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Medicare Advantage & Part DSource-backed product
Medicare Advantage HEDIS Quality
The clinical quality measures behind Medicare Advantage star ratings, reported per plan contract each year: preventive screening rates, fall-risk management, and other care-quality outcomes.
What Vlada adds: Preserves the publisher data, normalizes schema eras and identifiers, and connects the product to compatible healthcare entities with measured join coverage.
- rows
- 4.8M
- rows
- datasets
- 9
- datasets
- cadence
- annual
- cadence
- coverage
- 2019-2025
- coverage
Publishers: Centers for Medicare & Medicaid Services
What's inside
MA hedis service area
One row per (contract, county) per year.
grain: One row per (contract, county) per year. Long-format service area: contract operates in this county for this measurement year. Partial- county flag (SA-0070) indicates plans that cover only part of the county.
2.5M rows
MA hedis measures
Tall format: one row per (contract, HEDIS measure, indicator key, year).
grain: Tall format: one row per (contract, HEDIS measure, indicator key, year). Reported rate plus confidence bounds (LCL/UCL), eligible population (2022+), denominator, numerator, member count (2022+). This is the Stars Ratings spine — every meas
2.1M rows
MA hedis rau measures
Tall format: one row per (contract, RAU measure, indicator, year).
grain: Tall format: one row per (contract, RAU measure, indicator, year). Reports observed vs expected counts (with variance) for risk- adjusted utilization measures (admissions, ED visits, etc.). Added to MA-HEDIS PUFs starting in 2021. Per-row c
299.9K rows
MA hedis general
One row per (contract, year).
grain: One row per (contract, year). Contract metadata: organization type, plan type, Part D offering, enrollment count, region. Coded columns (General-0010 through General-0087) carry CMS Stars-Ratings semantics documented in `MADictionary{YEAR}.
3.5K rows
MA hedis hos frm
One row per (contract, year).
grain: One row per (contract, year). Health Outcomes Survey: Falls Risk Management. Two rates: (rate1) Talking with Doctor about Falling or Balance Problems, (rate2) Receiving Fall Risk Reduction Recommendation. ~600 rows per year.
3.2K rows
MA hedis hos pao
One row per (contract, year).
grain: One row per (contract, year). 4-column HOS sheet. Two rates (rate1, rate2). Stable across 2019-2025 (excluding 2020 gap).
3.2K rows
MA hedis hos mui
One row per (contract, year).
grain: One row per (contract, year). HOS Management of Urinary Incontinence. Three rates (rate1, rate2, rate3). Published 2021+ only.
2.8K rows
MA hedis hos oto
One row per (contract, year).
grain: One row per (contract, year). 3-column HOS sheet. Single rate column. Published 2019 and 2021 only; absent 2022+ (CMS appears to have renamed/retired in favor of hedishos_mui).
892 rows
MA hedis national rates
CMS-published national weighted-average rate per (measure_code, indicator_key) per year.
grain: CMS-published national weighted-average rate per (measure_code, indicator_key) per year. ~70-85 rows per year. The denominator for computing relative contract performance (Stars Ratings inputs).
471 rows