The Medicare Health Outcomes Survey (HOS) will be mailed to members beginning in July and through November and contributes to our Medicare Star Rating. This survey helps evaluate members’ perceived health status and how well health plans and providers support them in maintaining or improving their health over time – and your role is essential.

Why it matters:
The HOS impacts Medicare Star Ratings, and ultimately affects plan performance, member satisfaction, and funding for care improvements. More importantly, it reflects the long-term outcomes of the care you provide every day.

What questions are asked?

Monitoring physical activity – Did you talk with a doctor or other health provider about your level of exercise or physical activity? For example, a doctor or other health provider may ask if you exercise regularly or take part in physical exercise.

Reducing the risk of falling – Did you fall in the last 12 months? In the past 12 months, have you had a problem with balance or walking?

Management of urinary incontinence – In the past six months, have you experienced leaking of urine?

Improving or maintaining physical health – Does your health limit your ability to perform any of the following activities: light house cleaning, climbing stairs, playing golf, etc.?

Improving or maintaining mental health – During the past four weeks, have you had any issues with work or other regular daily activities because of any emotional problems (such as feeling depressed or anxious)?

How can you support?

• Ask about daily functioning – Check in with older adults about tasks like walking, bathing, or dressing—and recommend supports or therapy if needed.
• Proactively address fall risk – Ask about recent falls or balance issues, and document discussions and referrals in the medical record.
• Discuss bladder health – Create a safe space for members to talk about incontinence and offer solutions or referrals.
• Encourage safe movement – Advise physical activity that matches each patient’s ability, even if it’s light walking or chair exercises.
• Talk about mental health – Normalize conversations about mood, anxiety, and stress – screen when appropriate and refer to behavioral health if needed.