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The Healthcare Effectiveness Data and Information Set (HEDIS) file contains beneficiary level records that combine to create measures of managed care plan performance. CMS MA plans provide patient-level data to CMS annually. Data from HEDIS contributes to the assignment of plan CMS Star Ratings.

  • What does this file include?
    • Beneficiary level records
    • SNP enrollment
    • Body Mass Index (BMI)
    • Disease screening indicators
    • Chronic condition treatment indicators
    • Counts of specific procedures

 

Program
Medicare
Category
Privacy Level
Research Identifiable Files