data. i'm going to predict they will. in fact, i'm going to predict cms and its contractors will correct a number of errors that the media organizations have pointed out. missing data, poor specialty designations, other things of that nature. i think providers will contribute to that data. they have an insen stif knowing their information is going to be available to a wide range of lookers, they have an incentive now to make sure their specialty is accurately recorded. they have an incentive to match up the national physician identifiers with the billing codes. i hope we'll have more kinds of different providers available for analysis in the future. most importantly, as soon as we get that second data release, we have the beginning of what, chappen? a time series. every economist wants to have a time series. i'll give you an example of how that could be useful. the government accountability office took in 2005 and 2006 data, the exact same database that cms released in april, and attempted to identify beneficiaries who are high utilizers of service given

if you go through the process of entering into a data use agreement with cms, you -- and you guarantee that you're going to satisfy all of the data security safeguards that they require which are serious, they will send you claims data that has a beneficiary id, that has all of the -- [inaudible] zip code of residence of the beneficiary that has the microlevel service of the cms physician public release only reports combinations of physicians and wpt codes -- cpt codes with 11 or more services provided. obviously, if you buy the micro level data, you can see all the services. but it's a major hurdle, to set up data security systems that are impenetrable and are hipaa compliant. >> and also provides the opportunity to pull together various services from different providers that a beneficiary has had. >> and you have to promise not to release anything that violates it. >> question back there. >> david -- [inaudible] national associate of acos. if the genie's now out of the bottle, from your perspectives what would be best next relative to cms data release? >> i can -- well, paul ginsburg

data. i will predict they will. predict that cms and its contractors will correct thatber of the errors media organizations have pointed out. missing data, specialty designations, other things of that nature. i think providers may well contribute to that effort. i think they have an incentive knowing their information is going to be individually available to a wide range of lookers. surehave incentive to make they are recorded, to match up the national position of identifiers with doing codes. i hope we will actually have different kinds of providers available for analysis in the future. as soon as wely, get the second data release, we have the beginning of a time series. economist wants a time series. i will give you an example of how that can be useful. the government accountability office where i worked for several years took 2005 and 2006 data, exactly the same database, in essence, that cms released in april, and attempted to identify beneficiaries who were high utilizes of services given their health status. the correction for

different providers and beneficiaries. >> if sedgy is out of the bottle then what is best next for the cms data release? manchin a the modifier. and with a wish list with the final output of the of modern fire calculations that is taking a the raw data that cms just made that others have been in talking about. so medicare can measure quality and efficiency including all of the services that they ordered a just what they provide themselves. so that would be a significant step forward. >> it would be very useful but especially if they could correct the errors of the first release so the second year to make better comparisons over time. >> we have talked about the aba more comprehensive to link the data into have a more comprehensive view. with a the 360 view of who they are treating. >> the grouping data to look at how a physician looks at joint replacements or another well-defined episode of care. >> i am with the of brookings institution. but what is this for the health exchanges? it hasn't so what my days of the interesting future developments with future releases? >> that is tough. if you can

>> the new role is really you can -- little tag line is maximizing cms data for internal and external uses. that manifests in a number of different ways and transparency and making data available whether publicly or innovative ways to access more control data in a secure manner that respects and maintains. >> as part of the work we have been doing one of the comments and feedback we have received is trying to find ways to help work whether we call it public or private partnerships, finding ways to help capitalize on what you have been doing but also almost crowd sourcing allf these different tools and private sector as well as public sector opportunities. with that you already got the pointer. if you want to stay there and i know you had slides but i wanted to first say that before we even spoke to charles i think all of us in the room would agree that it has done one of the best jobs trying to offer a way for that 61-year-old patient when i told her to go to a website i pointed her to yours to be perfectly honest. i said it is easier to use this website plus it gives you context for

so that is the first important thing in the second is that these data by themselves is that they are useful as cmsnd we will start to see trends that we have this data we can combine it with the hospital level data for specific regions and get a fuller picture of what is going on. so as other data sources become available i do i'm physicians and other providers, we can combine this with the other level data. so conceivably at some point private sector health plans will begin to release data if those are released in the data format that the cms is leasing and then you have a fuller picture what is going on in the health care sector. the other last point i would make is that this data release is a small step in the direct of building the data infrastructure to understand where we are and what is going on in the world to help us make better policy choices as a society. so i think that one thing that we forget is that the data infrastructure has been built through conscious and sustained efforts and concepts like gross domestic product that we take for granted and we track how it's going up and down o

data. i will predict that they we will. in fact, i am going to predict that cms and its contractors will correct a number of the errors it's that other organizations are pointed out, missing data, core specialty designations. i think providers may well contribute. i think they have an incentive knowing that information will be individually available to a wide range of lookers, they have an incentive not to make sure that there specialty is accurately recorded, an incentive to match up the national physician identifiers with the billing codes. and i hope we we will have more kinds of providers available for analysis in the future. most importantly, as soon as soon as we get that second data release we have the beginning's. every economist. i will give you an example of how that could be useful. the government accountability office took 2,005 and 2,006 data, attempted to identify beneficiaries who are high utilizes of services given their health. it's not perfect, but we were able to identify a group of beneficiaries. and and then we examined those same beneficiari

data officer. this new office will help cms strengthen it processes and will help cms better harness data and drop costs. while this is a regreetable mistake it should not obscure the fact that it's working. the number of uninsured adult americans is down 26 per. .1 any additional individual have enrolled in medicaid or chips. for the first year of the new program this is a tremendous accomplishment. 2015 open eb enrollment is off a solid start. many consumer are able to shop and find even more affordable openings in the second year of the program d -- affordable options. more than 90% of consumers will be able to choose from at least three or more issuers and 60% of the marketplace enrollees are able to renew coverage for less than 1,100 a month after tax credit. those already koofe covered shod come back to the marketplace to find an option that is more affordable or better suits their need. we improved the consumer experience, as well. it's hear, faster and more intuitive for consumers. we reduced the number of screens from 76 down to 16 with fewer clicks to navigate through the questions for m

data officer. this new office will help cms strengthen its processes and more broadly will help cms better harness and use our data resources to draw better care at a lower cost. while this mistake was regr regrettab regrettable, it should not obscure the fact that the affordable care act is working. we have 6.7 million americans enrolled in healthcare coverage and paying their premiums as of october 15th. the number of uninsured adult americans is down 26%. since the beginning of the open enrollment period, about 9.1 millione ed additional individu have enrolled. for the first year of a new program, this is a tremendous accomplishment. 2015 open enrollment is off to a solid start. because of new choices and more competition in the health insurance marketplace, many consumers are able to shop and find more affordable options in the second year of the program. we have seen a 25% growth in the number of issuers participating in the marketplace which means that more than 90% of consumers will be able to choose from at least three or more issuers and over 60% of the marketplace enrollees are able to re

data officer. this will help and more broadly what help cms better harness and use our dust -- fast data resources. while this mistake was regrettable, regrettable, it should not obscure the fact that the affordable care act is working. we have 6.7 million americans enrolled in health care coverage and paying premiums as of october 15, and the number of uninsured adult americans is down 26 percent. since the beginning of the open enrollment about 9.1 million 9.1 million additional individuals have enrolled either in medicaid or chip. the first the first year of a new program, a tremendous accomplishment. 2015 open enrollment is off to a solid start. because of new choices and more competition many consumers are now able to shop and find even more affordable options. we had seen at 25% growth in the number of issuers participating in the marketplace, which means that more than 90% of consumers will be able to choose from at least three or more issuers, and 60% of the the marketplace enrollees are able to renew coverage for less than a hundred dollars a month after tax credit. those already covered s

data officer. this will help and more broadly what help cms better harness and use our dust -- fast data resources. while this mistake was regrettable, regrettable, it should not obscure the fact that the affordable care act is working. we have 6.7 million americans enrolled in health care coverage and paying premiums as of october 15, and the number of uninsured adult americans is down 26 percent. since the beginning of the open enrollment about 9.1 million 9.1 million additional individuals have enrolled either in medicaid or chip. the first the first year of a new program, a tremendous accomplishment. 2015 open enrollment is off to a solid start. because of new choices and more competition many consumers are now able to shop and find even more affordable options. we had seen at 25% growth in the number of issuers participating in the marketplace, which means that more than 90% of consumers will be able to choose from at least three or more issuers, and 60% of the the marketplace enrollees are able to renew coverage for less than a hundred dollars a month after tax credit. those already covered s

disappointed and that was much more restrictive than what it had to be and the cms rules require that anyone who wanted this data in order to do performance measures nationally, to have matching on medicare data in every region, that is an enormous obstacle that would have to be interpreted. there would be great news this past april and the government's release destroy the position privacy argument against this, so that was an enormous accomplishment and then we see that it was followed by the quick action to get position identifiers in the large data files that we and others have been using for years to evaluate the complication rates and getting those identified rather ugly with exactly with what needed to be done. and so we recently created the virtual data program by allowing us to be used remotely and still it's more expensive than what i would wish for a single person to use, although cheaper than trying to get those files straight up, which would be in the hundred thousand or more range and unfortunate. but there was bad news with the virtual research data center system that could not be used to produce q

about options to kind of think about the source of the relative magnitude of the source data source of options. cmsis really where you want to put your effort. so, for example, what sort of options are going to give you savings in the millions of dollars per year versus options that might give you things more into billions of dollars. so in a report we publish in january we got to the approach and we loo looked at what the drivers of military health care costs have been since 2000. one thing it's not, was the cost of the wars. dod spending on contingency related medical care teach in 2000 at about $3 billion i think him and it's come off since then. that's not a $50 billion program. so that has not been definitely important work being done, definitely resources needed to be devoted to medical care of course to support the war but it was not a primary driver of the 130%, if you will. instead, we felt that one driver has been the increase in the benefits and expansion of benefits by the congress since 2000. tricare for life is one of those. it is medicare wraparound coverage for those retirees who ar

data underlying tavenner's 7.3 million enrollment announcement. our requests were met with delays, run-arounds, that bordered on obstruction. after weeks of negotiation, cms finally provided the enrollment data printed on spread sheets with -- and for those who are my age will appreciate this -- 6-point font, something that is not readable even with your reading glasses. when electronic copies were demanded and the data was finally delivered, oversight investigators discovered that all of the hundreds of spread sheets were in fact password protected and locked. after further negotiation, we finally were able to receive the passwords and recognize that all along there had been an inherent deception. this was quickly discovered and would have been discovered by anybody simply by putting the spread sheets in ascending order of dollars. on november 21st, 2014, only after it was publicly noted the committee discovered the administration was willing to acknowledge 393,000 dental plans in the figures released in september. moreover, hhs included dental plans in its enrollment figures, not just once, but twice. the agency has included dental plans in its november