CMS Medicare Contract Management Group (MCMG), Medicare Administrative Contractor (MAC) Evaluation Project, Magpie Health Analytics, April 2016 – June 2016
Medicare Administrative Contractor Evaluation Project – Worked with the staff of and evaluate the completeness and accuracy of the encounter data submitted by Medicare Advantage Organizations.
Created process to integrate, clean, and standardize MAC data from multiple sources. Created key performance indicators to measure the efficiency of claims processing, provider enrollment, and provider customer service functions. Develop regression models using key performance indicators to understand drivers of gross and direct costs for each of the MAC functions above.
Results of the regression models were used as inputs to develop and select contract award fee metrics for the MACs.