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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 (2019 Round 22), Cohort 22 was surveyed and Cohort 20 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

  • 2016-2018 Cohort 19 Performance Measurement Data Distributed. The data and accompanying Data Users Guide (DUG) are available to participating MAOs for download following the CMS announcement to Health Plan Management System (HPMS) users on October 25, 2019. The data are distributed via electronic Secure File Transfer and participating MAOs may request their data by contacting the Medicare HOS Information and Technical Support email (hos@HCQIS.org). The designated data recipient will receive an email from the hosdata@hsag.com mailbox containing instructions and a link to the Secure File Manager facility. The DUG may also be downloaded from the Data Users Guides link on the Data page.

  • Summer 2019 Semi-annual HOS Newsletter Available. This edition of the HOS Newsletter was released in September 2019. You may contact the HOS Information and Technical Support email (hos@HCQIS.org) to sign up for the email distribution.

  • Cohort 21 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.

  • 2018 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 19, 2019. 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.

  • 2016-2018 Cohort 19 Performance Measurement Reports Available. The HOS reports were made available to participating MAOs via the HPMS on August 2, 2019. 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 on the Resources page. The MAO Performance Measurement Contract List specifies the participating MAOs. The list is also available on the Survey Results page.

  • 2018 Cohort 21 Baseline Reports Available. The reports were made available to participating MAOs via the HPMS on May 31, 2019. The contract-level summary data file distributed with each baseline MAO report contains three HOS HEDIS® Effectiveness of Care measures that are part of the Medicare Part C Star Ratings. MAOs may contact their CMS Quality Point of Contact to obtain access to the HOS reports and the summary data. 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 on the Resources page.

  • 2018 HOS-M Reports Available. The HOS-M Reports were made available to participating PACE organizations via the HPMS on May 31, 2019. 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 on the Resources page.

  • Office of Minority Health (OMH) Research Report and Data Highlight Available. The "Understanding the Health Needs of Hispanic Medicare Beneficiaries" report characterizes the distribution of chronic diseases, general health status, sleep measures, and prevalence of obesity among diverse Hispanic sub-groups. These include Cuban, Mexican, Puerto Rican, multi-ethnic Hispanics and other Hispanics. The report and the corresponding data tables (in an Excel file format) can be downloaded from the Research Reports portal on the CMS OMH website. In addition, there is a corresponding Data Highlight providing an overview of the same topic also available on the CMS OMH 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 10/29/2019

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