Centers for Medicare & Medicaid Services (CMS) Data Linkages

NIH/NCI同意为医疗保险和医疗补助服务中心（CMS）的数据支付数据处理费。CMS和NIH/NCI在一个合作研究项目下交换数据，以通过两个阶段的过程支持和加强每个机构的使命。CMS和NIH/NCI开展这项合作研究项目的条款、条件、保障措施和程序见CMS IEA No. 2018-40。 简而言之，IAA与数据交换的第一阶段有关，NIH/NCI接收NIH/NCI监测流行病学和最终结果（SEER）癌症登记处中也在CMS数据中发现的人员的Medicare和Medicaid登记和使用（索赔和遭遇）数据。然后，NIH/NCI将CMS提供的数据与癌症登记数据合并，以创建SEER-CMS数据集：SEER-Medicare，SEER-Medicaid，SEER-Medicare健康结局调查（SEER-MHOS）和SEER-医疗保健提供者和系统的消费者评估（SEER-CAHPS）。SEER-CMS数据集保存在NIH/NCI系统记录编号09-25-0200下。因此，NIH/NCI通过正式的申请流程监督SEER-CMS数据集的数据发布，要求申请者提交研究特定的研究提案，其中必须包括所请求数据的理由以及数据存储和保护计划，NIH/NCI数据使用协议以及机构审查委员会评估的文件。对SEER-CMS数据的分析使我们能够深入了解从筛查到生命终结的癌症连续体中的癌症护理提供和结果，这是美国人口中越来越多的人的结果。CMS将向NIH/NCI提供CCW要求的五年期IA 19 -170协议第五年的数据，具体见随附的CCW费用发票。

NIH/NCI agrees to pay data processing fees for data from the Centers for Medicare & Medicaid Services (CMS). CMS and the NIH/NCI exchange data under a cooperative research project to support and enhance each agency’s mission via a two phase process. The terms, conditions, safeguards, and procedures under which CMS and NIH/NCI conduct this cooperative research project are outlined in CMS IEA No. 2018-40. Briefly, this IAA is related to the first phase of the data exchange, whereby NIH/NCI receives Medicare and Medicaid enrollment and utilization (claims and encounter) data for persons in the NIH/NCI Surveillance Epidemiology and End Results (SEER) cancer registry who are also found in the CMS data. NIH/NCI then takes the data provided by CMS and merges it with the cancer registry data to create the SEER-CMS datasets: SEER-Medicare, SEER-Medicaid, SEER-Medicare Health Outcomes Survey (SEER-MHOS), and SEER-Consumer Assessment of Healthcare Providers and Systems (SEER-CAHPS). The SEER-CMS datasets are maintained under the NIH/NCI System of Record No. 09-25-0200. Thereby, NIH/NCI oversees the release of data from the SEER-CMS datasets through formal application processes that require requestors to submit research specific study proposals, which must include justification for the requested data and a data storage and protection plan, a NIH/NCI Data Use Agreement, and documentation of an Institutional Review Board assessment. The analyses of the SEER-CMS data allows for insights into cancer care delivery and outcomes across the cancer continuum from screening to end-of-life for a growing proportion of the United States population. CMS will provide NIH/NCI with the requested data from the CCW for this fifth year of the five year IA19-170 agreement, as specified in the attached CCW Cost Invoice.