Healthcare transparency supports informed decision-making, strengthens patient trust, and empowers patients to play a more active role in their own care. Health agencies and organizations, including the Centers for Medicare & Medicaid Services (CMS), value transparency, with a clear focus on giving patients and providers access to health data that are not only accessible but understandable.
Making complex data easily accessible and navigable for all audiences can present operational, analytical, and engagement challenges. It requires thoughtful design, rigorous evaluation, and a deep understanding of patients’ needs. “Westat has experience supporting CMS initiatives and can help navigate these challenges, bringing together data expertise, health insights, and user‑centered approaches to help transparency efforts deliver on their promise,” notes Carla Bozzolo, MPH, a Westat Principal Research Associate.
Building Interoperable, Secure, and Scalable Data Systems
Aligning data across programs is a core challenge to achieving greater transparency. Different data standards and systems limit interoperability, even as initiatives like the CMS Aligned Network aim to improve consistency in data governance and infrastructure. These challenges are often amplified at the state level, where readiness to implement interoperability requirements can vary, and by the need to balance broader data access with strong security and privacy protections.
“Westat supports data modernization efforts across federal health programs,” explains Tanvi Rao, PhD, a Westat Principal Research Associate and economist. “We provide technical assistance and evaluation, conduct security and risk assessments, and monitor implementation progress to help ensure systems are secure, scalable, and aligned. This combination of technical expertise and program experience enables our clients to strengthen data exchange while maintaining the trust and protections that beneficiaries expect.”
Ensuring Patient Understanding and Informed Decision-Making
Expanding access to health data is only the first step. Beneficiaries must also be able to understand that information to make informed decisions about their care. Many Medicare and Medicaid beneficiaries can access their data but may struggle to interpret clinical information, compare providers, or translate the information into meaningful next steps, which can limit the impact of transparency efforts.
“Westat helps bridge this gap by applying human‑centered design principles and qualitative research to make health data more actionable,” notes Bozzolo. “We have designed and evaluated user-centered communication tools, plain-language interfaces, and data visualizations, and have conducted usability testing with beneficiaries to ensure that information is understandable, relevant, and supportive of informed decision-making.” This approach can help agencies move from data access to true patient empowerment.
Achieving Improved Outcomes and Accountability
Greater transparency alone does not guarantee better care or improved patient outcomes. Patients, health plans, and providers must actively use available data to improve decisions, care coordination, and outcomes. Without clear evidence of how data access influences behavior, transparency initiatives risk becoming informational rather than transformative.
“We help agencies bridge this gap through evaluation to understand how access to data influences patient and provider behavior, and by supporting the development of relevant metrics for effective data use, such as beneficiary engagement, decision‑making confidence, and continuity of care. Westat’s evidence‑driven approach strengthens accountability and helps ensure transparency efforts lead to measurable improvements in health outcomes,” adds Rao.
Focus Areas
Behavioral Health Health Communications Health Informatics Health Services Research and Health Policy Innovative Health Care Delivery Patient Safety and Experience Public Health Quality MeasurementCapabilities
Data Integration, Harmonization, and Complex Analytics Data Visualization Evaluation and Mixed-Methods Research Implementation Evaluation Outcome Evaluation Survey Design Technical Assistance-
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