Medicare Prescription Drug Plans

This data package contains the number of beneficiaries of the different types of Medicare Part D Plan with prescription drug coverage. The data contains the number of Medicare beneficiaries (patients) with creditable prescription drug coverage by type of Medicare Part D plan. The data is displayed by the state. Another dataset displays the number of prescription drug plans available per region and indicates the number of plans per contract for Prescription Drug Plan organizations offered by the region. Another dataset contains the number of prescription drug plans that are eligible for the low-income subsidy. Low-income eligible plans or benefit packages do not include premium and are eligible for auto-enrolment, dual eligible or facilitated enrollment. The data package also contains the percentage of Medicare Part D Beneficiaries that are eligible and with known creditable prescription drug coverage and percentage of Medicare population enrolled in the Stand-Alone Prescription Drug Plan.

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1. Medicare Beneficiaries by Type

This dataset contains the number of beneficiaries of the different types of Medicare Part D Plan with prescription drug coverage. The data contains the number of Medicare beneficiaries (patients) with creditable prescription drug coverage by type of Medicare Part D plan. The data is displayed by state.

2. Medicare Part D Eligible Beneficiaries

This dataset contains the percent of Medicare Part D Beneficiaries that are eligible and with known creditable prescription drug coverage. Prescription drug coverage to the Medicare Part D is according to The Medicare Modernization act of 2003. The beneficiaries are thus enrolled in a stand-alone prescription drug plan (PDP) or Medicare Advantage (MA) plan that covers prescription drugs.

3. Medicare Prescription Drug Plans Enrollment

This dataset contains the number and percent of Medicare population enrolled in the Stand Alone Prescription Drug Plan (PDP) and average premium for prescription drug plan charged by state. It also contains information on the number of plans per contract for Prescription Drug Plan organizations offered by region and number of prescription drug plans that are eligible for low income subsidy.

4. Medicare Prescription Drugs Claims

This de-identified dataset contains details 100% of the prescription drug claims made by Medicare beneficiaries during the year of release. This dataset is part of the Public Use Files (PUFs) released by the Centers for Medicare & Medicaid Services (CMS), which are public domain de-identified data files available for research with claim-specific information. The purpose of these files is to provide information while protecting confidentiality.

We deliver high-quality data

• Each dataset goes through 3 levels of quality review
  • 2 Manual reviews are done by domain experts
  • Then, an automated set of 60+ validations enforces every datum matches metadata & defined constraints
• Data is normalized into one unified type system
  • All dates, unites, codes, currencies look the same
  • All null values are normalized to the same value
  • All dataset and field names are SQL and Hive compliant
• Data and Metadata
  • Data is available in both CSV and Apache Parquet format, optimized for high read performance on distributed Hadoop, Spark & MPP clusters
  • Metadata is provided in the open Frictionless Data standard, and its every field is normalized & validated
• Data Updates
  • Data updates support replace-on-update: outdated foreign keys are deprecated, not deleted

Our data is curated and enriched by domain experts

Each dataset is manually curated by our team of doctors, pharmacists, public health & medical billing experts:

• Field names, descriptions, and normalized values are chosen by people who actually understand their meaning
• Healthcare & life science experts add categories, search keywords, descriptions and more to each dataset
• Both manual and automated data enrichment supported for clinical codes, providers, drugs, and geo-locations
• The data is always kept up to date – even when the source requires manual effort to get updates
• Support for data subscribers is provided directly by the domain experts who curated the data sets
• Every data source’s license is manually verified to allow for royalty-free commercial use and redistribution.

• If you have questions about our products, contact us at info@johnsnowlabs.com .

John Snow Labs , an AI and NLP for healthcare company, provides state-of-the-art software, models, and data to help healthcare and life science organizations build, deploy, and operate AI projects.