To comprehensively address and eliminate health disparities, it is necessary to measure and publicly report – in a standardized and systematic way – the nature and extent of health care disparities. Stratified Reporting provides useful information for targeting quality improvement activities and resources, monitoring health and drug plan performance, and advancing the development of culturally and linguistically appropriate quality improvement interventions and strategies.

Disparities in Health Care in Medicare Advantage by Race, Ethnicity, and Sex: April 2022

The following report summarizes the quality of health care received by Medicare Advantage enrollees nationwide, highlighting racial and ethnic differences in health care experiences and comparing the quality of care between men and women.

View the report. (PDF)

Trends in Racial, Ethnic, Sex, and Rural-Urban Inequities in Health Care in Medicare Advantage: 2009-2018

The following report summarizes inequities in the quality of care delivered to Medicare beneficiaries enrolled in Medicare Advantage plans nationwide from 2009 to 2018. The report examines racial, ethnic, sex, and rural-urban differences in quality of health care beginning in 2009 and identifies how scores for each group have changed over time, pointing out health inequities that persisted until 2018.

View the report. (PDF)

Disparities in Health Care in Medicare Advantage Associated with Dual Eligibility or Eligibility For Low-Income Subsidy

2021 DE/LIS National Disparities Stratified Report (PDF)

View the newly released Medicare Advantage quality care data, which includes information about differences in clinical care by dual eligibility for Medicare and Medicaid or eligibility for a Low-Income Subsidy (DE/LIS status). The data also examines how differences based on DE/LIS status vary by race and ethnicity and between rural and urban areas.

Part C and D Performance Data Stratified by Race, Ethnicity, and Gender

The following reports describe the quality of health care received by Medicare beneficiaries enrolled in Medicare Advantage plans nationwide, highlighting racial and ethnic differences in health care experiences and comparing the quality of care for men and women.

2021 Stratified Reports 

April 2021

2021 Racial, Ethnic & Gender Disparities in Health Care in Medicare Advantage (PDF)

2021 Contract Level CAHPS Scores - Multiple Group (XLSX)

2021 Contract Level HEDIS Scores - Multiple Group (XLSX)

2021 Contract Level CAHPS Scores - Single Group (XLSX)

2021 Contract Level HEDIS Scores - Single Group (XLSX)

2020 Stratified Reports

April 2020

2020 National Level Results by Race, Ethnicity, and Gender (PDF)

2020 Frequently Asked Questions (PDF)

2020 Contract Level CAHPS Scores - Multiple Group (XLSX)

2020 Contract Level HEDIS Scores - Multiple Group (XLSX)

2020 Contract Level CAHPS Scores - Single Group (XLS) (XLSX)

2020 Contract Level HEDIS Scores - Single Group (XLSX)

2019 Stratified Reports

April 2019

2019 National Level Results by Race, Ethnicity, and Gender (PDF)

2019 Frequently Asked Questions (PDF)

2019 Contract Level CAHPS Scores - Multiple Group (XLSX)

2019 Contract Level HEDIS Scores - Multiple Group (XLSX)

2019 Contract Level CAHPS Scores - Single Group (XLS)

2019 Contract Level HEDIS Scores - Single Group (XLSX)

2018 Stratified Reports

April 2018

2018 National Level Results by Race, Ethnicity, and Gender (PDF)

2018 Frequently Asked Questions (PDF)

2018 Appendix A: Data Source and Methods for National Level results by Race, Ethnicity, and Gender (PDF)

2018 Contract Level CAHPS Scores - Multiple Group (XLSX)

2018 Contract Level HEDIS Scores - Multiple Group (XLSX)

2018 Contract Level CAHPS Scores - Single Group (XLS)

2018 Contract Level HEDIS Scores - Single Group (XLSX)

2017 Stratified Reports

April 2017

2017 National Level Results by Gender (PDF)

2017 National Level Results by Race, Ethnicity, and Gender (PDF)

2017 Frequently Asked Questions (PDF)

2017 Appendix A: Data Source and Methods for National Level Results by Gender (PDF)

2017 Appendix A: Data Source and Methods for National Level Results by Race, Ethnicity and Gender (PDF)

2016 Stratified Reports

November 2016

2016 National Level Results (PDF)

2016 Contract Level CAHPS Scores – Multiple Group (XLSX)

2016 Contract Level HEDIS Scores – Multiple Group (XLSX)

2016 Contract Level CAHPS Scores – Single Group (XLS)

2016 Contract Level HEDIS Scores – Single Group (XLSX)

2016 Appendix A Data Source and Methods (PDF)

2016 Frequently Asked Questions (DOCX)

2015 Stratified Reports

April 2016

2015 National Level Results (PDF)

2015 Contract Level CAHPS Scores – Multiple Group (XLSX)

2015 Contract Level HEDIS Scores – Multiple Group (XLSX)

2015 Contract Level CAHPS Scores – Single Group (XLSX)

2015 Contract Level HEDIS Scores - Single Group (XLSX)

2015 Appendix A Data Source and Methods (PDF)

2015 Frequently Asked Questions (PDF)

Targeted Interventions: Colorectal Cancer Screening (PDF)

Part C and D Performance Data Stratified by Geography (Rural/Urban)

The following reports describes rural-urban differences in health care experiences and clinical care received by Medicare beneficiaries and compares the quality of care delivered to rural and urban Medicare beneficiaries. The reports also look at how these differences vary by race and ethnicity.

2020 Stratified Report (Rural/Urban)

November 2020

2020 Rural-Urban Disparities in Health Care in Medicare (PDF)

2019 Stratified Report (Rural/Urban)

November 2019

2019 Rural-Urban Disparities in Health Care in Medicare (PDF)

2018 Stratified Report (Rural/Urban)

November 2018

2018 Rural-Urban Disparities in Health Care in Medicare (PDF)

Technical Appendix for Rural-Urban Disparities in Health Care in Medicare Report (PDF)

2018 Contract Scores by Rural-Urban CAHPS Scores - Multiple Group (XLSX)

2018 Contract Scores by Rural-Urban HEDIS Scores - Multiple Group (XLSX)

2018 Contract Scores by Rural-Urban CAHPS Scores - Single Group (XLSX)

2018 Contract Scores by Rural-Urban HEDIS Scores - Single Group (XLSX)

Questions?

The CMS Office of Minority Health welcomes your questions about the stratified data contained in these files or how health plans could utilize these data for quality improvement purposes, please contact CMS Health Equity Technical Assistance at: HealthEquityTA@cms.hhs.gov.