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Applications/Interventions

  • Differences in Receipt of Three Preventive Health Care Services by Race/Ethnicity in Medicare Advantage Plans: Tracking the Impact of Pay for Performance, 2010 and 2013. 2016
    Jung DH, Palta M, Smith M, Oliver TR, DuGoff EH.
    Preventing Chronic Disease. 2016; 13:160047. Article available online at http://dx.doi.org/10.5888/pcd13.160047.
  • Associations Between Health-Related Quality of Life and Mortality in Older Adults. 2015
    Brown DS, Thompson WW, Zack MM, Arnold SE, Barile JP.
    Prevention Science. 2015; 16(1):21-30. Abstract available online at http://dx.doi.org/10.1007/s11121-013-0437-z.
  • Association of Falls with Health-Related Quality of Life (HRQOL) in Older Cancer Survivors: A Population Based Study. 2016
    Pandya C, Magnuson A, Dale W, Lowenstein L, Fung C and Mohile SG.
    Journal of Geriatric Oncology. 2016; 7(3):201-210. Abstract available online at http://dx.doi.org/10.1016/j.jgo.2016.01.007.
  • Revisiting the Surveillance Epidemiology and End Results Cancer Registry and Medicare Health Outcomes Survey (SEER-MHOS) Linked Data Resource for Patient-Reported Outcomes Research in Older Adults with Cancer. 2016
    Kent EE, Malinoff R, Rozjabek HM, Ambs A, Clauser SB, Topor MA, Yuan G, Burroughs J, Rodgers AB, DeMichele K.
    Journal of the American Geriatrics Society. 2016; 64(1):186-92. Abstract available online at http://dx.doi.org/10.1111/jgs.13888.
  • Health-Related Quality of Life in Older Adult Survivors of Selected Cancers: Data from the SEER-MHOS Linkage. 2014
    Kent EE, Ambs A, Mitchell SA, Clauser SB, Smith AW and Hays RD.
    Cancer. Abstract available online at http://dx.doi.org/10.1002/cncr.29119.
  • Coexistence of Urinary Incontinence and Major Depressive Disorder with Health-Related Quality of Life in Older Americans with and without Cancer. 2014
    White AJ, Reeve BB, Chen RC, Stover AM and Irwin DE.
    Journal of Cancer Survivorship. 2014; 8(3):497-507. Abstract available online at http://dx.doi.org/10.1007/s11764-014-0360-8.
  • The Impact of Pain on Physical and Mental Quality of Life in Adults 65 and Older. 2013
    Hawkins K, Musich S, Bottone FG, Ozminkowski RJ, Cheng Y, Rush S, Carcione J, Migliori RJ and Yeh CS.
    Journal of Gerontological Nursing. 2013;39(6):32-44. Abstract available on line at U.S. National Library of Medicine website.
  • Urinary Incontinence and Health-Related Quality of Life Among Older Americans with and without Cancer: A Cross-Sectional Study. 2013
    White AJ, Reeve BB, Chen RC, Stover AM, and Irwin DE.
    BioMed Central, Cancer. 2013;13:377. Article available online at BioMed Central website.
  • The Relationship between Body Mass Index and Quality of Life in Community-Living Older Adults Living in the United States. 2013
    Bottone FG, Hawkins K, Musich S, Cheng Y, Ozminkowski RJ, Migliori RJ and Yeh CS.
    Journal of Nutrition, Health & Aging. 2013;17(6):495-501. Abstract available on line at U.S. National Library of Medicine website.
  • Associations of Cancer and Other Chronic Medical Conditions With SF-6D Preference-Based Scores in Medicare Beneficiaries. 2013
    Hays RD, Reeve BB, Smith AW and Clauser SB.
    Journal of Quality of Life Research. 2013, Aug. Abstract available online at U.S. National Library of Medicine website.
  • Evaluating Outcomes of Care and Targeting Quality Improvement Using Medicare Health Outcomes Survey Data. 2012
    Bowen SE.
    Journal of Ambulatory Care Management. 2012. 35(4):260-262. Abstract available online at Journal of Ambulatory Care Management website.
  • Monitoring Outcomes for the Medicare Advantage Program: Methods and Application of the VR-12 for Evaluation of Plans. 2012
    Kazis LE, Selim AJ, Rogers W, Qian SX and Brazier J.
    Journal of Ambulatory Care Management. 2012. 35(4):263-276. Abstract available online at U.S. National Library of Medicine website.
  • Identifying Older Adults at High Risk of Mortality Using the Medicare Health Outcomes Survey. 2012
    Ng JH, Elliott MN, Scholle SH, Ahmed K, Collins RL and Bierman AS.
    Journal of Ambulatory Care Management. 2012. 35(4):277-291. Abstract available online at Journal of Ambulatory Care Management website.
  • Fitness Memberships and Favorable Selection in Medicare Advantage Plans. 2012
    Cooper AL and Trivedi AN.
    The New England Journal of Medicine. 2012;366:150-7. Abstract available online at U.S. National Library of Medicine website.
  • The Prevalence of Hearing Impairment and its Burden on the Quality of Life among Adults with Medicare Supplement Insurance. 2011
    Hawkins K, Bottone FG, Ozminkowski RJ, Musich S, Bai M, Migliori RJ and Yeh CS.
    Quality of Life Research. 2011 Epub ahead of print, 2011 Oct 7. Abstract available online at U.S. National Library of Medicine website.
  • The Prevalence of Urinary Incontinence and its Burden on the Quality of Life among Older Adults with Medicare Supplement Insurance. 2011
    Hawkins K, Pernarelli J, Ozminkowski RJ, Bai M, Gaston SJ, Hommer C, Migliori RJ and Yeh CS.
    Quality of Life Research. 2011 Jun;20(5):723-32. Epub 2010 Dec 8. Abstract available online at U.S. National Library of Medicine website.
  • The Burden of Falling on the Quality of Life among Adults with Medicare Supplement Insurance. 2011
    Hawkins K, Musich S, Ozminkowski RJ, Bai M, Migliori RJ and Yeh CS.
    Journal of Gerontological Nursing. 2011 Aug;37(8):36-47. Epub 2011 Apr 13. Abstract available online at U. S. National Library of Medicine website and the article may be accessed directly from the SLACK Journals website.
  • Impact of Cancer on Health-Related Quality of Life of Older Americans. 2009
    Reeve BB, Potosky AL, Smith AS, Han PK, Hays RD, Davis WW, Arora NK, Haffer SC and Clauser SB.
    Journal of the National Cancer Institute.2009 June 16;101(12):860-8. Epub 2009 June 9 available online at U.S. National Library of Medicine website.
  • SEER-MHOS: A New Federal Collaboration on Cancer Outcomes Research. 2008
    Clauser SB and Haffer SC.
    Health Care Financing Review. Summer 2008. Volume 29(4): 1-4. Available online at CMS’ Health Care Financing Review website.
  • Overview of the SEER-Medicare Health Outcomes Survey Linked Dataset. 2008
    Ambs A, Warren JL, Bellizzi KM, Topor M, Haffer SC and Clauser SB.
    Health Care Financing Review. Summer 2008. Volume 29(4): 5-22. Available online at CMS’ Health Care Financing Review website.
  • Disparities in HRQOL of Cancer Survivors and Non-Cancer Managed Care Enrollees. 2008
    Clauser SB, Arora NK, Bellizzi KM, Haffer SC, Topor M and Hays RD.
    Health Care Financing Review. Summer 2008. Volume 29(4): 23-40. Available online at CMS’ Health Care Financing Review website.
  • Cancer, Comorbidities, and Health-Related Quality of Life of Older Adults. 2008
    Smith AW, Reeve BB, Bellizzi KM, Harlan LC, Klabunde CN, Amsellem M, Bierman AS and Hays RD.
    Health Care Financing Review. Summer 2008. Volume 29(4): 41-56. Available online at CMS’ Health Care Financing Review website.
  • Cigarette Smoking and Health-Related Quality of Life in Medicare Beneficiaries. 2008
    Hays RD, Smith AW, Reeve BB, Spritzer KL, Marcus SE and Clauser SB.
    Health Care Financing Review. Summer 2008. Volume 29(4): 57-68. Available online at CMS’ Health Care Financing Review website.
  • Reducing Bias in Cancer Research: Application of Propensity Score Matching. 2008
    Reeve BB, Smith AW, Arora NK and Hays RD.
    Health Care Financing Review. Summer 2008. Volume 29(4): 69-80. Available online at CMS’ Health Care Financing Review website.
  • Functional Impairment Levels in PACE Enrollees. 2008
    Walsh EG, Khatustsky G and Johnson L.
    Health Care Financing Review. Summer 2008. Volume 29(4): 81-88. Available online at CMS’ Health Care Financing Review website.
  • Use of Risk-Adjusted Change in Health Status to Assess the Performance of Integrated Service Networks in the Veterans Health Administration. 2006
    Selim AJ, Berlowitz D, Fincke G, Rogers W, Qian S, Lee A, Cong Z, Selim BJ, Ren XS, Rosen AK and Kazis LE.
    International Journal for Quality in Health Care. 2006 Feb;18(1)43-50. Available online at International Journal for Quality in Health Care website.
  • Evaluating the Performance of Medicare Fee-For-Service Providers Using the Health Outcomes Survey: A Comparison of Two Methods. 2005
    Trisolini MG, Smith KW, McCall NT, Pope GC and Klosterman M.
    Medical Care. July 2005. Volume 43(7): 699-704.
  • Comparing the Health Status of VA and Non-VA Ambulatory Patients: The Veterans’ Health and Medical Outcomes Studies. 2004
    Rogers WH, Kazis LE, Miller DR, Skinner KM, Clark JA, Spiro A and Fincke RG.
    Journal of Ambulatory Management. 2004 Jul-Sep; 27(3): 249-62. Abstract available online at U.S National Library of Medicine website.
  • Sad, Blue, or Depressed Days, Health Behaviors and Health-Related Quality of Life, Behavioral Risk Factor Surveillance System, 1995-2000. 2004
    Kobau R, Safran MA, Zack MM, Moriarty DG and Chapman D.
    Health and Quality of Life Outcomes. 2004 Jul 30; Volume 2(40). Available online at www.hqlo.com.
  • Use of HOS Data in Florida. 2004
    McDonald K, Ma J and Dulabone E.
    Health Care Financing Review. Summer 2004. Volume 25(4): 93-104. Available online at CMS' Health Care Financing Review website.
  • The Health Status of Elderly Veteran Enrollees in the Veterans Health Administration. 2004
    Selim AJ, Berlowitz DR, Fincke G, Cong Z, Rogers W, Haffer SC, Ren XS, Lee A, Qian SX, Miller DR, Spiro A, Selim BJ and Kazis LE.
    Journal of the American Geriatrics Society. August 2004. Volume 52(8): 1271-1276.
  • Measuring Quality of Care and Performance from Population Health Care Perspective. 2003
    Derose SF and Petitti DB.
    Annual Review of Public Health. 2003. Volume 24: 363–384.
  • Health Disparities Among Older Women: Identifying Opportunities to Improve Quality of Care and Functional Health Outcomes. 2001
    Bierman AS and Clancy CM.
    Journal of the American Medical Women's Association. Fall 2001. Volume 56(4): 155-160.
  • Analysis of Key Drivers of Improving or Maintaining Medicare Health Outcomes Survey (HOS) Scores. 2013
    This study used data from the HOS 2009 Cohort 12 Baseline and 2011 Cohort 12 Follow Up to describe how two-year mortality and two-year changes in the Veterans RAND 12-Item Health Survey (VR-12) items relate to key Medicare HOS measures used in the Medicare Star Ratings. The HOS measures relate to maintaining and improving health and are derived from changes in the physical component summary (PCS) and mental component summary (MCS) scores. The results from this study clarify the properties of several Centers for Medicare & Medicaid Services’ (CMS) quality measures used for the Medicare Star Ratings.
  • Identifying Elderly HOS Beneficiaries at Risk for Mortality Using the Updated 2009 VES-HOS Risk Scoring. 2013
    The focus of this research was to extend and improve a previously validated Vulnerable Elders Survey-Medicare Health Outcomes Survey (VES-HOS) predictive model for identifying older adults at high risk of mortality using the HOS 2.0. In particular, an assessment was made of whether the approach is robust to the substitution of survey items. The previously validated VES-HOS model (and the approach it is based on, the original VES-13 instrument) was extended by incorporating an imputation approach that allows for the retention of a substantial proportion of the sample previously excluded because they were missing one or more items used by the algorithm. In addition, the algorithm’s performance by gender was verified; three, rather than two, risk groups were distinguished based on the risk score; and the members of vulnerable groups were characterized.
  • Opportunities for Improving Medicare HOS Results through Practices in Quality Preventive Health Care for the Elderly (PDF, 1.0 MB) 2012
    This guide is a resource to help Medicare Advantage Organizations (MAOs) develop and apply strategies that address the Medicare Health Outcomes Survey (HOS) items used in the CMS Medicare Part C Star Ratings. The guide includes an overview of HOS, national performance results on HOS items included in the Medicare Star Ratings, best practices in promoting quality preventive health care for the elderly, and HOS resources available to MAOs. Section 1 discusses the prevalence of conditions measured by the HOS items and provides a summary of national HOS results to highlight opportunities for improvement and intervention strategies. Section 2 provides examples of interventions that some MAOs have used to promote patient-physician communication, screening services or maintenance of functional status among their members.
  • Functional Status in Older Adults: Intervention Strategies for Impacting Patient Outcomes (PDF, 1.2 MB) 2011
    This literature review is a synthesis of selected articles of functional status outcomes in older adults and is designed to supplement the guide for MAOs entitled, “Opportunities for Improving Medicare HOS Results through Practices in Quality Preventive Health Care for the Elderly.” The included outcomes target short form assessments of health that span the physical to psychological from well established questionnaires. In addition, outcome measures include activities of daily living that capture functional limitations in Medicare Advantage recipients. The articles were selected from the vantage point of interventions that could impact on the functional status outcomes in elderly populations. The HOS includes the Veterans RAND 12 Item Health Survey (VR-12) as the core measure for the physical (PCS) and mental (MCS) summary scores. It also includes HEDIS® Effectiveness of Care Measures for Management of Urinary Incontinence in Older Adults, Physical Activity in Older Adults, Fall Risk Management and Osteoporosis Testing in Older Women.
  • Medicare Part D Data Linked with the Health Outcomes Survey: Association between Quality of Care using Prescription Drugs and Mortality as Outcomes among those Enrolled in the Medicare Advantage Program (PDF, 715 KB) 2010
    This report examines the relationship between use of medications based upon nationally recognized clinical practice guidelines and health outcomes using mortality among Medicare Advantage (MA) patients enrolled in the Medicare Part D program. The analysis utilized the linked data from the Medicare Health Outcomes Survey (HOS) 2006-2008 Cohort 9 and the 2006-2007 Medicare Part D prescription benefit files to calculate the medication based performance indicators for five high volume chronic conditions: diabetes, coronary artery disease (CAD), congestive heart failure (CHF), chronic obstructive lung disease (COPD)/asthma, and depression. The investigators examined the variations of the performance indicators across plans and examined the associations of performance indicators and mortality at the patient and the plan levels.
  • Implementing the HEDIS® Medicare Health Outcomes Survey: Linking Medicare Health Outcomes Survey Data and Part D Drug Data (PDF, 296 KB) 2010
    This report discusses the linking of the Medicare Health Outcomes Survey (HOS) 2006-2008 Cohort 9 and the 2006–2007 Medicare Part D Drug Event (PDE) data, which allowed examination of associations between drug benefits and use, as well as patient-specific health and functional status. Two separate analyses were conducted. The initial analysis focused on assembling the linked HOS and Part D data master file and evaluating key demographic differences between HOS respondents who had a Part D benefit claim and those who did not. The second part of the analysis examined Part D prescription drug use among MA members in the HOS sample.
  • Implementing the HEDIS® Medicare Health Outcomes Survey: Applying Missing Data Imputation Methods to HOS Household Income Data (PDF, 359 KB) 2009
    The 2006 HOS Cohort 9 Baseline data was used to investigate several missing data imputation methods for self-reported income, which consistently experiences a high rate of missing data in the HOS. This report provides a brief summary of selected statistical methods that use existing information from the HOS data set, applies them to the data for missing income values, and compares results across the various methods. This work is an extension of previous NCQA research that used an external data source for the imputation.
  • Implementing the HEDIS® Medicare Health Outcomes Survey: Imputation Analysis for HOS Income Data (PDF, 155 KB) 2008
    Data from the Medicare Health Outcomes Survey (HOS) offer important longitudinal information about insights into the self-assessed health status of the older population in the United States. CMS has surveyed this population annually over several years and repeatedly found that income information is missing in Baseline and Follow-up surveys for about 10-20 percent of respondents. To address this issue and to generate complete information across HOS data sets, CMS is collaborating with NCQA to explore and help define a valid income imputation method using HOS 2000 Cohort 3 Baseline and HOS 2006 Cohort 9 Baseline data that could be applied to other HOS cohorts.
  • Report on the Health Status of Managed Care Smokers and Nonsmokers: Cohort III Baseline and Follow Up (PDF, 313 KB) 2007
    This research examines differences in physical and mental health status for beneficiaries who were smokers and nonsmokers in Cohort III (2001-2003) of the Medicare Health Outcomes Survey (HOS).
  • Disparities in Medicare Beneficiary Outcomes: Socio-Demographic Vulnerability and Prevalent Problems in Older Populations (PDF, 242 KB) 2007
    Ng JH, Scholle SH, Wong L, Kong V, Iruka N and Mierzejewski R. This report assesses the extent to which receipt of recommended preventive services varies by vulnerability status. Studies indicate that vulnerable Medicare Managed Care subgroups, such as racial/ethnic minorities or low socioeconomic populations, continue to disproportionately experience quality of care problems. Strategies to reduce disparities have generally emphasized the importance of improving preventive services.
  • Report on a Longitudinal Assessment of Change in Health Status and the Prediction of Health Utilization, Health Expenditures, and Experiences with Care for Beneficiaries in Medicare Managed Care (PDF, 298 KB) 2006
    This report explores longitudinal change in beneficiary physical and mental health, bodily pain, and impaired Activities of Daily Living (ADLs) in 2002, and relates these health measures to health care usage and expenditures in 2003. Additionally, the report examines whether changes in health status from 2000-2002 relate to patient experience with care ratings in 2002. In sum, longitudinal changes in health status were found to significantly relate to future health care costs and utilizations.
  • The Evaluation of a Mental Component Summary Score Threshold for Depression Risk in the Medicare Population (PDF, 367 KB) 2006
    This report examines different thresholds of mental component summary (MCS) scores for identifying beneficiaries diagnosed with depression, and those at risk for depression. The results indicated a low prevalence of depression (7%) based on the diagnoses recorded on claims data among Medicare FFS beneficiaries. Beneficiaries with depression diagnoses had lower MCS scores than those without depression diagnoses. The results indicated that a score of 48 represents reasonable predictive accuracy and would imply screening for 20% of elderly beneficiaries.
  • The Relationship between Health Status, Utilization, and Expenditures: Comparison between Medicare Managed Care and Fee-For-Service Beneficiaries (PDF, 554 KB) 2006
    This report examines possible differences in the relationship between health status, health expenditures, utilization of services, and experiences with care between Medicare FFS and managed care (Medicare Advantage [MA]) beneficiaries. As expected, higher expenditures are associated with lower PCS and MCS scores, with small but statistically significant differences between managed care and FFS. Significant differences were found between the self-reported frequency of FFS and managed care beneficiaries' visits to doctors' offices or clinics at lower levels of physical and mental health. Finally, managed care beneficiaries have a significantly higher probability of providing low satisfaction ratings when compared to FFS beneficiaries.
  • National and State Comparisons of Health Status for Medicare Managed Care and Fee-For-Service Beneficiaries (PDF, 406 KB) 2006
    Analysis was conducted to compare the longitudinal change of physical and mental health status of the 2002-2004 Medicare HOS to a simulated longitudinal change in the 2002 and 2004 CAHPS Fee-For-Service. At a national level, the results indicated that there is not a significant difference between Medicare Fee-For-Service and Managed Care beneficiaries in relation to the amount of physical and mental health status change for the years examined.
  • Report on the Health Status of Disadvantaged Medicare Beneficiaries (PDF, 690 KB) 2005
    This report examines the predictors of disparities in health outcomes for Medicare beneficiaries in Cohorts 2 and 3 of the Medicare Health Outcomes Survey (HOS).
  • Report on Enrollment Duration: Cohort I Baseline (PDF, 135 KB) 2005
    This paper presents potential differences in health status between Medicare Health Outcomes Survey (HOS) Cohort I Baseline (1998) beneficiaries with fewer than six months tenure in their health plans and those with more than six months tenure.
  • Report on Mental Health Status of Managed Care Beneficiaries: Cohort I Baseline and Follow Up (PDF, 339 KB) 2005
    This research examines the differences between beneficiaries at high risk for depression and those at low risk for depression sampled in the Medicare Health Outcomes Survey (HOS).
  • Using Claims Data to Identify Medicare+Choice Enrollees At Risk for a Decline in Functional Health Status (PDF, 200 KB) 2005
    Welch WP. This report presents results from a study sponsored by the Agency for Healthcare Research and Quality to identify Medicare managed care enrollees at risk for a decline in health status. Using HOS data and Medicare managed care administrative data, the analysis characterized utilization of health care and developed risk models for identifying enrollees appropriate for early medical intervention.
  • Report on the Comparison of Seniors in Program of All-Inclusive Care for the Elderly (PACE) and Medicare Advantage Plans: Cohorts II, III, IV and V Baseline (PDF, 278 KB) 2005
    This report compares the health status of beneficiaries enrolled in Program of All-Inclusive Care for the Elderly (PACE) plans with the health status of beneficiaries enrolled in Medicare managed care plans who participated in Cohorts II, III, IV and V Baseline (1999 to 2002) of the Medicare Health Outcomes Survey (HOS).
  • Medicare HOS National Pilot Project on Depression Final Report (PDF, 438 KB) 2002
    From 1999 to 2002, 16 M+COs and six QIOs participated in a pilot project to develop a strategy for using the HOS results to identify and treat beneficiaries with a high risk for depression. Claims and HOS data were used to develop a statistical profile of these high-risk beneficiaries. Each M+CO then provided their primary care providers with a list of the high-risk beneficiaries in their caseloads, as well as screening instruments, clinical guidelines, and treatment protocols for depression management. The participating plans were compared to non-participating plans to measure the impact on both process measures and HOS scores. A copy of the Pilot Project User's Guide is also available.
  • Medicare HOS National Pilot Project on Depression User's Guide (PDF, 444 KB) 2002
    This project represents a pioneering attempt to use HOS data to help identify and manage depression in a primary care setting. Six QIOs and 16 health plans participated in this quality improvement pilot project.
  • The SF-36® Health Survey: A Summary of Responsiveness to Clinical Interventions (PDF, 103 KB) 2000
    This paper provides evidence that the SF-36® scales and summary measures are sensitive measures that can demonstrate changes in health due to various treatments, including pharmacological, surgical, and educational interventions.
  • Evaluating the Two-Year Follow Up Health Status of Medicare Fee-For-Service Beneficiaries Using the Health Outcomes Survey (PDF, 2.7 MB) 2002
    Trisolini MG, McCall NT, Pope GC, Klosterman M and Smith K. This report presents an analysis of follow up results for the HOS, which was administered to a sample of Medicare Fee-for-Service beneficiaries in 1998 and 2000. The primary goal of this analysis is to assess the feasibility of using longitudinal estimates of self-reported health status for cohorts of Medicare beneficiaries to evaluate the care provided to Fee-for-Service beneficiaries by physician group practices or by Fee-for-Service providers in small geographic areas.
  • Medicare HOS Information Synthesis (PDF, 3.4 MB) 1999
    This 1999 document reviews a number of interventions that have an effect on the overall well-being and functional status of seniors. The intent of the review is to provide direction in developing new interventions that are relevant to the specific needs of Medicare beneficiaries.

 


  

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This page was last modified on 02/15/2017

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