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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.

 

Behavioral Health Follow-Up Opportunities (PDF)

 

Cardiovascular health (PDF)

 

Closing gaps in care (PDF)

 

Dental care (PDF)

 

Diabetes (PDF)

 

Immunizations (PDF)

 

Medical record review (PDF)

 

Provider and member incentives for 2023 (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.

 

Lunch and Learn for Cardiovascular Care

Tuesday, February 27th 12:30-1:00pm (EST)

 

Microsoft Teams meeting

 

Join on your computer, mobile app or room device **

Click here to join the meeting

Meeting ID: 276 985 739 606
Passcode: hbyviL

Download Teams | Join on the web

 

Join with a video conferencing device

heartbeat@m.webex.com

Video Conference ID: 111 735 244 1

Alternate VTC instructions

 

Or call in (audio only)

1 860-785-4641 United States, Hartford

Phone Conference ID: 833 717 15#

Find a local number | Reset PIN

Learn More | Meeting options

 

 

Lunch and Learn for Medical Cardiovascular Care

Thursday, February 29th, 12:00-12:30pm (EST)

 

Microsoft Teams meeting

 

Join on your computer, mobile app or room device **

Click here to join the meeting

Meeting ID: 253 106 790 680
Passcode: yytX3d

Download Teams | Join on the web

 

Join with a video conferencing device

heartbeat@m.webex.com

Video Conference ID: 116 179 945 8

Alternate VTC instructions

 

Or call in (audio only)

1 860-785-4641 United States, Hartford

Phone Conference ID: 381 962 305#

Find a local number | Reset PIN

Learn More | Meeting options

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

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