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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.

 

Adolescent Immunizations (PDF)

 

Behavioral Health Follow-Up Opportunities (PDF)

 

Cardiovascular health (PDF)

 

Childhood Immunizations (PDF)

 

Closing gaps in care (PDF)

 

Dental care (PDF)

 

Diabetes (PDF)

 

Medical record review (PDF)

 

Prenatal and Postpartum Care (PDF)

 

Provider and member incentives for 2024 (PDF)

 

Weight Assessment and Counseling for Nutrition and Physical Activity (PDF)

 

Well-child visits (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 Behavioral Health Follow-Up

Monday, July 29th 12:00-12:30pm (EST)

Microsoft Teams meeting

 

Dial in by phone

1 860-785-4641,,915236329 United States, Hartford

 

Find a local number

 

Phone conference ID: 915 236 329#

 

Join on a video conferencing device

 

Tenant key: heartbeat@m.webex.com

Video ID: 119 821 013 8

More info

 

For organizers: Meeting options | Reset dial-in PIN

 

 

Lunch and Learn for Behavioral Health Follow-Up

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

 

Microsoft Teams meeting

 

Dial in by phone

1 860-785-4641,,681269411 United States, Hartford

 

Find a local number

 

Phone conference ID: 681 269 411#

 

Join on a video conferencing device

 

Tenant key: heartbeat@m.webex.com

Video ID: 113 505 675 3

More info

 

For organizers: Meeting options | Reset dial-in PIN

 

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

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