Improving or Maintaining Physical Health
Identifying Attributes
Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Medicare Advantage (Part C) and Part D Star Ratings
Type of Quality Indicator
Outcome
IOM Quality Dimension
Person-Centredness
Domain
Function and ADLs
Defining Attributes
Definition
The percentage of sampled Medicare enrollees 65 years of age or older (denominator) whose physical health status was the same or better than expected (numerator).
Numerator
The number of sampled Medicare enrollees 65 years of age or older whose physical health status was the same or better than expected.
Denominator
The total number of Medicare enrollees 65 years of age or older in the sample.
Exclusions
Contracts with less than 100 responses.
Use of Risk Adjustment
No
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Surveys
Data Collection Methods
Medicare Health Outcomes Survey. 2020-2022 Cohort 23 Performance Measurement Results (2020 Baseline data collection, 2022 Follow-up data collection) 2-year PCS change – Questions: 1, 2a-b, 3a-b & 5 These comparisons are pre- and post-pandemic.
Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods
Reported on www.medicare.gov/plan-compare/
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No
Source and Reference Attributes
Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025
Contents
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Date Modified 02 December 2025