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Related Experiment Videos

Medicare wants more encounter data

P L Grimaldi

    Nursing Management
    |November 10, 1998
    PubMed
    Summary
    This summary is machine-generated.

    Managed health plans must now submit encounter data for Medicare members, expanding a federal requirement. This data aims to replace lost claims information when beneficiaries move to managed care plans.

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    Area of Science:

    • Health Services Research
    • Healthcare Policy
    • Medicare Administration

    Background:

    • Federal government mandates managed health plans submit encounter data for Medicare members.
    • This requirement has been expanded for 1998.
    • Encounter data is crucial for tracking Medicare beneficiaries in managed care.

    Purpose of the Study:

    • To explain the necessity and expanding scope of Medicare encounter data collection.
    • To highlight the role of encounter data in overcoming limitations of claims-based information.
    • To underscore the importance of encounter data for various administrative and analytical purposes.

    Main Methods:

    • The abstract does not specify methods.
    • Focuses on policy changes and data requirements.

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  • Describes the transition from claims-based to encounter data.

    • Main Results:

    • The abstract does not specify results.
    • Encounter data submission is a growing federal requirement.
    • Medicare encounter data is essential for understanding beneficiary transitions.

    Conclusions:

    • Medicare encounter data is increasingly vital for health plan oversight.
    • This data collection initiative addresses information gaps in managed care.
    • The expansion of these requirements signifies a shift in Medicare data management.