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What is HEDIS®?

HEDIS stands for Healthcare Effectiveness Data and Information Set. 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.

What is HEDIS used for?

The National Committee for Quality Assurance (NCQA) coordinates HEDIS testing and scorekeeping. 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 the plan and providers

HEDIS education materials

Our HEDIS “News You Can Use” flyer is designed with you and your practice in mind. It includes key information related to HEDIS, such as measure requirements, coding information and best practices.

 

Check out some recent issues.

 

Adolescent Immunizations (PDF)

 

Behavioral Health Follow-Up Opportunities (PDF)

 

Cardiovascular health (PDF)

 

Childhood Immunizations (PDF)

 

Closing gaps in care (PDF)

 

Dental care (PDF)

 

Diabetes (PDF)

 

Medical record review (PDF)

 

Prenatal and Postpartum Care (PDF)

 

Provider and member incentives for 2024 (PDF)

 

Weight Assessment and Counseling for Nutrition and Physical Activity (PDF)

 

Well-child care (PDF)

 

Well-woman (PDF)

We host HEDIS webinars on a variety of topics throughout the year. You can attend the live webinars using the information below.

 

Attend live webinars

You’ll get an invitation to attend our webinars. The invite contains instructions on how to attend via Webex.

 

Thu, May 23

12:00 PM - 12:30 PM EDT

Online event

The topic for May 2024 is Prenatal & Postpartum Care, which encompasses the Timeliness of Prenatal Care (TOPC), Postpartum Care (PPC) and Prenatal Immunization Status (PRS) measures.

Thank you much. See you there!

Join the meeting now

Meeting ID: 231 464 283 001

Passcode: YUr7UC

 

Dial in by phone

+1 860-785-4641,,329680594#United States, Hartford

Find a local number

Phone conference ID: 329 680 594# 

 

Wed, May 29

12:30 PM - 1:00 PM EDT

Online event

The topic for May 2024 is Prenatal & Postpartum Care, which encompasses the Timeliness of Prenatal Care (TOPC), Postpartum Care (PPC) and Prenatal Immunization Status (PRS) measures.

Thank you much. See you there!

 

Join the meeting now

Meeting ID: 212 249 792 518

Passcode: 9AfT7P

 

Dial in by phone

+1 860-785-4641,,570983832#United States, Hartford

Find a local number

Phone conference ID: 570 983 832# 

 

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

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