Medicare AdvantageAdministrativeMedium impact
Help improve your patients’ Health Outcomes Survey (HOS) results
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +1 more·Physician
Effective date
Jun 1, 2025
We identified it
Jun 19, 2026
Summary
BCBS RI is implementing guidelines for providers to help improve Medicare Health Outcomes Survey (HOS) results, which impact Medicare Star Ratings. Providers should proactively discuss physical activity, fall risk, bladder health, safe movement, and mental health with older adult patients and document these discussions.
Action Required
By June 1, 2025: Providers must integrate HOS-focused discussions into patient encounters with older adults. Add documentation prompts to EMR templates for: physical activity discussions, fall risk assessments, bladder health conversations, mobility recommendations, and mental health screenings. Billing team should ensure these discussions are properly documented to support Medicare Star Rating outcomes.