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Introducing Highlighting HEDIS®

February 28, 2014

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We are pleased to introduce a new article series in Partners in Health Update: Highlighting HEDIS®. This series is designed to provide you with education and strategies to help you improve your HEDIS® performance.

What is HEDIS®?

The Healthcare Effectiveness Data and Information Set (HEDIS®) is a tool used by more than 90 percent of America?s health plans to measure performance on important dimensions of care and service. Altogether, HEDIS® consists of 75 measures across eight domains of care. Because so many plans collect HEDIS® data, and because the measures are so specifically defined, HEDIS® makes it possible to compare the performance of health plans on an "apples-to-apples" basis.1

Why is HEDIS® important to physicians?

HEDIS® measures track a health plan's and physician's ability to manage health outcomes. Generally, strong HEDIS® performance reflects enhanced quality of care. With proactive population management, physicians can monitor care — improving quality while reducing costs.

Additionally, if you participate in the Quality Incentive Payment System (QIPS) program, improving your HEDIS® performance increases your practice's earning potential.

Send us your feedback

If you have comments on the information you read in Highlighting HEDIS® or you have topics you'd like to see included, email us at provider_communications@ibx.com.

1National Committee for Quality Assurance (NCQA)

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



Star Alerts

Numerous HEDIS® measures overlap with measures for the Centers for Medicare & Medicaid Services (CMS) Five-Star Quality Rating Program. In each monthly article, we will identify those measures of critical importance to both HEDIS® and Stars with a yellow star indicator. Similarly, HEDIS® measures used in the QIPS program will be identified with a blue star indicator.

Highlighting HEDIS® articles

Each month, Highlighting HEDIS® may include the following:

  • HEDIS® data: A visual display of data from a chosen measure of focus. Selected data will highlight key components or weaknesses for the measure.
  • Measure definitions and data
  • Quick tips for quick wins: Simple and easy pointers and strategies that can improve HEDIS® performance
  • Coding 101: Instructions for coding
  • Patient education documents: Links to educational documents available online
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This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of Independence Blue Cross. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.
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