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Comment & Response
November 27, 2013

Sharing of Medicare Claims Data—Reply

Author Affiliations
  • 1ThedaCare Center for Healthcare Value, Appleton, Wisconsin
  • 2Institute for Healthcare Improvement, Cambridge, Massachusetts
JAMA. 2013;310(20):2203. doi:10.1001/jama.2013.278356

In Reply We applaud the ongoing efforts of the CMS to make Medicare data more available for transparency and improvement, and the clarifications that Mr Brennan offer are welcome. However, our nation would be better served if there were scores of QEs, rather than only a handful, using those data.

The small number of QEs engaged to date does indicate that barriers to use of CMS data in real time remain high. We urge continual reduction of these barriers (with strict attention to protecting patient privacy), including the statutory and regulatory changes that we recommended in our article. We do believe that allowing QEs to assess fees for use of data may prove essential to many in establishing sustainable business models.