End-Stage Renal Disease Quality Incentive Program (ESRD QIP) Data Validity and Reliability

PENDING AVAILABILITY OF FUNDS

The purpose of this contract is to procure services necessary to support the "End-Stage Renal Disease Quality Incentive Program (ESRD QIP) Data Validity and Reliability", in order to perform data validation for the ESRD-QIP data sources and determine the extent to which ESRD data sources contain reliable and accurate administrative and clinical information.

The ESRD QIP is CMS' first value-based purchasing program, where payments to outpatient dialysis facilities are reduced by up to 2 percent if they fail to achieve performance thresholds on quality measures. ESRD QIP performance scores are calculated from the information contained in administrative claims and CROWNWeb. CMS regularly audits the accuracy of the information providers and suppliers submit to receive reimbursement for health care provided to Medicare beneficiaries.

The major tasks under this contract include:
1. Develop a robust methodology and sampling plan;
2. Acquire necessary data from CMS and selected dialysis facilities;
3. Code and analyze the data; and
4. Report the results and provide recommendations to CMS

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