- Office of Minority Health (OMH) Report: Understanding the Health Needs of Hispanic Medicare Beneficiaries (PDF, 951KB) 2018
This report presents findings from the Medicare Health Outcomes Survey (HOS) using pooled data from three fielded baseline surveys: Cohorts 16, 17, and 18 (2013-2015). Health status results presented in this report include self-rated general health status, number of days with activity limitations, rate of depression, prevalence of obesity, two measures of recent pain, and two new measures of sleep health. The findings indicate that at least half of all Hispanic beneficiaries report fair or poor health and the rate of positive depression screen is significantly different across Hispanic groups. Associated report data tables are made available at the Research Reports portal of the CMS OMH website. A Data Highlight is also available and summarizes the information provided in the full report.
- Office of Minority Health (OMH) Data Highlight: Understanding the Health Needs of Diverse Groups of Hispanic Medicare Beneficiaries (PDF, 220KB) 2018
The Data Highlight summarizes the self-reported health needs of detailed groups of Hispanic Medicare Advantage beneficiaries. The highlight characterizes the distribution of chronic diseases, general health status, sleep measures, and prevalence of obesity among different Hispanic sub-groups: Cuban, Mexican, Puerto Rican, multi-ethnic Hispanics and other Hispanics. The full report and the associated report tables may be obtained from the Research Reports portal of the OMH website.
- Office of Minority Health (OMH) Data Highlight: Racial and Ethnic Disparities in Mental Health Among Diverse Groups of Medicare Advantage Beneficiaries (PDF, 348 KB) 2017
This data highlight presents findings from the Medicare Health Outcomes Survey (HOS) using pooled data from the three most recent fielded baseline surveys: Cohorts 17, 18, and 19 (2014-2016). 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.
- Office of Minority Health (OMH) Data Highlight: Understanding the Health Needs of Diverse Groups of Asian and Native Hawaiian or Other Pacific Islander Medicare Beneficiaries (PDF, 610 KB) 2017
This Data Highlight provides an enhanced understanding of the health needs of diverse groups of Asian and Native Hawaiians or other Pacific Islanders (NHOPI) Medicare Advantage beneficiaries. Since 2013, the Medicare Health Outcomes Survey (HOS) has been reporting disaggregated results for distinct Asian and NHOPI groups. The Asian category includes beneficiaries who self-identified as Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or Other Asian. The NHOPI category includes beneficiaries who self-identified as NativeHawaiian, Guamanian or Chamorro, Samoan, or Other Pacific Islander. The highlight summarizes the information provided in the full report.
Office of Minority Health (OMH) Report: Understanding the Health Needs of Diverse Groups of Asian and Native Hawaiian or Other Pacific Islander (NHOPI) Medicare Beneficiaries (PDF, 905 KB) 2017
The Report features the self-reported health needs of disaggregated groups of Asian and NHOPI Medicare Advantage beneficiaries. The report characterizes the distribution of chronic diseases, general health status, sleep measures, and prevalence of obesity among the diverse beneficiaries. The full report and the corresponding data tables in an Excel format can be downloaded from the Research Reports portal of the CMS OMH website.
- Office of Minority Health HOS Fact Sheet (PDF, 171 KB) 2015
This fact sheet highlights the race and ethnicity of respondents to the most recent HOS administrations. Since April 2013, the HOS has collected measures of race, ethnicity, sex, primary language, and disability status in accordance with the standards established by the Affordable Care Act §4302. These newly expanded demographic measures, combined with the self-reported health status measures captured by the HOS, provide a rich source of data that may be useful for research.
- Office of Minority Health HOS Data Brief on Asian Americans and Pacific Islanders (PDF, 208 KB) 2015
This data brief highlights the HOS as a unique source of information about Asian Americans (Asians), and Native Hawaiians or Other Pacific Islanders (NHOPI) and show the distribution of chronic diseases, Activities of Daily Living (ADLs) and HEDIS rates among Asian Americans and Pacific Islanders. On October 14, 2009, the President re-established the White House Initiative on Asian Americans and Pacific Islanders. The Initiative works to improve the quality of life and opportunities for Asian Americans and Pacific Islanders by facilitating increased access to and participation in federal programs where they remain underserved.
- The Veterans RAND 12 Item Health Survey (VR-12): What It Is and How It Is Used. 2007
Iqbal SU, Rogers WH, Selim A, Qian S, Lee A, Ren XS, Rothendler J, Miller D and Kazis LE.
Center for Health Quality, Outcomes and Economic Research at Veterans Administration Medical Center and Center for the Assessment of Pharmaceutical Practices at Boston University School of Public Health.
- Measuring and Improving Health Outcomes in Medicare: The Medicare HOS Program. 2004
Haffer, SC and Bowen S.
Health Care Financing Review. Summer 2004. Volume 25(4): 1-3. Available online at CMS' Health Care Financing Review website.
- The Medicare Health Outcomes Survey program: Overview, context, and near-term prospects. 2004
Jones N, III, Jones SL and Miller NA.
Health and Quality of Life Outcomes. July 12, 2004. Volume 2(33): Available online at www.hqlo.com (PDF, 248 KB).
- Counterpoint: Integrating Health Status into the Quality Equation. 2001
International Journal for Quality in Health Care. February 2001. Volume 13(1): 5-6.
- Counterpoint: Measuring, Monitoring and Reporting Functional Health Outcomes: Opportunities and Challenges in a Bold National Initiative. 2001
International Journal for Quality in Health Care. February 2001. Volume 13(1): 7-8.
- The Health of Seniors Project. 1998
Haffer SC, Cooper JK and Gordon C.
Managed Care and Aging. American Society on Aging. Summer, 1998. Volume 5(2).
- 2017 HOS-M Sample PACE Report (PDF, 593 KB) 2018
The Medicare Health Outcomes Survey-Modified (HOS-M) is an abbreviated version of the Medicare HOS that is administered to Program of All-Inclusive Care for the Elderly (PACE) Organizations. The HOS-M report presents physical component summary scores and mental component summary scores, Activity of Daily Living (ADL) items, and selected health status measures for frail, elderly Medicare beneficiaries from each organization compared to the entire HOS-M sample. This sample PACE report contains example PACE data only; however, all references to the HOS-M Total reflect actual data for the entire HOS-M sample.
- 2017 HOS Sample Baseline Report (PDF, 1.3 MB) 2018
After the administration of each baseline cohort, a cohort-specific baseline report is produced. The baseline reports present physical component summary and mental component summary scores. The scores are case mix adjusted using demographics, chronic medical conditions, and HOS study design variables. The baseline reports also provide MAO, state, and HOS national information on the Centers for Disease Control and Prevention (CDC) Healthy Days Measures, the HEDIS Management of Urinary Incontinence in Older Adults (MUI) Measure, the HEDIS Physical Activity in Older Adults (PAO) Measure, the HEDIS Fall Risk Management (FRM) Measure, the HEDIS Osteoporosis Testing in Older Women (OTO) Measure, additional health status indicators, and demographics. A section that relates the HOS measures to the CMS Medicare Star Ratings is included. This sample MAO report contains example MAO-level data only; however, all references to the HOS Total reflect actual national-level data.
- 2015-2017 HOS Sample Performance Measurement Report (PDF, 1.1 MB) 2018
After the administration of each follow up cohort, a cohort specific performance measurement report is produced. A performance measurement report data set is created by merging a cohort's baseline and follow up data. Additionally, death information is incorporated into the performance measurement data set for those baseline respondents who died between baseline and follow up. The HOS performance measurement results are computed using a rigorous case mix/risk adjustment model. MAOs are rated on whether they performed Better than Expected, Same as Expected, or Worse than Expected on Physical and Mental Health. The performance measurement reports also provide MAO, state, and HOS national information on health status indicators and demographics. A section that relates the HOS measures to the CMS Medicare Star Ratings is included. This sample MAO report contains example MAO-level data only; however, all references to the HOS Total reflect actual national-level data.
- The Medicare Health Outcomes Survey Evaluation Final Report (PDF, 2.3 MB) 2004
In 2003 and 2004, CMS funded an independent evaluation of the HOS program. The evaluation encompassed three components: 1) a review of the context for the HOS program; 2) an evaluation of the HOS instrument and operational protocol; and 3) an assessment of policy issues related to turning HOS data into useful information for health plans, QIOs, CMS, and health care researchers. This final report summarizes the findings of the overall evaluation. A brief overview is provided on the measurement of quality of care and, in particular, the transition from structural and process measures of care to outcomes of care. Also discussed is the role of quality of care assessment and improvement within a broader strategy of health plan performance measurement. Several national initiatives are noted. Further, factors that contributed to the development of the HOS program are reviewed, followed by a discussion of the HOS program administration and data utilization.
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This page was last modified on 01/16/2019
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