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July 2022

Remember to discuss fall risk, urinary incontinence and physical activity with Medicare patients

According to the National Committee for Quality Assurance, or NCQA:

  • Falls are the leading cause of death by injury in people 65 and older. Every year, 1 in 4 older adults fall.
  • Urinary incontinence is significantly underreported and underdiagnosed.
  • Any amount of physical activity reduces the risk of developing certain chronic conditions and increases quality of life.

Due to the risks posed by falls and urinary incontinence, the Medicare Health Outcomes Survey, or HOS, measures patient-reported outcomes for three HEDIS® Effectiveness of Care measures:

  • Fall Risk Management
  • Management of Urinary Incontinence in Older Adults
  • Physical Activity in Older Adults

The survey, which runs from August through November, asks randomly selected Medicare Advantage members questions about how their health care providers talk with them about these important topics.

Read the HOS tip sheet to learn more, including what questions are members are being asked and how you can address care opportunities with your patients.

HEDIS®, which stands for Healthcare Effectiveness Data Information Set, is a registered trademark of the National Committee for Quality Assurance, or NCQA.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2021 American Medical Association. All rights reserved.