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.