Healthcare Effectiveness Data and Information Set (HEDIS) File 2: Plan All-Cause Readmission (PCR) Measure

The HEDIS Medicare Advantage Plan All-Cause Readmissions (PCR) File (referred to as File 2 in the file name) is a patient-level file that contains all variables pertinent to the PCR measure. There is a separate record for each acute inpatient hospital discharge during the year.

What does this file include? (variable highlights)

  • Readmission indicator
  • Chronic condition weight

Each record represents a hospitalization for a beneficiary in the calendar year (CY). Beneficiaries with multiple hospitalizations will have multiple records in this file.

Beneficiaries can be linked to other beneficiary data via the BENE_ID and to plan information via the HEDIS_CONTRACT_ID and HEDIS_PLAN_ID variables.

Availability of this file

Availability:
2015-2021**

**There was no HEDIS data submission requirement for the 2019 measurement year due to the COVID-19 pandemic.

The contents of the data vary by measurement year and source of data. CMS records can change annually. CCW is the data source.

Date Requests Can Be Accepted for Upcoming Releases:

TBD

See what is in this file