HEDIS


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HEDIS

(Healthcare Effectiveness Data and Information Set) See healthcare IT.
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BI-Clinical has been certified by NCQA for its coverage of all HEDIS 2017 performance measures.
g) Calculation of HEDIS A rates using both Administrative and Hybrid Methods; and
Because of these uses of HEDIS data, NCQA works very carefully to only include in HEDIS measures that reflect strong evidence that provides a clear signal on what constitutes good quality.
Enrollment data that tells the HEDIS rating engine if a particular member is enrolled in medical, pharmacy and other insurance lines;
Overall, commercial plans improved performance in 30 of 44 HEDIS measures where a trend could be discerned.
There has been "'stalling" in some of the older HEDIS measures, however, said Ms.
These rates are lower than rates for all other women's health services measured by HEDIS, including Pap tests to screen for cervical cancer (61% in Medicaid and 80% in commercial plans in 2001) (3).
Many HMOS use HEDIS data to address members' health, Detroit-based Blue Care Network, for example, created a work group to carefully examine the HEDIS data and develop concrete solutions to its members' health conditions.
Six new HEDIS measures that assay the plans' control of common or chronic conditions were reported for the first time.
When evaluating objective measures, HEDIS looks at effectiveness of care, such as immunization rates and the percentage of low birth weight babies.
A HEDIS report will tell you about information system capabilities and plan stability.