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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 (MA) Plan participating in the Medicare HOS. Each participating
MA Plan receives plan specific baseline and/or performance measurement reports,
which present results for their plan, the state total, and the HOS national total.
Patient level data files are made available to plans only after each cohort is complete.
Additionally, each state's Quality Improvement Organization (QIO) receives a state
specific baseline and/or performance measurement reports, which present results
for all plans 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
plan, state, and HOS national information on health status indicators and demographics.
A sample baseline report (PDF,
1.4 MB) is available for download.
After baseline reports have been distributed to the participating MA Plans 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 all
beneficiaries in a given plan. These results account for demographic and health
differences that may exist between members in the various plans.
A sample
performance measurement report (PDF, 1.6 MB) is available for
download.
After performance measurement reports have been distributed to the participating
QIOs and MA Plans, beneficiary level performance measurement data are disseminated
electronically to all participating QIOs and made available to participating MA
Plans. In addition to the data files, each QIO and MA Plan 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 MA Plans via
an overnight carrier. However, effective Fall 2003, hard copy reports are no longer
distributed to Plans and QIOs. Instead, all distribution occurs electronically to
participating Plans through CMS' Health Plan Management System (HPMS) and to participating
QIOs through the QIO QualityNet Exchange (QNE) application.
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 QNE 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 plans in their state via HPMS. An HPMS
User ID is required to access HPMS. MA Plans 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 MA Plans and QIOs is available for each cohort below.
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HOS Cohort
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Baseline Report
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Baseline Data
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Performance Measurement Report
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Performance Measurement Data
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QIOs
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MA Plans
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QIOs
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QIOs
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MA Plans
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QIOs
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MA Plans
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COHORT 1
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May 1, 1999
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May 1, 1999
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June 30, 1999
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Nov 30, 2001*
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Nov 30, 2001*, 2
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April 5, 2002
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Dec 13, 2002, 3
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COHORT 2
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Mar 1, 2000
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Mar 1, 2000
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April 15, 2000
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Sept 23, 2002*
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Sept 23, 2002*, 2
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January 27, 2003
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Dec 13, 2002, 3
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COHORT 3
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Mar 30, 2001
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Mar 30, 2001
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June 1, 2001
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Aug 21, 2003*
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Oct 2003*, 2
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May 5, 2004, 1
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May 12, 2004, 3
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COHORT 4
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June 5, 2002*
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June 5, 2002*
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Aug 6, 2002
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Aug 17, 2004*, 1
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Sept 27, 2004*, 2
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Nov 10, 2004, 1
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Nov 10, 2004, 3
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COHORT 5
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June 26, 2003*
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June 26, 2003*
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April 22, 2004, 1
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July 13, 2005*, 1
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July 20, 2005*, 2
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Sept 15, 2005, 1
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Sept 22, 2005, 3
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COHORT 6
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July 27, 2004*, 1
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Sept 27, 2004*, 2
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Oct 11, 2004, 1
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June 20, 2006*, 1
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July 10, 2006*, 2
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Aug 30, 2006, 1
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Sept 22, 2006, 3
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COHORT 7
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May 27, 2005*, 1
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June 22, 2005*, 2
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Aug 1, 2005, 1
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Aug 9, 2007*, 1
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Aug 31, 2007*, 2
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Dec 18, 2007, 1
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Jan 2008, 3
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COHORT 8
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April 21, 2006*, 1
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June 5, 2006*, 2
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July 13, 2006, 1
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TBD
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TBD
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TBD
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TBD
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COHORT 9
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Aug 13, 2007*, 1
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Aug 31 2007*, 2
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Nov 21, 2007, 1
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TBD
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TBD
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TBD
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TBD
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1 Disseminated electronically to QIOs via QNE Application
2 Made available electronically to MA Plans via HPMS
3 MA Plans notified of availability of data
* Available in CMS' HPMS
The following sample Medicare HOS Reports are available for download:
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