Healthcare Effectiveness Data and Information Set RIF

The Healthcare Effectiveness Data and Information Set (HEDIS) file contains beneficiary level records that combine to create measures of managed care plan performance. CMS MA plans provide patient-level data to CMS annually. Data from HEDIS contributes to the assignment of plan CMS Star Ratings.

What does this file include? (variable highlights)

  • Beneficiary level records
  • SNP enrollment
  • Body Mass Index (BMI)
  • Disease screening indicators
  • Chronic condition treatment indicators
  • Counts of specific procedures

Availability of this file

Availability:

Measurement Years 1997-2016

See what is in this file