Home Page
     

Welcome to the Medicare Health Outcomes Survey (HOS) Website

The Medicare HOS is the first patient-reported outcomes measure used in Medicare managed care. The goal of the Medicare HOS program is to gather valid and reliable clinically meaningful data that have many uses, such as targeting quality improvement activities and resources; monitoring health plan performance and rewarding top-performing health plans; helping beneficiaries make informed health care choices; and advancing the science of functional health outcomes measurement. Managed care plans with Medicare Advantage (MA) contracts must participate.

Each spring a random sample of Medicare beneficiaries is drawn and surveyed from each participating Medicare Advantage Organization (MAO) that has a minimum of 500 enrollees (i.e., a survey is administered to a different baseline cohort, or group, each year). Two years later, the baseline respondents are surveyed again (i.e., follow up measurement). Cohort 1 was surveyed in 1998 and was resurveyed in 2000. Cohort 2 was surveyed in 1999 and was resurveyed in 2001, and so on. During the most recent HOS administration (2018 Round 21), Cohort 21 was surveyed and Cohort 19 was resurveyed using HOS 3.0. For data collection years 1998-2006, the MAO sample size was one thousand. Effective 2007, the MAO sample size was increased to twelve hundred.

What's New on the Medicare HOS

  • 2015-2017 Cohort 18 Performance Measurement Data Users Guide (DUG) Available. The DUG may be downloaded from the Data Users Guides section on the Data page. The corresponding Cohort 18 data are expected to be distributed in November 2018. MAOs will be notified by Health Plan Management System (HPMS) memo when the data are available to be requested through the HOS Information and Technical Support email (hos@HCQIS.org).

  • Summer/Fall 2018 Semi-annual HOS Newsletter Available. This edition of the HOS Newsletter was released in September 2018. You may contact the HOS Information and Technical Support email (hos@HCQIS.org) to sign up for the email distribution.

  • 2017 Cohort 20 Baseline Public Use File (PUF) Available. The PUF may be downloaded from the Research Data Files section on the Data page. The corresponding DUG may be downloaded from the Data Users Guides section.

  • 2017 HOS-Modified (HOS-M) Data Available. The HOS-M data and DUG were made available for plans to request following the HPMS announcement on July 20, 2018. Participating Program of All Inclusive Care for the Elderly (PACE) organizations may obtain their data by contacting the Medicare HOS Information and Technical Support email (hos@HCQIS.org). The DUG may also be downloaded from the HOS-Modified page.

  • 2015-2017 Cohort 18 Performance Measurement Reports Available. The HOS reports were made available to participating MAOs via the HPMS on July 31, 2018. The contract-level summary data file distributed with each MAO report includes results for two HOS functional health measures that are part of the Medicare Part C Star Ratings. MAOs may contact their CMS Quality Point of Contact to download the HOS reports and the summary data or contact CMS at hpms_access@cms.hhs.gov for help with HPMS access. Sample reports with actual national HOS data are available in the Overview section of the Resources page. The MAO Performance Measurement Contract List specifies the participating MAOs. The list is also available from the Survey Results page.

  • 2017 Cohort 20 Baseline Reports Available. The reports were made available to participating MAOs via the HPMS on June 1, 2018. The contract-level summary data file distributed with each baseline MAO report contains three HOS HEDISĀ® Effectiveness of Care measures that are part of the Medicare Part C Star Ratings. If assistance is required regarding HPMS access, MAOs may contact CMS at hpms_access@cms.hhs.gov. A sample Baseline report with actual national HOS data may be found in the Overview section of the Resources page.

  • 2017 HOS-M Reports Available. The HOS-M Reports were made available to participating PACE organizations via the HPMS on June 1, 2018. Plans may contact their CMS Quality Point of Contact to obtain access to the HOS-M reports. A sample PACE report with actual national HOS-M data may be found in the Overview section of the Resources page.

  • Office of Minority Health (OMH) Data Highlight Available. The data highlight describes the racial and ethnic disparities in mental health among diverse groups of MA beneficiaries. The report identifies that relative to other races, American Indian and Alaska Native as well as Native Hawaiian or Other Pacific Islander (NHOPI) beneficiaries generally reported worse mental health status across multiple indicators related to depression and depression symptoms, days of activities missed because of poor physical and mental health, and mental health functioning. The data highlight is available at the CMS OMH website and can also be found on the Overview and Resources pages of the HOS website.

Helpful Links For information about the availability of auxiliary aids and services, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html

 

This page was last modified on 10/18/2018

Privacy   |   Contact Us   |   FAQs   |   Glossary   |   Program Partners


This site is hosted and maintained by Health Services Advisory Group.
It is sponsored by the Centers for Medicare & Medicaid Services.