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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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