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What is HEDIS®?

HEDIS stands for Healthcare Effectiveness Data and Information Set. The National Committee for Quality Assurance (NCQA) coordinates HEDIS testing and scorekeeping.

 

What does HEDIS measure?

HEDIS measures address a broad range of important health issues. You can read more about some of these measures below.      
    

  • Care for Older Adults (COA)

  • Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC)

 

Who uses HEDIS scores? 

Who uses HEDIS scores? 

The Centers for Medicare & Medicaid Services uses HEDIS scores to monitor a health plan’s performance. More than 90% of American health plans use HEDIS scores to compare how well the plan performs in areas like: 

  • Quality of care  

  • Access to care 

  • Member satisfaction with plans and providers 

We use HEDIS scores to measure our performance, determine quality initiatives and provide educational programs for you and our members. You can use HEDIS scores to monitor your patients’ health, identify developing issues and prevent further complications. 

 

HEDIS education 

For more information on HEDIS, see guides and webinars below. 

 

HEDIS  is a registered trademark of the National Committee for Quality Assurance (NCQA).

Questions?

Check your provider manual for answers. Or contact us