Health Outcomes Survey Now Underway for MA Members

The Medicare Health Outcomes Survey (HOS) is an annual survey — administered from July through November by the Centers for Medicare and Medicaid Services (CMS) — to a random sample of Medicare Advantage (MA) members.

HOS includes three HEDIS^® measures and two functional health measures that contribute to the health plan’s Medicare Star Rating:

• Monitoring physical activity
• Reducing the risk of falling
• Improving bladder control
• Improving or maintaining physical health
• Improving or maintaining mental health

Survey responses are confidential and may be completed by MA patients or their designated representatives. Initiating discussions about HOS topics may lead to better health outcomes for your patients.

Here are some tips that can help your staff in their gap closure efforts.

• Proactive Fall Risk Management: Implement routine fall risk screenings and develop tailored fall reduction plans for those who screen positive.
• Address Urinary Incontinence: Initiate conversations about urinary incontinence with your patients, offering supportive resources and information to manage this often-overlooked issue.
• Promote Emotional Wellness: Regularly assess your patients' emotional well-being and connect them with appropriate mental health resources when needed.
• Champion Physical Activity: Directly encourage your patients to start, increase, or maintain appropriate physical activity, emphasizing its crucial role in overall health and functional independence.
• Review Medications Thoroughly: Conduct medication reconciliation to optimize medication usage and minimize potential adverse effects.

By focusing on key areas, providers can significantly improve the health outcomes and overall well-being of older patients, while also strengthening the patient-physician relationship.

HEDIS^® — an acronym for Healthcare Effectiveness Data and Information Set — is a registered trademark of NCQA.

Highmark does not recommend particular treatments or health care services. This information is not intended to be a substitute for professional medical advice, diagnosis, or treatment. You should determine the appropriate treatment and follow-up with your patient. Coverage of services is subject to the terms of each member’s benefit plan. Additionally, state laws and regulations governing health insurance, health plans, and coverage may apply and will vary from state to state.