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
