Health Outcomes Survey (HOS)
Improve Star Ratings with member-reported outcomes
Capture Medicare Advantage members’ reports of their physical and mental health over time. So you can reliably monitor quality, target improvement initiatives, and strengthen your Star Ratings.
Measure what matters most
Ensure accuracy and compliance
Longitudinal design
Tracks change over two years with baseline and follow-up surveys.
Standardized questions
Includes the VR-12 health survey, HEDIS questions, and health status items.
CMS and NCQA certified
Administered by approved vendors under strict protocols.
Multimode administration
Mail, phone, and translated versions ensure representative response.
Get your questions answered
What is the purpose of HOS?
To measure and improve the physical and mental health outcomes of Medicare Advantage members over time.
Who must participate?
All MAOs with 500+ members are required to field HOS annually.
How is HOS administered?
HOS is administered through a mixed-mode approach: pre-notice, mail surveys, reminders, and phone follow-up.
Which measures impact Star Ratings?
Maintaining physical health, maintaining mental health, physical activity, bladder control, and fall risk reduction.
Can plans add custom questions?
No. HOS surveys are standardized by CMS and NCQA.
A health plan suite, built on insights and action
Member Journey
Capture member feedback in the moments that matter and get real-time insights into how to fix pain points, deliver seamless, personalized experience, and close the loop quickly.
Net promoter score
Get a reliable view of member loyalty to measure, analyze, and improve loyalty and experience in one program.
Medicare CAHPS
Ensure regulatory compliance—from sample validation to survey administration and reporting—while unlocking insights that directly impact member experience.
Stars Monitor
Understand the complexity of Stars math and the results of CMS changes.
Predictive analytics
See beyond survey results and model satisfaction, disenrollment risk, and key CAHPS measures at the member level.
Provider verification
Take the pressure off your team with a proven, audit-ready process that ensures accuracy, supports accreditation, and improves provider directory data at scale.
Behavioral Health (OPMH)
Get actionable insights into outpatient mental health and substance-use services, including telehealth—so you can close gaps, strengthen access, and drive meaningful outcomes.
Case management
Capture direct member feedback and get insights into communication, helpfulness, access, and health outcomes.
Smarter data. Better outcomes.
