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What does HEDIS measure?
HEDIS measures address a broad range of important health issues. You can read more about some of these measures below.
- Adult Immunization Status - Flu (AIS-E)
- Annual Wellness Visit for Medicare members
- Care for a diabetic member
Childhood Immunization Status (CIS)
Colorectal Cancer Screening (COL)
- Developmental Screening in the First Three Years of Life (DEV)
- Gaps in Care (GIC)
Immunizations for Adolescents (IMA)
Prenatal and Postpartum Care (PPC)
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).
Check your provider manual for answers. Or contact us.