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NIH and CMS to share Medicare/Medicaid data to research autism and chronic illness under new privacy-compliant data partnership.

The National Institutes of Health (NIH) and the Centers for Medicare & Medicaid Services (CMS) have announced a strategic partnership aimed at transforming research into autism spectrum disorder (ASD) through the development of a real-world data platform. This initiative marks a significant move toward integrating claims data, electronic medical records, and consumer-generated health data to drive discoveries in autism and, eventually, other chronic conditions.

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The partnership will initially focus on autism as a pilot project. CMS and NIH will establish a data use agreement under CMS’s Research Data Disclosure Program to enable secure access to Medicare and Medicaid data for individuals diagnosed with ASD. The pilot will set the foundation for a broader platform that will allow researchers to explore health outcomes, treatment efficacy, access disparities, and economic burdens associated with chronic diseases.

As part of the agreement, both agencies will create a technology-enabled mechanism to facilitate secure and compliant data sharing. The goal is to ensure that all processes adhere strictly to existing privacy laws while still granting researchers access to a wide array of data necessary for comprehensive analysis. This initiative supports ongoing federal priorities focused on improving understanding and management of chronic health conditions.

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Research stemming from this collaboration will target trends in autism diagnoses, the effectiveness of medical and behavioral interventions, disparities in healthcare access, and the financial impact on families and the healthcare system. The NIH notes that over one in 31 children in the U.S. are now diagnosed with ASD, with a significant portion experiencing severe forms, highlighting the urgency for real-world data to guide better interventions and policies.

Article by multiple RFHC contributors, based upon information from a joint press release by the National Institutes of Health and the Centers for Medicare & Medicaid Services

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