What is HEDIS®?
HEDIS (Healthcare Effectiveness Data and Information Set)
is a set of standardized performance measures for managed
care organizations. HEDIS® is maintained by the National
Committee for Quality Assurance, a not-for-profit
organization committed to evaluating and publicly reporting
on the
quality of managed care organizations.
HEDIS® measures look at how many of a plan’s enrollees are receiving care that meets national standards. Many of the measures focus on preventive care, such as childhood vaccinations and mammograms. Other measures look at specific care for chronic illnesses, such as asthma or diabetes.
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