to the present.

The HISKEW is a "skeleton" of the Enrollment Database in the sense that only a subset of the Enrollment Database elements is present in the file. The HISKEW is designed to support tabulation of enrollment data for various program statistical reports and matching of enrollment data against utilization data to extract utilization data for specific cohorts of beneficiaries. The file is of interest to health care policy analysts, health care and outcomes researchers, and health care investigators.

RACE/ETHNICITY: Race/Ethnicity categories prior to January 1994: White; Black; Other; Unknown

Race/Ethnicity categories -- January 1994 to Present: Asian or Pacific Islander; Hispanic; Black (Not of Hispanic Origin); American Indian or Alaskan Native; White (Not of Hispanic Origin); Other; Unknown

STATUS: Starting in 1985, this data collection is active. The HISKEW File maintenance involves the quarterly update of the file under HDC production control. The quarterly update includes a backup process which prepares a duplicate HISKEW File. Quality assurance edits are applied to the file before it is made available to external users. From 1985 to 1991, the HISKEW File was delineated by active and inactive designations. The active version of the file contained records for active beneficiaries only; the inactive version contained records for inactive beneficiaries only. Both versions contained the same elements. Beginning in 1992, separate versions of the HISKEW File have not been maintained. Both active and inactive beneficiaries are represented on the HISKEW file.

HOW TO ACCESS DATA: Tabulations provided. Identifiable data are available for approved research/studies. Requesters of identifiable data must have their research project approved by the Health Care Financing Administration (HCFA) and agree to comply with the provisions of the Privacy Act.

WEB SITE: http://www.hcfa.gov

CONTACT PERSON: Roger Hicks
Business Systems Operations Group
Office of Informational Services
Health Care Financing Administration
7500 Security Blvd.
N2-11-24
Baltimore, Maryland 21244-1850
410-786-6302
rhicks1@hcfa.gov


TITLE: National Claims History (NCH) 100% Nearline File

ACRONYM: NCH

AGENCY/PROGRAM: Office of Informational Services, Health Care Financing Administration

DESCRIPTION: The purpose of the 100% Nearline file is to house all processed institutional and physician/supplier claims data for Medicare from the Common Working File (CWF). The Nearline file contains every claim submitted, including all adjustments, but eliminates some fields that are transmitted from CWF. The 100% Nearline file is divided into six record types. There are four institutional record types -- Inpatient/Skilled Nursing Facility (SNF), Outpatient, Home Health Agency (HHA), and Hospice-that are submitted by fiscal intermediaries; and two noninstitutional Part B record types-physician/supplier and Durable Medical Equipment (DME)-that are submitted by carriers.

Institutional data were available in 1988, and complete physician/supplier data were available beginning in 1991 (prior to October 1990, there was incomplete Carrier data). The DME record type was phased in from October 1993 to June 1994 (prior to the separate format, DME claims were included on the physician/supplier claim). The data are transmitted to the Health Care Financing Administration (HCFA) from the CWF host sites in daily batches. The unit of analysis in the NCH 100% Nearline file is the claim.

NOTE: Additional subsets of the Nearline file are created on an ongoing basis (generated weekly as a prospective tap) for the following purposes:

This file included data on Services Resources; Services Utilization; Service Expenditure and Financing; Age/Gender

RACE/ETHNICITY: Race/Ethnicity categories prior to July 1994: White; Black; Other; Unknown

Race/Ethnicity categories from July 1994-Present: Asian or Pacific Islander; Hispanic; Black (Not of Hispanic Origin); American Indian or Alaskan Native; White (Not of Hispanic Origin); Other; Unknown

DATA LIMITATIONS: For the coding scheme used prior to July 1994, Asian, Hispanic, and North American values were contained in the "Other" race category

STATUS: Started in January 1988, this continuous data collection is active.

HOW TO ACCESS DATA: Upon request with special agreement with the user.

Within HCFA, data can be released based on a user's "need-to-know." If requester plans to release the data to HCFA contractor or grantee, both must sign an Agreement for Release of Data with individual identifiers that bind the user to protect confidentiality of data.

WEB SITE: http://www.hcfa.gov

CONTACT PERSON: Mike Rappaport
Office of Informational Services
Health Care Financing Administration
7500 Security Blvd
N3-16-28
Baltimore, Maryland 21244-1850
410-786-6759
mrappaport@hcfa.gov


TITLE: National Claims History (NCH) Standard Analytical Files

ACRONYM: SAF

AGENCY/PROGRAM: Office of Informational Services, Health Care Financing Administration

DESCRIPTION: The Standard Analytical Files (SAFs) are final action claims level files developed from the Medicare National Claims History database. The SAFs were developed in response to criticism that the 100% Medicare claims data were unwieldy and cumbersome to use because of the number of adjustment claims resident in the repository. Under Medicare claims processing procedures, when an error is discovered on a claim, a duplicate claim is submitted indicating that the prior claim was an error. A subsequent claim containing the corrected information may then be submitted. The SAFs contain only the final action claims. All adjustment claims have been resolved.

SAFs are available for each institutional claim type from 1989 onward (exception: For 1986-88, an abbreviated outpatient SAF was also available). Noninstitutional Part B physician/supplier SAFs are available beginning with 1991 for 100% clinical laboratory, 100% DME, and a 5% beneficiary sample (contains all final action claims submitted for the 5% beneficiary included in sample). Using DSAF, 100% SAFs can be subset to obtain records from 1%, 5%, 20%, or 60% sample of Medicare beneficiaries. The SAFs are constrcuted from weekly data submissions to the National Claims History (NCH) 100% Nearline file. The SAF are obtained by processing the NCH Nearline raw claims through final action algorithms that match original claim with adjusted claims to resolve any adjustments. Annual files are created each July for services incurred in the prior calendar year and processed through June of the current year (18 month window). Current year incurred activity is created after 6 months and then updated quarterly (September, December, and March) and finalized after 18 months in July. The record unit in the database is the final action claim.

The files include data on Functional/Health Status; Services Utilization; Services Expenditure and Financing; Age/Gender

RACE/ETHNICITY: Race/Ethnicity categories prior to July 1994: White; Black; Other; Unknown

Race/Ethnicity categories from July 1994-Present: Asian or Pacific Islander; Hispanic; Black (Not of Hispanic Origin); American Indian or Alaskan Native: White (Not of Hispanic Origin); Other; Unknown

DATA LIMITATIONS: For the coding scheme used prior to July 1994, Asian, Hispanic, and North American values were contained in the "Other" race category

STATUS: Started in 1996, this continuous data collection is active

HOW TO ACCESS DATA: Public use files, usable without restrictions, other file versions upon request, with special agreement with the user. Magnetic tape reel; magnetic tape cartridge. Within the Health Care Financing Administratin (HCFA), data can be released based on a user's "need-to-know." If requester plans to release the data to HCFA contractor or grantee, both must sign an Agreement of Release for Data with individual identifiers that bind the user to protect confidentiality of data.

Other Federal agencies or outside requesters can receive identifiable data when they are needed for a project. HCFA requires that appropriate data release agreements must be signed, fees paid, and research protocols submitted. Study protocols will be reviewed by HCFA/Office of Strategic Planning.

WEB SITE: http://www.hcfa.gov

CONTACT PERSON: Mike Rappaport
Office of Informational Services
Health Care Financing Administration
7500 Security Blvd.
N3-16-28
Baltimore, Maryland 21244-1850
410-786-6759
mrappaport@hcfa.gov


TITLE: End Stage Renal Disease (ESRD) Program Management and Medical Information System (PMMIS)

ACRONYM: N/A

AGENCY/PROGRAM: Office of Informational Services, Health Care Financing Administration

DESCRIPTION: The End Stage Renal Disease (ESRD) Program Management and Medical Information System (PMMIS) is a comprehensive database covering medical and demographic information for the Medicare ESRD population. It is designed to serve the needs of the Department of Health and Human Services in support of program analysis, policy development, and epidemiologic research. The ESRD PMMIS includes information on both Medicare ESRD beneficiaries and Medicare-approved ESRD hospitals and dialysis facilities. The principal sources of beneficiary-specific information are the Medicare billing records and incidence-specific medical information forms that report onset of ESRD, characteristics and status of a kidney transplant, and cause of death for an ESRD beneficiary. The principal sources of hospital and facility information are the Medicare certification approval notices and an annual survey of these organizations.

The file includes data on: Functional/Health Status; Services Resources; Services Utilization; Services Expenditure and Financing; Socioeconomic; Age/Gender; Behavioral

RACE/ETHNICITY: Race and Ethnicity categories as of April 1, 1995:

Racial Categories Are: American Indian/Alaskan Native; Asian; Pacific Islander; Mid-East/Arabian; Indian Sub-Continent; Black; White; Other or Multiracial; Unknown

Ethnic Categories Are: Hispanic: Mexican; Hispanic: Other; Non-Hispanics

STATUS: Started in July 1980, this continuous data collection is active.

HOW TO ACCESS DATA: Data on renal providers and aggregate counts of patients at those providers are available from public use files. Patient specific data are restricted to special requests subject to the Privacy Act.

ESRD PMMIS patient data are provided to researchers on an ad hoc basis and are subject to the conditions of the Privacy Act.

Diskette Price:
ESRD Renal Facility Survey File $245.00
ESRD Renal Provider File $145.00

DISTRIBUTOR OF PUBLIC USE FILES: Enterprise Databases Group
Office of Informational Services
Health Care Financing Administration
7500 Security Blvd.
N3-17-07
Baltimore, Maryland 21244-1850
410-786-6418
Fax: 410-786-3691

WEB SITE: http://www.hcfa.gov

CONTACT PERSON: Gem Nenninger
Division of Systems Support
Health Care Financing Administration
7500 Security Blvd.
S3-02-01
Baltimore, Maryland 21244-1850
Phone: 410-786-8532
Fax: 410-786-6708
Gnenninger@hcfa.gov


TITLE: HCFA-2082, Statistical Report on Medical Care: Eligibles, Recipients, Payments and Services

ACRONYM: HCFA 2082

AGENCY/PROGRAM: Office of Informational Services, Health Care Financing Administration

DESCRIPTION: The Form HCFA-2082 provides for reporting summary data of Medicaid eligibles, recipients, services, and medical vendor payments. Since 1972, all States and territories that operate Medicaid programs under Title XIX of the Social Security Act have been required to report annually. A report covers the Federal fiscal year which begins October 1 and ends September 30. The report has 14 sections that contain aggregate data on Medicaid eligibles, recipients, and vendor payments broken down by service types and demographic categories. This file includes data on: Services Utilization; Services Expenditure and Financing; Age/Gender.

RACE/ETHNICITY: Race/ethnicity is generated from State Medicaid administrative systems, and includes the data obtained from the intake case worker. Note that Maine does not report this data. As of FY 1999, the HCFA-2082 race/ethnicity groupings will be modified to include the following categories: White, Black or African American, American Indian or Alaska Native, Asian, Hispanic or Latino, Native Hawaiian or other Pacific Islander. Prior to 1999, the race/ethnicity codes for the HCFA-2082 and MSIS were as follows:

Valid Values Code Definition
1 White, not of Hispanic Origin
2 Black, not of Hispanic Origin
3 American Indian or Alaskan Native
4 Asian or Pacific Islander
5 Hispanic
6 Unknown

STATUS: Started in October 1971 to September 1972. This periodic (annual) data collection is active.

HOW TO ACCESS DATA: Upon request, with special agreement with the user.

WEB SITE: Also summary data from HCFA 2082 are available publically on the HCFA web site http://www.hcfa.gov

CONTACT PERSON: Mike Rappaport
Office of Informational Services
Health Care Financing Administration
7500 Security Blvd., N3-16-28
Baltimore, Maryland 21244-1850
410-786-6759
mrappaport@hcfa.gov


TITLE: Medicaid Statistical Information System Personal Summary File

ACRONYM: MSIS Personal Summary File

AGENCY/PROGRAM: Office of Informational Services, Health Care Financing Administration

DESCRIPTION: There are now 30 States participating in the Medicaid Statistical Information System (MSIS), with all States being legislatively required to participate as of January 1999. The MSIS Personal Summary File is a fiscal year person-specific file by State that gives a history of Medicaid eligibility and service use. Summary files are created using each State's: 1) quarterly validated Eligible file; 2) quarterly validated inpatient file; 3) quarterly validated Long Term Care file; 4) quarterly validated Other claim file; 5) prior year fourth-quarter Summary File; and 6) previous quarter Summary File when processing quarters two through four. Each Summary file contains one record for each unique MSIS identification number and provides roll-ups of eligibility and claim data for each individual. The first files were produced for fiscal year 1985 with 10 states participating. Twenty eight states were participating in fiscal year 1995 representing 51% of the Medicaid population.

It is to be noted that the State Medicaid Research Files (SMRFs) which are person and claim-detail files are oriented by date of eligibility and service. The files include data on Services Utilization; Services Expenditure and Financing; Age/Gender.

RACE/ETHNICITY: The race /ethnicity categories will be updated for 1999 to include: White, Black or African American, American Indian or Alaska Native, Asian, Hispanic or Latino, Native Hawaiian or Other Pacific Islander.

DATA LIMITATIONS: One State, Maine, does not report race/ethnicity on its eligibility file. Several others are limited in their ability to provide this information because of the nature of their electronic data collection system.

STATUS: Started in Fiscal Year 1975 (October 1, 1975 to September 30, 1976). This periodic (quarterly) data collection is active. These files are generally available approximately 2 years after the MSIS summary file.

HOW TO ACCESS DATA: Upon request, with special agreement with the user. In most cases, personal identifying information is either omitted or scrambled to prevent the possibility of identifying individual records.

If personal ID's or other identifiable data are provided, a data release agreement is necessary to insure compliance with the Privacy Act.

WEB SITE: http://www.hcfa.gov

CONTACT PERSON: Mike Rappaport
Office of Informational Services
Health Care Financing Administration
7500 Security Blvd., N3-16-28
Baltimore, Maryland 21244
410-786-6759; Fax: 410-786-0182
mrappaport@hcfa.gov


TITLE: Medicare Current Beneficiary Survey

ACRONYM: MCBS

AGENCY/PROGRAM: Office of Strategic Planning (OSP), Health Care Financing Administration

DESCRIPTION: The Medicare Current Beneficiary Survey (MCBS) is a continuing multipurpose survey of a representative sample of the Medicare population. The goal of OSP is to learn about the health care beneficiaries receive, how much that care costs, and who pays for it. Although the survey is focused on the financing of health care, the initial interview collects a variety of basic information including demographic characteristics, health status, insurance, institutionalization, and living arrangements. The sample (a rotating panel) is designed to provide annual data for 12,000 respondents.

Interviews are conducted three times a year. Questions about medical services, costs, and payments are asked in every interview after the initial interview. Some basic information is updated at every interview (insurance) or once a year (health status), as appropriate. Other information (education, race, sex) is collected only once.

OSP prepares two different types of files from the data: "Access to Care" and "Calendar Year Cost and Use." Both files summarize information by person. OSP Links Medicare claims and other administrative data to the survey data.

The "Access to Care" files are available for 1992-1997; these are generally released in October, about 10 months after data collection ends. These "snapshots" of the initial interview and annual updates can be compared with each other as a time series. Although these releases include a full year's worth of Medicare bills and claims for the individuals surveyed, they do not include any information about non-Medicare services or costs. Weights for this file inflate estimates to an annual "always enrolled" Medicare population.

The "Calendar Year and Use" files are available for 1992-1995. In addition to the information that appears in the "Access to Care" file, this file will also contain detailed data about non-Medicare services (drugs, nursing homes) and costs paid by other sources (Medicaid, private insurance, out-of-pocket). Weights for this file inflate estimates to annual "ever enrolled" and July 1 midpoint" Medicare population. This file includes data on: Functional/ Health Status; Services Utilization; Services Expenditure and financing; Socioeconomic; Age/Gender; Other Demographic; Sociocultural; Behavioral; Other (nursing home characteristics, entitlement SS-SSI);.

RACE/ETHNICITY: American Indian/Alaskan Native; Asian or Pacific Islander; Black; White; Other; Don't know; Refused Specification; Not Ascertained

Ethnic Categories Are: Hispanic; Not of Hispanic Origin; Don't Know; Refused Specification; Not Ascertained

DATA LIMITATIONS: Respondents are handed a card on which the race categories are displayed and are asked to identify the category to which they belong. Interviewers are prohibited from making suggestions and from explaining or defining any of the groups. If the answer is not one of the categories listed, the interviewer codes the response "91" (Other) and records the verbatim response. Names of ethnic groups or nationalities such as Irish or Cuban are not recorded; interviewers are instructed to direct the respondent back to the card and to probe for one of those categories. If multiple responses are given, interviewers probe for a response that fits into one of the categories. If the respondent is hostile to the idea of being classified in one of the groups provided, the interviewer records the response verbatim and continues with the interview.

STATUS: Started in September 1991, this continuous data collection is active.

HOW TO ACCESS DATA: Upon request, with special agreement with the user. OSP prepares two versions of every file HCFA publish: a public use version, and an "analytic" version. The public use version contains no personal identifiers (name, address, Medicare health insurance claim numbers (HICN), provider numbers, or medical record numbers) and is available under the usual rules for HCFA's public use files. The analytic version contains all identifier except HICN. This is available to internal users only.

AVAILABLE DATA PRODUCTS: Magnetic tape reel or cartridge
MCBS Access to Care 1991-1997
MCBS Cost & Use 1992-1995

WEB SITE: http://www.hcfa.gov

CONTACT PERSON: Frank J. Eppig
Office of Strategic Planning
Health Care Financing Administration
7500 Security Blvd.
C3-18-24
Baltimore, Maryland 21244
410-786-7950
fgh003@hcfa.gov


TITLE: Medicare Provider Analysis and Review File

ACRONYM: MEDPAR

AGENCY/PROGRAM: Office of Informational Services, Health Care Financing Administration

DESCRIPTION: The Medicare Provider Analysis and Review (MEDPAR) file contains inpatient hospital and Skilled Nursing Facility (SNF) final action stay records which are a major source of data for program analyses, evaluations, and utilization studies. Each MEDPAR record represents a stay in an inpatient hopsital or SNF. A "stay" record summarizes all services rendered to a beneficiary from the time of admission to a facility through discharge. Each MEDPAR record may represent one claim or multiple claims, depending on the length of a beneficiary's stay and the amount of inpatient services used throughout the stay. Common Working File (CWF) claims records are processed into the National Claims History (NCH) Nearline Repository each week. Beginning in June 1995, the inpatient and SNF claims from the Nearline Repository became the source for the MEDPAR file. MEDPAR files are available for fiscal and calendar years. The fiscal and calendar year MEDPAR files are created quarterly in March, June, September, and December. The MEDPAR file is available in a 60% sample size and two different 20% samples.

The files contain data on : Functional/Health Status; Services Utilization; Services Expenditure and Financing; Age/Gender

RACE/ETHNICITY: Race/Ethnicity categories prior to July 1994: White; Black; Other; Unknown

Race/Ethnicity categories from July 1994-Present: Asian or Pacific Islander; Hispanic; Black (Not of Hispanic Origin); American Indian or Alaskan Native; White (Not of Hispanic Origin): Other; Unknown

DATA LIMITATIONS: For the coding scheme used prior to July 1994, Asian, Hispanic, and North American values were contained in the Other" race category.

STATUS: Started in January 1986, this continuous data collection is active.

HOW TO ACCESS DATA: Upon request, with special agreement with the user. Within HCFA, data can be released based on a user's "need to know." If requester plans to release the data to HCFA contractor or grantee, both must sign an Agreement for Release of Data with Individual Identifiers that bind the user to protect confidentiality of data.

Other Federal agencies or outside requesters can receive identifiable data when they are needed for a project. HCFA requires that appropriate data release agreements must be signed, fees paid, and research protocols submitted. Study protocols will be reviewed by HCFA/Office of Strategic Planning.

WEB SITE: http://www.hcfa.gov

CONTACT PERSON: Mike Rappaport
Office of Informational Services
Health Care Financing Administration
7500 Security Blvd.
N3-16-28
Baltimore, Maryland 21244-1850
410-786-6759
mrappaport@hcfa.gov


TITLE: Consumer Assessment of Health Plans Study--Medicare Satisfaction Survey

ACRONYM: CAHPS

AGENCY/PROGRAM: Center for Beneficiary Services, Health Care Financing Administration

DESCRIPTION: CAHPS is an initiative to collect and report objective information to help consumers and purchasers choose and assess among managed care plans. The CAHPS team developed a CAHPS-based Medicare questionnaire for managed care plans, called the Medicare Satisfaction Survey. The Medicare Satisfaction Survey contains a core CAHPS questionnaire which is applicable across different health care delivery systems (commercial insurance, Medicaid, and Medicare managed care) along with supplemental questions relevant to the Medicare population.

Beginning in 1997, HCFA conducted a nationwide satisfaction survey of Medicare beneficiaries in managed care plans, and will continue to do so annually thereafter. Each year a cross-section of Medicare managed care enrollees stratified by plan will be surveyed to assess their level of satisfaction with access, quality of care, plans' customer services, resolution of complaints, and utilization experience.
 

The primary purpose of Medicare CAHPS is to provide information to Medicare beneficiaries to help them make more informed choices among managed care health plans. Additional purposes of Medicare CAHPS include:

RACE/ETHNICITY: Demographic information is collected for each responding medicare beneficiary included in the CAHPS sample. One question on whether the beneficiary is of Hispanic or Latino origin or descent is included in the CAHPS instrument. One question on race is included as well. The response categories are: White, Black or African American, Asian, Native Hawaiian or other Pacific Islander and American Indian or Alaska Native.

STATUS: Started in 1997, the summary data from round 1 of the Medicare Satisfaction Survey is in the process of being disseminated via Medicare Compare, a tool of HCFA's website. Round 2 of the Medicare Satisfaction Survey is currently in the field.

As part of the Medicare CAHPS initiative, an annual nationwide survey will continue to be conducted of Medicare beneficiaries enrolled in managed care plans about their satisfaction with plan performance.

HOW TO ACCESS DATA: Person level data are protected by HCFA's confidentiality statutes. Plans will receive detailed reports describing the findings from the survey. In future years, this information will be included in the Medicare Handbook, Medicare & You as well as the HCFA website.

WEB SITE: Summary level data will be available for review on the HCFA website www.medicare.gov prior to January 1, 1999.

CONTACT PERSON: Liz Mauser Goldstein
Center for Beneficiary Services
Health Care Financing Administration
7500 Security Boulevard
Mail Stop S1-15-01
410-786-6665