Medicare Health Outcomes Survey

Dissemination of HOS Results to QIOs and MA Plans

Each year a baseline report and a performance measurement report are disseminated to each Medicare Advantage Organization (MAO) participating in the Medicare HOS. Each participating MAO receives plan specific baseline and/or performance measurement reports, which present results for their MAO, the state total, and the HOS national total. Patient level data files are made available to MAOs only after each cohort is complete. Additionally, each state's Quality Improvement Organization (QIO) receives state specific baseline and/or performance measurement reports, which present results for all MAOs in their state, the state total, and the HOS national total. Corresponding Baseline and Performance Measurement patient level data files are disseminated to QIOs after each respective baseline and follow up measurement.

Medicare HOS Baseline Results

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 health status indicators and demographics. A sample baseline report (PDF, 809 KB) is available for download.

After baseline reports have been distributed to the participating MAOs and QIOs, beneficiary level data are disseminated electronically to all participating QIOs. Each QIO receives a beneficiary level SAS data set comprised of data from all beneficiaries surveyed in the QIO's state. In addition to the SAS data set, each QIO is provided with a data user's guide that describes the Medicare HOS file specifications and the appropriate use of Medicare HOS data. Baseline QIO Data User's Guides are available for download.

Medicare HOS Performance Measurement Results

After administration of each follow up cohort, a cohort specific performance measurement report is produced. The performance measurement results describe change in health over time, which is characterized in terms of the direction and magnitude for a given respondent. These results account for demographic and health differences that may exist between members in the various MAOs. A sample performance measurement report (PDF, 1.1 MB) is available for download.

After performance measurement reports have been distributed to the participating QIOs and MAOs, beneficiary level performance measurement data are disseminated electronically to all participating QIOs and made available to participating MAOs. In addition to the data files, each QIO and MAO is provided with a data user's guide that describes the Medicare HOS file specifications and the appropriate use of Medicare HOS performance measurement data. Performance measurement Data User's Guides are available for download.

Availability of Reports and Data

For Cohorts 1 through 5 Baseline and 1 and 2 Performance Measurement, hard copy reports were disseminated to QIOs and MAOs via an overnight carrier. However, effective Fall 2003, hard copy reports are no longer distributed to MAOs and QIOs. Instead, all distribution occurs electronically to participating MAOs through CMS' Health Plan Management System (HPMS) and to participating QIOs through the CMS QualityNet application. Baseline and Performance Measurement reports, as well as Performance Measurement Summary Measure Results tables and Aggregate Score Analysis tables, are available via HPMS through the Quality and Performance/HOS module. In addition, MAOs may request their HOS data by contacting the HOS Information and Technical Support e-mail at hos@azqio.sdps.org.

For earlier reports that were disseminated in hard copy format, detailed tracking information is available. Tracking information or additional or replacement hard copies and/or CD versions of reports can be ordered through the HOS Information and Technical Support Line (1-888-880-0077). There is a modest replacement fee, which covers the cost of report reproduction, shipping, and handling.

Note: Within the QualityNet application, the Security Administrator at each QIO designates specific individuals to be included in the HOS_Data exchange group. For information regarding the QualityNet HOS_Data exchange group, please contact the HOS Information and Technical Support Line (hos@azqio.sdps.org). In addition, QIOs can also access their HOS reports and the reports for all MAOs in their state via HPMS. An HPMS User ID is required to access HPMS. MAOs must contact their CMS Quality Point of Contact to obtain access to their HOS reports. If assistance is required regarding HPMS access, please contact CMS via e-mail at hpms_access@cms.hhs.gov.

Complete information about the dissemination and availability of Medicare HOS reports and data to MAOs and QIOs is available for each cohort below.


HOS Cohort Baseline Report Baseline Data Performance Measurement Report Performance Measurement Data
QIOs MAOs QIOs QIOs MAOs QIOs MAOs
COHORT 1
May 1, 1999 May 1, 1999 June 30, 1999 Nov 30, 2001* Nov 30, 2001*, 2 April 5, 2002 Dec 13, 2002, 3
COHORT 2
Mar 1, 2000 Mar 1, 2000 April 15, 2000 Sept 23, 2002* Sept 23, 2002*, 2 January 27, 2003 Dec 13, 2002, 3
COHORT 3
Mar 30, 2001 Mar 30, 2001 June 1, 2001 Aug 21, 2003* Oct 2003*, 2 May 5, 2004, 1 May 12, 2004, 3
COHORT 4
June 5, 2002* June 5, 2002* Aug 6, 2002 Aug 17, 2004*, 1 Sept 27, 2004*, 2 Nov 10, 2004, 1 Nov 10, 2004, 3
COHORT 5
June 26, 2003* June 26, 2003* April 22, 2004, 1 July 13, 2005*, 1 July 20, 2005*, 2 Sept 15, 2005, 1 Sept 22, 2005, 3
COHORT 6
July 27, 2004*, 1 Sept 27, 2004*, 2 Oct 11, 2004, 1 June 20, 2006*, 1 July 10, 2006*, 2 Aug 30, 2006, 1 Sept 22, 2006, 3
COHORT 7
May 27, 2005*, 1 June 22, 2005*, 2 Aug 1, 2005, 1 Aug 9, 2007*, 1 Aug 31, 2007*, 2 Dec 18, 2007, 1 Jan 10, 2008, 3
COHORT 8
April 21, 2006*, 1 June 5, 2006*, 2 July 13, 2006, 1 July 30, 2008*, 1 Aug 6, 2008*, 2 Nov 19, 2008, 1 Dec 1, 2008, 3
COHORT 9
Aug 13, 2007*, 1 Aug 31, 2007*, 2 Nov 21, 2007, 1 Aug 28, 2009*, 1 Sept 30, 2009*, 2 Dec 4, 2009, 1 Dec 4, 2009, 3
COHORT 10
July 17, 2008*, 1 July 25, 2008*, 2 Oct 29, 2008*, 1 July 15, 2010*, 1 Oct 1, 2010*, 2 Oct 27, 2010, 1 Nov 17, 2010, 3
COHORT 11
July 31, 2009*, 1 Sept 30, 2009*, 2 Oct 22, 2009*, 1 July 21, 2011*, 1 Aug 23, 2011*, 2 Nov 10, 2011, 1 Nov 4, 2011, 3
COHORT 12
June 16, 2010*, 1 Oct 1, 2010*, 2 Aug 30, 2010*, 1 TBD TBD TBD TBD
COHORT 13
June 23, 2011*, 1 Aug 23, 2011*, 2 Sept 23, 2011*, 1 TBD TBD TBD TBD


1 Disseminated electronically to QIOs via QualityNet Application
2 Made available electronically to MAOs via HPMS
3 MAOs notified of availability of data
* Reports and/or Access Information Available in HPMS


The following sample Medicare HOS Reports are available for download:

Health Services Advisory Group Centers for Medicare and Medicaid Services