Medicare

Medicare is a health insurance program, administered by the United States government, for people who are aged 65 and over; to those who are under 65 and are permanently physically disabled or who have a congenital physical disability; or to those who meet other special criteria like the End Stage Renal Disease program (ESRD).

Pharmacy and Prescriber Characteristics Files

Date Recorded

This video is one segment in a series of videos from ResDAC’s Introduction to the Use of Medicare Part D Data for Research.

Due to encrypted pharmacy and prescriber identifiers in the PDE data, researchers may require additional information related to the dispensing pharmacy and the prescriber. This presentation reviews the Pharmacy and the Prescriber Characteristics files that are available to link to the PDE data. A brief overview of the sources of the data in each file and key variables in each file are discussed.

Plan Characteristics File

Date Recorded

This video is one segment in a series of videos from ResDAC’s Introduction to the Use of Medicare Part D Data for Research.

The Plan Characteristics File contains information about plan type, benefit design, premium, cost-sharing, and service area of the Part D plans. This presentation reviews the four sub-files contained in the Plan Characteristics file. The sub-files discussed include the 1) Plan Benefit Base file; 2) the Premium file; 3) the Cost Sharing Tier file; and 4) the Service Area file. Usefulness of specific variables included in each file is reviewed.

Part D Event (PDE) Cost Information

Date Recorded

This video is one segment in a series of videos from ResDAC’s Introduction to the Use of Medicare Part D Data for Research.

This presentation reviews the "cost" variables found in the Part D Event data. Researchers can determine the "point of sale" cost to the beneficiary. Other variables reviewed in this presentation include the gross drug cost, the patient pay amount, the low income subsidy amount, the other true out-of-pocket amount, patient liability reduction amount, and the covered and non-covered plan paid amounts.

PDE File: Medication Utilization; Presentation of Medication Possession Ratio (MPR)

Date Recorded

This video is one segment in a series of videos from ResDAC’s Introduction to the Use of Medicare Part D Data for Research.

This presentation discusses the specific PDE variables that are related to medication utilization. This presentation also provides an in-depth discussion of different types of medication adherence measurements in the literature. Lastly, two main definitions and calculations of Medication Possession Ratio (MPR) are reviewed.

Product Service ID/National Drug Code

Date Recorded

This video is one segment in a series of videos from ResDAC’s Introduction to the Use of Medicare Part D Data for Research.

This presentation reviews the PDE variable "Product Service ID" which is the National Drug Code (NDC). Information related to what an NDC is, how it is formatted, and who assigns and creates the NDC is discussed. Associated variables such as the Brand and Generic Name found in the Drug Characteristics file are discussed.

Prescription Drug Event (PDE) Data: Source and Processing

Date Recorded

This video is one segment in a series of videos from ResDAC’s Introduction to the Use of Medicare Part D Data for Research.

This presentation begins with a discussion of the difference between a claim and a Part D "event" record. This presentation further reviews how the Part D data are processed, what systems CMS maintains for the event data, the Part D data sources, and a brief review of the Part D Event data file variables that are available to researchers.

The Medicare Master Beneficiary Summary File: Part D Information

Date Recorded

This video is one segment in a series of videos from ResDAC’s Introduction to the Use of Medicare Part D Data for Research.

This presentation provides an understanding of demographic and useful enrollment variables available in the Master Beneficiary Summary File. In addition to a review of the traditional demographic variables available in the file, this presentation will review the newer variables that are related specifically to the Part D program. Variables useful for linking to other datasets are also described.

Educational Objectives; Description of the Medicare Part D Program

Date Recorded

This video is one segment in a series of videos from ResDAC’s Introduction to the Use of Medicare Part D Data for Research.

A review of the education objectives for the Part D workshop is presented. The presentation then moves into a description of the Medicare Part D program. Topics covered include: enrollment, premiums, the standard benefit, and the Part D plans.