NCHS has linked data from various surveys with Medicare program enrollment and health care utilization and expenditure data from the Centers for Medicare & Medicaid Services (CMS). Linkage of the NCHS survey participants with the CMS Medicare data provides the opportunity to study changes in health status, health care utilization and costs, and prescription drug use among Medicare enrollees. Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease.

The Medicare Current Beneficiary Survey (MCBS) - Survey File Microdata Public Use File (PUF) dataset provides information on topics such as Medicare beneficiaries' access to care, health status, other information regarding beneficiaries’ knowledge of, attitudes toward, and satisfaction with their health care, as well as demographic data and information on all types of health insurance coverage.Resources for Using and Understanding the DataThis dataset is based on information from the MCBS and administrative data. The MCBS is a continuous, multi-purpose longitudinal survey covering a representative national sample of the Medicare population, including the population of beneficiaries aged 65 and over and beneficiaries aged 64 and below with certain disabling conditions. The MCBS collects this information in three data collection periods, or rounds, per year. Disclosure protections have been applied to the file, including de-identification and other methods. As a result, the MCBS Survey File Microdata file does not require a Data Use Agreement (DUA). In contrast, the MCBS Limited Data Set (LDS) releases contain beneficiary-level protected health information (PHI) and therefore require a DUA. The MCBS - Survey File Microdata file is not intended to replace the more detailed LDS files but, rather, it makes available a general-use publicly-available alternative that provides the highest degree of protection to the Medicare beneficiaries’ PHI. The main benefits of using the MCBS - Survey File Microdata file are:Increased data access for researchers of the MCBS through a free file download that is consistent with other U.S. Department of Health and Human Services (HHS) public-use survey files.Enhanced potential for policy-relevant analyses, by attracting new researchers and policymakers. Accessing the MCBS LDS can be a significant deterrent due to the associated costs and time but the MCBS - Survey File Microdata file mitigates these barriers to encourage broader utilization. A link to the more detailed MCBS LDS files is provided in the Resources section on this page. MCBS LDS data are also presented in the MCBS Chartbook linked in the Visualization section on this page.

NCHS has linked various surveys with the Medicaid Analytic eXtract (MAX) files collected from the Centers for Medicare & Medicaid Services (CMS). Linkage of the NCHS survey participants with the CMS Medicaid MAX data provides the opportunity to study changes in health status, health care utilization and expenditures in low-income families with children and the elderly U.S. populations.

A list of the state averages for the HCAHPS survey responses. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay.

The Medicare Current Beneficiary Survey (MCBS) - Cost Supplement File Microdata Public Use File (PUF) dataset provides information on expenditures and payment sources for all services used by Medicare beneficiaries, including co-payments, deductibles, and non-covered services.This data is based on MCBS administrative data, but has been updated for public use, including the application of disclosure protections and de-identification of subjects. The file contains yearly survey results (2018-2022; txt, xpt, csv) as well as the corresponding MCBS, glossary (pdf), codebook (txt) and data user guide (pdf).

NCHS has linked various surveys with Medicaid enrollment and claims records collected from the Centers for Medicare & Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS). Linkage of the NCHS survey participants with the CMS T-MSIS data creates a new data resource that can support research studies focused on a wide range of patient health outcomes and the association of means-tested government insurance programs on health and health outcomes.

NCHS has linked data from various surveys with 1999-2013 Medicare program enrollment and health care utilization and expenditure data from the Centers for Medicare & Medicaid Services (CMS). Linkage of the NCHS survey participants with the CMS Medicare data provides the opportunity to study changes in health status, health care utilization and costs, and prescription drug use among Medicare enrollees. Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease.

The Medicare Current Beneficiary Survey (MCBS) dataset provides information on expenditures and sources of payment for all services used by Medicare beneficiaries, including co-payments, deductibles, and non-covered services; to ascertain all types of health insurance coverage and relate coverage to sources of payment; and to trace outcomes over time, such as changes in health status and spending down to Medicaid eligibility and the impacts of Medicare program changes on satisfaction with care and usual source of care.

This data set contains the national average (mean) scores of Medicare-certified hospice providers on the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice Survey measures.

This dataset tracks the updates made on the dataset "NCHS Survey Data Linked to Centers for Medicare & Medicaid Services (CMS) Medicare Data Files" as a repository for previous versions of the data and metadata.

This data collection is the second in a series of data releases from the Medicare Current Beneficiary Survey (MCBS) relating to beneficiary access to medical care. The MCBS is a continuous, multipurpose survey of a representative sample of the Medicare population, both aged and disabled. Sample persons are interviewed three times a year over several years to form a continuous profile of their health care experience. Interviews are conducted regardless of whether the sample person resides at home or in a long-term care facility, using the questionnaire version appropriate to the setting. The MCBS also collects a variety of information about demographic characteristics (date of birth, sex, race, education, military service, and marital status), health status and functioning, access to care, sources of and satisfaction with care, insurance coverage, financial resources, and family supports. The 1992 interview data were collected during September through December of 1992, the fourth round of data collection. The 1992 data are designed to stand alone for cross-sectional analysis, or they can be used for longitudinal analysis. Weights are provided for both cross-sectional and longitudinal analysis.

Medicare HOS (Health Outcomes Survey) Public Use data files (PUFs) contain the majority of the survey items collected on the HOS instrument (excluding beneficiary identifying information) as well as selected additional administrative variables. PUFs are used for research purposes and to facilitate the dissemination of data collected by the Medicare HOS project for additional research, PUFs have been created for each cohort (combined baseline and two year follow up) of data.

Medicare HOS (Health Outcomes Survey) Public Use data files (PUFs) contain the majority of the survey items collected on the HOS instrument (excluding beneficiary identifying information) as well as selected additional administrative variables. PUFs are used for research purposes and to facilitate the dissemination of data collected by the Medicare HOS project for additional research. PUFs have been created for each cohort (combined baseline and two-year follow-up) of data.

The Medicare Current Beneficiary Survey (MCBS) is a comprehensive, longitudinal survey of Medicare beneficiaries conducted by the Centers for Medicare & Medicaid Services (CMS) in partnership with NORC at the University of Chicago. It contains detailed information on beneficiaries’ demographics, health status, healthcare utilization, and outcomes, including social and medical risk factors. The datasets can be linked with Medicare enrollment data and claims, and provide information to evaluate effectiveness of health care policy and policy interventions. This dataset is restricted-use due to the inclusion of sensitive and identifiable health information. As such, the data files themselves cannot be shared via this Dataverse entry. Students, post-docs, and researchers conducting NSAPH-related research in collaboration with PIs at Harvard or affiliated institutions may gain access to the data, provided have submitted a project initiation form, are listed on an approved IRB protocol, and have completed all required data security trainings. No data files are included in this entry, and the data has not been processed in any way. This entry serves as a reference to the original raw data received from CMS and includes only supporting materials such as a README file, and other relevant documentation, codebooks and tutorials from the CMS website to assist authorized users in understanding the structure and content of the MCBS restricted-use files. The README includes: Structure and content of the MCBS data files References to supporting documentation

This dataset tracks the updates made on the dataset "NCHS Survey Data Linked to Centers for Medicare & Medicaid Services (CMS) Medicaid Enrollment and Claims Files" as a repository for previous versions of the data and metadata.

Context

This official dataset from the Medicare.gov Nursing Home Compare website allows for comparison of over 15,000 Medicare and Medicaid-certified nursing homes in the country.

Content

Separate data collections include:

• Deficiencies, including fire safety, health, and inspection cycle types

• Ownership details, including ownership percentage

• Penalties, including filing date, fee, and payment date

• Provider details, including non or for profit status, staff ratings, and survey scores

• Quality MSR (Minimum Savings Rate) claims, including adjusted and observed scores

• MDS (Minimum Data Set) quality measures, scored on a quarterly basis

• State averages, including total number of quarterly deficiencies, and nurse staffing hours

• Survey summaries for each nursing home

Inspiration

• How would you determine what the top ten best nursing homes in the country are? The least?

• Which states have the best level of nursing home care? The least?

• In general, what are the most common types of complaints and deficiencies?

Acknowledgements

This dataset was collected by Medicare.gov, and the original files can be accessed here.

The Medicare Current Beneficiary Survey (MCBS) is a continuous, multipurpose survey of a representative national sample of the Medicare population. There are two data files from the Medicare Current Beneficiary Survey (MCBS) that are released in annual Access to Care and Cost and Use files, which can be purchased directly from CMS.

This data collection is the first in a series of data releases planned from the ongoing Medicare Current Beneficiary Survey (MCBS). The MCBS is a continuous, multipurpose survey of a representative sample of the Medicare population. Sample persons are interviewed three times a year over several years to form a continuous profile of their health care experience. Field work for Round 1 began in September of 1991 and was completed in December. New rounds, which involve reinterviewing the same sample persons (or other appropriate respondents), begin every four months. Interviews are conducted regardless of whether the sample person resides at home or in a long-term care facility, using the questionnaire version appropriate to the setting. This first-round interview captured baseline information about the Medicare population, including their demographic characteristics (date of birth, sex, race, education, military service, and marital status), health status and functioning, insurance coverage, financial resources, and family support. Round 1 of the community interview, which questioned respondents living at home, also included a topical supplement on access to medical care, sources of medical care, and satisfaction with medical care.

The Long-Term Care Facility Characteristics, CMS Form 671, dataset provides information submitted by nursing homes on the CMS Form 671 collected during annual surveys. The data include information about resident census, ownership, dedicated special care units, facility characteristics, and staffing. Note: Annual surveys are conducted every 9 to 15 months. Additionally, some states are experiencing delays in conducting annual surveys, resulting in longer periods of time since the last annual survey. As such, some of the data included in these files may not be up to date.

This data set contains nursing home deficiencies/violations for every Medicare and Medicaid certified nursing home in Utah.