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URL: https://www.cms.gov/medicare-covid-19-vaccine-analysis
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BREADCRUMB

 * 


MEDICARE COVID-19 VACCINE ANALYSIS





CMS COVID-19 DATA PRODUCTS


 * Preliminary Medicare COVID-19 Snapshot
   
   --------------------------------------------------------------------------------

 * Medicare COVID-19 Hospitalization Trends Report
   
   --------------------------------------------------------------------------------

 * Medicare COVID-19 Vaccine Analysis
   
   --------------------------------------------------------------------------------

 * Medicare COVID-19 Nursing Home Analysis
   
   --------------------------------------------------------------------------------

 * COVID-19 Nursing Home Data
   
   --------------------------------------------------------------------------------

 * Medicare Current Beneficiary Survey (MCBS) COVID-19 PUFs
   
   --------------------------------------------------------------------------------

 * MCBS Summer 2020 COVID-19 Data Snapshot
   
   --------------------------------------------------------------------------------

 * MCBS Fall 2020 COVID-19 Data Snapshot
   
   --------------------------------------------------------------------------------

 * MCBS Winter 2021 COVID-19 Data Snapshot
   
   --------------------------------------------------------------------------------

 * Medicaid & CHIP COVID-19 Data Releases


MEDICARE COVID-19 VACCINE ANALYSIS

In December of 2020, the first COVID-19 vaccine received emergency use
authorization (EUA).  Following the EUA, CMS began to assess the feasibility of
using Medicare claims data (i.e., fee-for-service claims) to track the
administration of the COVID-19 vaccine among the Medicare population. 

CMS is releasing two resources with information on COVID-19 vaccine
administration claims among Medicare beneficiaries.

 1. Assessing the Completeness of Medicare Claims Data for Measuring COVID-19
    Vaccine Administration (PDF): This paper presents preliminary findings on
    the count of individuals ages 65 and older with at least one COVID-19
    vaccine administration claim in the Medicare data compared to the count of
    people 65+ with at least one COVID-19 vaccine dose in the data reported by
    the Centers for Disease Control and Prevention (CDC). Using data as of June
    4th, 2021, we estimate that CMS received a claim for COVID-19 vaccine
    administration for roughly half of Medicare beneficiaries who have received
    at least one COVID-19 vaccine dose as compared to the estimated counts based
    on adjusted CDC figures (17.5 million out of 36.6 million). As a result, we
    recommend that the public apply significant caution when analyzing COVID-19
    vaccine administration trends using Medicare claims data. 
     
 2. Medicare COVID-19 Vaccine Public Use File (PUF) (ZIP): This PUF presents a
    high-level and preliminary overview of Medicare utilization and spending
    information from Medicare Fee-for-Service (FFS) claims for the
    administration of the COVID-19 vaccine. We anticipate that the PUF will be
    updated quarterly for the remainder of the COVID-19 Public Health Emergency.

[Note: For dates of service prior to 2022, all claims for the administration of
the COVID-19 vaccine were paid through Original Medicare for both FFS and MA
beneficiaries. Beginning on January 1, 2022, COVID-19 vaccine administration
encounters for MA beneficiaries are billed through the beneficiary’s MA plan and
are not included in this PUF.]

Inquiries regarding the Medicare COVID-19 Vaccine Analysis can be sent
to PDAG_Data_Products@cms.hhs.gov.


DOWNLOADS

Medicare COVID-19 Vaccine Analysis Methodology (PDF)

Page Last Modified:
02/28/2023 10:00 AM
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