Why Our Reports Are Better

Claims Data: The Benefits Add Up

At Healthcare Market Resources, we use Medicare claims-based data to create our reports. Our Medicare claims-based reports give you the most accurate and comprehensive picture of what’s happening in your healthcare market.

Medicare claims-based data is significantly better than data from other sources for making financial, operations, planning, sales, and marketing decisions.  Unlike sources that utilize Medicare cost-based data reports or are issued by national benchmarking firms, the claims-based information from Healthcare Market Resources is more accurate, consistent and realistic.  It also has a breadth and depth of sample that is unmatched in the industry, and it is significantly more affordable and customizable.

A few more reasons why we’re better:

  • Freestanding: meaning no subscription required although we do offer subscription options.
  • Current:  all reports are published with the latest quarterly data releases, so you can leverage the most current data available.
  • Custom built:  we offer a consultative approach to finding the right reports for you.  Tell us your business challenges and we will let you know what data elements are available to help you solve those challenges.
  • FlexDATA:  we offer flexible purchase options, including report bundles and subscription options, so you can find the solution that works best for you.

 

Benefit HMR’s Claims-based Data Cost Report Data Benchmarking Firm Data
Accuracy
Yes
County Level Data
Yes
Consistency
Yes
Rich Data
Yes
Yes
More Realistic
Yes
Breadth of Sample
Yes
Depth of Sample
Yes
Lower Cost
Yes
Yes
Report Lag Time
Yes
Data Elements
Yes
Agency or Hospice Specific Cost Data
Yes
Yes

Accuracy – Medicare -claims data must be highly accurate because Medicare reimbursements are based on these claims. Cost reports are known to have inaccuracies because of the laxness and carelessness of many filers. Thus, cost reports are subject to human error and the discretion of the cost report preparer.

County / Zip Code Level Data – Only HMR’s claims-based reports can drill down to the county level (or zip code level depending on the report) for all states.

Consistency – Medicare-claims data allows for a more consistent comparison between agencies because all data is for the same calendar year. Cost reports are based on the fiscal year of the individual agency which is inconsistent.

Data Rich – Claims-based data has most of the indicators that cost reports have PLUS it includes information on demographics, referral source behavior, HHRG codes, episode-specific visit detail, and discharge disposition.

Realistic – HMR uses final claims data, while the national benchmarking firms often use initial claims data. This is important with some key metrics, such as case weight.

Breadth of Sample – The largest of the national benchmarking firms has no more than 400-500 home health agencies in their database. HMR data includes all 8,000 home health agencies nationwide. HMR has a similar advantage in the hospice market with nearly 3,000 agencies included versus only 1,000 for other data providers.

Depth of Sample – National benchmarking firms only provide regional coverage with their data. HMR includes 100 percent of all markets nationwide.

Affordable –The entry price for national benchmarking firms is $2,500 per year. Value-priced HMR reports cost a fraction of that and provide an excellent return on investment.

Timeliness – National benchmarking data is released quarterly with a few month lag time in availability. Claims data is released annually and is available within two weeks of the release.

Data Elements – Compared with claims-based data, national benchmarking firms provide more data points for both the home health and hospice industries. Their service, however, is more developed in the home health market, where they use the electronic data collection tool OASIS. There is no electronic data collection tool for data in the hospice market, which introduces the inconsistencies and inaccuracies that come with self-reporting.

Agency-Specific Data HMR’s claims-based reports provide agency/facility/physician-specific data with regard to referral behavior, practice size, home health/hospice patient base, and diagnostic groups.  While it is true that HMR’s Medicare claims-based data does not have agency/hospice-specific cost information, the value of that cost information is questionable.   Because of the standards by which this information is submitted, data consistency does not exist across agencies, only within an organization’s filers.