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. 2019 Nov 11;36(7):1847–1857. doi: 10.1007/s11606-019-05473-x

Table 2.

Comparison of Medicare Advantage Health Plans for HEDIS and CAHPS Measures by Measurability and by HESS

n Mean enrolment Percent Hispanic Percent Black Percent Asian/Pacific Islander Percent dually eligible Mean overall HEDIS or CAHPS stars
HEDIS HESS Unmeasurable 55 7917 15.0% 4.2% 2.1% 8.3% 3.2
Measurable 343 48,230 13.0% 13.4% 4.4% 28.5% 3.4*
Low (1–2 stars) 33 18,773 6.2% 7.4%§ 2.6% 14.5% 2.8
Medium (2.5–3.5 stars, ref) 182 49,837 12.5% 12.8% 4.7% 40.0% 3.3
High (4–5 stars) 128 53,541 15.5% 15.8% 4.4% 28.6% 3.9
CAHPS HESS Unmeasurable 204 48,990 3.7% 6.2% 2.0% 7.6% 3.7
Measurable 184 37,134 21.2% 16.3% 6.2% 45.4% 3.0
Low (1–2 stars) 13 10,170 21.9% 13.8% 8.4% 61.4% 2.1§
Medium (2.5–3.5 stars, ref) 101 30,118 24.9% 19.2% 6.3% 48.4% 2.6
High (4–5 stars) 70 52,264 15.9%§ 12.7% 5.5% 38.2% 3.7

*p < 0.05, p < 0.01, p < 0.001 for difference from unmeasurable plans, where measurable plans have at least 100 completed surveys and reliability of at least 0.7 for any SRF group on the MA Consumer Assessment of Healthcare Providers and Systems (CAHPS) or the Healthcare Effectiveness Data and Information Set (HEDIS), respectively. Limited to plans with an overall MA CAHPS or HEDIS Star Rating

§p < 0.05, p < 0.01, p < 0.001 for difference of high- and low-scoring measurable HESS plans from medium measurable HESS plans